The Effect of High-Fidelity Patient Simulation on the Critical Thinking and Clinical Decision-Making Skills of New Graduate Nurses

BackgroundHigh-Fidelity Simulation (HFS) has great potential to improve decision-making in clinical practice. Previous studies have found HFS promotes self-confidence, but its effectiveness in clinical practice has not been established. The aim of this research is to establish if HFS facilitates learning that informs decision-making skills in clinical practice using MultipleCriteria DecisionMaking Theory (MCDMT).MethodsThe sample was 2nd year undergraduate pre-registration adult nursing students.MCDMT was used to measure the students’ experience of HFS and how it developed their clinical decision-making skills. MCDMT requires characteristic measurements which for the learning experience were based on five factors that underpin successful learning, and for clinical decision-making, an analytical framework was used. The study used a repeated-measures design to take two measurements: the first one after the first simulation experience and the second one after clinical placement. Baseline measurements were obtained from academics. Data were analysed using the MCDMT tool.ResultsAfter their initial exposure to simulation learning, students reported that HFS provides a high-quality learning experience (87%) and supports all aspects of clinical decision-making (85%). Following clinical practice, the level of support for clinical decision-making remained at 85%, suggesting that students believe HFS promotes transferability of knowledge to the practice setting.ConclusionOverall, students report a high level of support for learning and developing clinical decision-making skills from HFS. However, there are no comparative data available from classroom teaching of similar content so it cannot be established if these results are due to HFS alone.

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Interventions Used by Nurse Preceptors to Develop Critical Thinking of New Graduate Nurses

Journal for Nurses in Professional Development ◽

10.1097/nnd.0000000000000318 ◽

2017 ◽

Vol 31 (1) ◽

pp. E1-E7 ◽

Cited By ~ 11

Author(s):

Sue Schuelke ◽

Susan Barnason

Keyword(s):

Critical Thinking ◽

Graduate Nurses ◽

New Graduate Nurses ◽

New Graduate ◽

Nurse Preceptors

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Critical thinking: concept analysis from the perspective of Rodger's evolutionary method of concept analysis

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1191.2785 ◽

2016 ◽

Vol 24 (0) ◽

Cited By ~ 10

Author(s):

Fábio da Costa Carbogim ◽

Larissa Bertacchini de Oliveira ◽

Vilanice Alves de Araújo Püschel

Keyword(s):

Decision Making ◽

Critical Thinking ◽

Clinical Judgment ◽

Clinical Decision Making ◽

Clinical Decision ◽

Concept Analysis ◽

Cognitive Skill ◽

Related Factor ◽

Evolutionary Perspective ◽

Analytical Thinking

ABSTRACT Objective: to analyze the concept of critical thinking (CT) in Rodger's evolutionary perspective. Method: documentary research undertaken in the Cinahl, Lilacs, Bdenf and Dedalus databases, using the keywords of 'critical thinking' and 'Nursing', without limitation based on year of publication. The data were analyzed in accordance with the stages of Rodger's conceptual model. The following were included: books and articles in full, published in Portuguese, English or Spanish, which addressed CT in the teaching and practice of Nursing; articles which did not address aspects related to the concept of CT were excluded. Results: the sample was made up of 42 works. As a substitute term, emphasis is placed on 'analytical thinking', and, as a related factor, decision-making. In order, the most frequent preceding and consequent attributes were: ability to analyze, training of the student nurse, and clinical decision-making. As the implications of CT, emphasis is placed on achieving effective results in care for the patient, family and community. Conclusion: CT is a cognitive skill which involves analysis, logical reasoning and clinical judgment, geared towards the resolution of problems, and standing out in the training and practice of the nurse with a view to accurate clinical decision-making and the achieving of effective results.

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