scholarly journals Development of clinical judgment model to guide nursing interns

2018 ◽  
Vol 6 (4) ◽  
pp. 1
Author(s):  
Azza Fathi Ibrahim ◽  
Azza Anwar Aly
Keyword(s):  
Clinical Judgment ◽  
Nurse Educators ◽  
Nursing Practice ◽  
Decision Makers ◽  
Learning Approaches ◽  
Knowledge And Skills ◽  
Graduate Nurse ◽  
Quasi Experimental ◽  
Self Learning ◽  
Experimental Group

Every day and every moment, nurses have to deal with a wide variety of patient’s issues and problems, with multiple difficulties and conflicts. Nurse’s judgment considers the core component of healthcare activities. This judgment directs her/his achievement and choices, not for her/him only, but for other healthcare professionals. Thus, nurses have to be competent observers and decision makers with reasoning and sound regarding their intervention and practice. Clinical judgment skills are essential aptitudes in nursing practice, predominantly, in nursing internship intermediary period, in which, a graduate nurse faced several predicaments and obstacles in such transitory experience from academic work to real labor. The present study aimed to develop a clinical judgment model to guide nursing interns in their nursing practice and assess its effectiveness on nursing interns’ clinical judgment knowledge and skills. The study passed through Quasi-experimental pretest-posttest research design. A stratified random sampling approach was used to recruit 50 nursing interns as an experimental group out of 305. The collection of data was carried out in the following hospitals of nurses’ intern’s training: Damanhur Medical National Institute, El Raee El Saleh, El Farok and Kafer El Dawar Hospitals, in Damanhur, Egypt. The Clinical Judgment Evaluation Sheet (CJES) was employed to collect necessary data. It included two parts: the Clinical Judgment Knowledge Test that was developed by Fathi & Aly in 2018, beside the Lasater Clinical Judgment Rubric (LCJR) that was developed by Kathie Lasater et al., in 2009. Results before using the developed model demonstrated that there were observed lacking in knowledge and skills about clinical judgment in nursing practice among experimental group. Then improvements were noticed after using the developed clinical judgment model. These results confirm that the use of an educational and self-learning reference such as the developed clinical judgment model is a successful tool for Egyptian nursing interns in nursing practice. Conclusion and recommendations: There is an understandable deficiency of nursing interns’ clinical judgment knowledge and skills in nursing practice. But, after using the developed clinical judgment model with them as a self-learning reference, it was confirmed that it is a helpful approach to develop and improve clinical judgment knowledge and skills of nursing interns. Creativity in using instructional aides and self-learning approaches is an essential ability that is important among nurse educators and preceptors who direct nursing intern’s performance. For further sturdies, replicate the study using the developed model with different subjects in nursing practice or develop new instructive models about creative, reflective, discovery, and decision-making models among nursing interns.

scholarly journals Clinical judgment among nursing interns

2018 ◽  
Vol 6 (3) ◽  
pp. 19
Author(s):  
Azza Fathi Ibrahim ◽  
Azza Anwar Aly
Keyword(s):  
Clinical Judgment ◽  
Nurse Educators ◽  
Nursing Practice ◽  
Job Responsibilities ◽  
Knowledge And Skills ◽  
Developmental Skills ◽  
Pass Through ◽  
Teaching Programs ◽  
Self Learning ◽  
Systematic Random Sample

Clinical judgment (CJ) is considered a vital and crucial ability for nurses that can help them to improve their practical or clinical capabilities, particularly in the internship period. Nursing interns pass through a transient period with significant job responsibilities. They face multifaceted issues, dilemmas, and problems that oblige them to use CJ skills. CJ is a talent and clever skill which should be acquired by nursing interns. The current study is a quantitative study that aims to determine CJ knowledge and skills among nursing interns in nursing practice. A descriptive exploratory design was used. A systematic random sample of 150 nursing interns out of 305 was selected and assigned as a survey group. The data was collected in internship training hospitals in Damanhur, Egypt (Damanhur Medical National Institute, El Raee El Saleh, El Farok and Kafer El Dawar Hospitals). One tool was used for data collection, the Clinical Judgment Evaluation Sheet (CJES), which included two parts. The first part was the Clinical Judgment Knowledge Test that was developed by the researchers to collect the necessary data regarding the CJ knowledge needs of nursing interns. The Lasater Clinical Judgment Rubric (LCJR) 2009 was the second part. It was developed based on Tanner’s work in 2006 and included eleven skills in the four phases delineated with CJ developmental skills (noticing, interpreting, responding, and reflecting). Results revealed that the nursing interns have a serious lack of knowledge about the concept of CJ in nursing practice. Additionally, they have a great deficiency in the knowledge about all phases of the CJ process in nursing practice. As well, they suffered from observed insufficiently CJ skills in the nursing practice, respectfully. These findings confirmed that the nursing interns in Damanhur governorate have necessitated to an educational program about CJ knowledge skills. In conclusion, there is an obvious and serious lack of nursing interns’ CJ knowledge and skills in nursing practice in Egypt. Therefore, CJ teaching programs or self-learning references are important for them for developing and improving CJ knowledge and skills. Nurse educators and preceptors should take initiative steps in developing teaching sessions, models, and instructional aides to empower their nursing intern’s students in CJ practice.

scholarly journals EFEKTIFITAS MODEL PEMBELAJARAN PROJECT BASE LEARNING DALAM KONTEKS BLEDED LEARNING UNTUK MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN PENCAK SILAT MAHASISWA

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
I Gede Suwiwa
Keyword(s):  
Blended Learning ◽  
Research Method ◽  
Sampling Technique ◽  
Project Based Learning ◽  
Test Method ◽  
Control Group ◽  
Student Knowledge ◽  
Knowledge And Skills ◽  
Quasi Experimental ◽  
Experimental Group

This study aimed to improve the student knowledge and skills in Pencak Silat by applying project-based learning on a blended learning basis. The research method used was the experimental research method. The design of this study was quasi-experimental by involving a control group and an experimental group. The participants of the study involved 60 students of Universitas Ganesha selected using a random sampling technique. The data in the study were collected by utilizing a questionnaire. Data processing was carried out using Paired Sample T-test method. The result showed that the project-based learning model on a blended learning basis could improve the student knowledge and skills in the Pencak Silat learning process. It can be seen from the increase that occurred in the control and experimental classes. Thus, learning Pencak Silat through Project-Based Learning on a blended learning basis can be used as an alternative to improve student knowledge and skills in Pencak Silat.

BIOMIND Portal for Developing 21st Century Skills and Overcoming Students' Misconception in Biology Subject

2016 ◽  
Vol 14 (4) ◽  
pp. 55-67 ◽  
Author(s):  
Rian Vebrianto ◽  
Radjawaly Usman Rery ◽  
Kamisah Osman
Keyword(s):  
High School Students ◽  
21St Century ◽  
21St Century Skills ◽  
Teaching And Learning ◽  
Skills Development ◽  
Control Group ◽  
Learning Approaches ◽  
School Students ◽  
Quasi Experimental ◽  
Experimental Group

This research was conducted to investigate the effectiveness of BIOMIND portal in enhancing students' 21st century skills and overcoming their misconceptions in Biology subject. 118 Indonesian high school students were involved in this quasi-experimental study. The experimental group underwent learning experiences using BIOMIND portal whereas the control group experienced conventional learning approaches. The effectiveness of the BIOMIND portal was measured based on the students' 21st century skills development and their level of misconceptions. There were significant differences in the 21st century skills development found between the experimental group and the control group. In addition, this research has found that the BIOMIND portal could overcome misconceptions among students due to the trainings given during interventions. This study concluded that teaching and learning using BIOMIND portal has brought positive impacts especially in developing the 21st century skills and overcoming students' misconceptions in Biology subject.

scholarly journals Midwives’ skills in the application of non-pneumatic anti-shock garment for the management of postpartum haemorrhage in Ondo State, Nigeria

2018 ◽  
Vol 8 (1) ◽  
pp. 209
Author(s):  
Christiana Olanrewaju Sowunmi ◽  
Olufunke Mercy Iwaola ◽  
Gbemisola Bolanle Ogbeye
Keyword(s):  
Postpartum Haemorrhage ◽  
Rating Scale ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Simple Random Sampling ◽  
Control Group ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
Quasi Experimental ◽  
Experimental Group

Background: Non-pneumatic Anti-shock garment (NASG) has been identified as a device for effective management of postpartum haemorrhage especially in developing countries where maternal mortality is high. Hence, it is important that midwives are skilled and knowledgeable about its use. This study therefore assessed the midwives’ skills in the application of Non-Pneumatic Anti-Shock Garment (NASG) in the management of postpartum hemorrhage.Methods: This study adopted quasi-experimental research design. The study was done in two secondary health facilities in the state. Sixty-eight midwives participated in the study. Simple random sampling technique was used to select 37 and 31 midwives into experimental and control groups respectively. Written consent was obtained from all the participants. The study involved three stages; Pre-test, an intervention and a post test. Questionnaire and observation rating scale that elicited demographic characteristics, knowledge and skills on the application and removal of NASG was used to collect data pre and post intervention. Data was analyzed using descriptive and inferential statistics.Results: Mean knowledge score of midwives in the control group in the use of NASG in the management of PPH was found to be 10.32±4.17 compared with 12.24±5.05 in experimental group pre-intervention. There was a significant increase in knowledge and skills of NASG application, nonetheless the post intervention from experimental group had the highest increase from 6.32±4.97 to 17.14±0.95.Conclusions: Educational intervention enhanced skills of midwives in the use of NASG. Therefore, continuous education units in hospitals should include periodic training of midwives on the use of NASG.

High-Fidelity Nursing Simulation: Impact on Student Self-Confidence and Clinical Competence

2010 ◽  
Vol 7 (1) ◽  
Author(s):  
Cynthia A Blum ◽  
Susan Borglund ◽  
Dax Parcells
Keyword(s):  
Nursing Students ◽  
Clinical Judgment ◽  
Clinical Competence ◽  
Nurse Educators ◽  
Patient Simulation ◽  
High Fidelity ◽  
Entry Level ◽  
Self Confidence ◽  
Novel Approach ◽  
Quasi Experimental

Development of safe nursing practice in entry-level nursing students requires special consideration from nurse educators. The paucity of data supporting high-fidelity patient simulation effectiveness in this population informed the development of a quasi-experimental, quantitative study of the relationship between simulation and student self-confidence and clinical competence. Moreover, the study reports a novel approach to measuring self-confidence and competence of entry-level nursing students. Fifty-three baccalaureate students, enrolled in either a traditional or simulation-enhanced laboratory, participated during their first clinical rotation. Student self-confidence and faculty perception of student clinical competence were measured using selected scale items of the Lasater Clinical Judgment Rubric. The results indicated an overall improvement in self-confidence and competence across the semester, however, simulation did not significantly enhance these caring attributes. The study highlights the need for further examination of teaching strategies developed to promote the transfer of self-confidence and competence from the laboratory to the clinical setting.

In a Working Mood?

2008 ◽  
Vol 20 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Leonard Reinecke ◽  
Sabine Trepte
Keyword(s):  
Cognitive Task ◽  
Prior Experience ◽  
Computer Game ◽  
Control Group ◽  
Mood Management ◽  
Management Processes ◽  
Quasi Experimental ◽  
Personal Media ◽  
Experimental Group ◽  
Subsequent Task

Abstract. This quasi-experimental study examined the effects of exposure to a computer game on arousal and subsequent task performance. After inducing a state of low arousal, participants were assigned to experimental or control conditions via self-selection. Members of the experimental group played a computer game for five minutes; subjects in the control group spent the same amount of time awaiting further instructions. Participants who were exposed to the computer game showed significantly higher levels of arousal and performed significantly better on a subsequent cognitive task. The pattern of results was not influenced by the participants' prior experience with the game. The findings indicate that mood-management processes associated with personal media use at the workplace go beyond the alteration of arousal and affect subsequent cognitive performance.

Brief psycho-education for caregivers of persons with first episode psychosis

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Praful Prabhuappa Kapse ◽  
Manisha Kiran
Keyword(s):  
First Episode Psychosis ◽  
First Episode ◽  
Control Group ◽  
Episode Psychosis ◽  
Study Results ◽  
Before And After ◽  
Quasi Experimental ◽  
Expressed Emotions ◽  
Experimental Group ◽  
Group Family

Caring for the persons with first episode psychosis is challenging and demanding. It may lead to the increased burden, expressed emotions among the caregivers. The numerous studies have shown that high burden and negative expressed emotions among caregivers can lead to early relapse in the patients with first episode psychosis. To evaluate the effects of the brief psychoeducation on the caregivers burden and expressed emotions. A quasi experimental - before and after with control group research design was adopted for the study. A total of 60 caregivers have participated in the study, of which 30 caregivers in experimental group and 30 caregivers in the control group. Family Burden Interview Schedule (Pai and Kapoor, 1981) and Attitude Questionnaire (Sethi et al., 1981) was used to assess caregiver's burden and expressed emotions. At end of the psychoeducation intervention, burden among caregivers and negative expressed emotions of the caregivers have significantly reduced. The positive expressed emotions have been increased. Study results demonstrates the importance of psychoeducation intervention in reducing the burden and negative expressed emotions.

PENGARUH PEMBELAJARAN INOVATIF TERHADAP HASIL BELAJAR BAHASA INGGRIS SISWA KELAS VIIIB1 SMP NEGERI 2 GEROKGAK DENGAN PENGENDALIAN KECERDASAN LINGUISTIK

2019 ◽  
Vol 1 (1) ◽  
pp. 108-114
Author(s):  
I Made Wirta
Keyword(s):  
Sampling Technique ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Learning Approaches ◽  
Control Group Design ◽  
Post Test ◽  
Quasi Experimental ◽  
Innovative Learning ◽  
Inferential Analysis ◽  
English Students

The main objective of the present study is to investigate the effect of implementing innovative learning approaches upon English students’ achievement. The study was quasi experimental study using the post-test only control group design involving 35 students altogether selected using census sampling technique. The instrument which is used to gather data in the study was test. There were two tests used to gather intended data. They were linguistic test and student achievement test. The obtained data were analyzed statistically using descriptive and inferential analysis. The analysis of covariance was conducted to test the hypotheses.

Using Concept Oriented Reading Instruction (CORI) to Promote Students’ Reading Comprehension

2017 ◽  
Vol 2 (1) ◽  
pp. 42
Author(s):  
Hilma Suryani
Keyword(s):  
Reading Achievement ◽  
Reading Instruction ◽  
Reading Strategies ◽  
Posttest Score ◽  
T Test ◽  
Control Group ◽  
Quasi Experimental ◽  
Effective Reading Strategies ◽  
And Control ◽  
Experimental Group

The problem of this study is “Does Concept Oriented Reading Instruction (CORI) enhance students’ reading achievement?” The design of this study was quasi-experimental. The sample of this study was taken from the population by using purposive sampling. The experimental group consisted of 39 students while the control group consisted of 35 students. The data were collected by using two instruments; test and questionnaire. The test was given twice to each group in order to see whether or not there was significance difference of pretest and posttest either in experimental or control group and whether or not there was significance difference of experimental and control group in terms of their posttest score. To prove the hypothesis, the data from pretest and posttest of experimental and control group were analyzed by applying paired sample t-test and independent sample t-test. The calculation was run by using SPSS computer program. The result of the study shows there was significance difference of students’ reading achievement between experimental and control group. Besides, the use of CORI as reading strategies was proved as effective reading strategies to enhance students’ reading achievement. Keywords: Concept Oriented Reading Instruction; reading strategy; reading achievement

Mantle Of The Expert Strategy Effectiveness In The Development Of Creative Thinking

2019 ◽  
Author(s):  
Ibrahim Arman
Keyword(s):  
Creative Thinking ◽  
Role Playing ◽  
Thinking Skills ◽  
Measurement Unit ◽  
Quasi Experimental ◽  
Males And Females ◽  
The Mean ◽  
Girls School ◽  
And Control ◽  
Experimental Group

<p>This study aimed at investigating the Effectiveness of Mantle of the Expert in creative thinking Skills among the 7<sup>th</sup> Graders. The study conducted on a sample of 7<sup>th</sup> Graders at Kober Secondary Boys School and Upper Kober Elementary Girls School. The study sample consisted of (100) students split into two groups (experimental and control). The researcher adopting the Torrance test for creative thinking the verbal image "A" by examining the tests used in the Ristow study (1988), Edwards and Baldov (1987) study, and designing a teacher book for the (engineering and measurement) unit according to the integration between the strategies of the mantle of the expert and role playing.</p> <p>This study adopted quasi-experimental design. It included two groups (experimental and controlled) in two branches (males and females) for each group. The controlled group was taught by using the traditional method whereas the experimental group by the mantle of the expert. The data analyzed using (ANCOVA) test to measure the differences in the development of creative thinking between the control and experimental groups.</p> <p>The Conclusions showed that there are statistically significant differences in the mean scores of the creative thinking test due to the way, gender and interaction between them.</p> <p>Based on the Conclusions of the study, the researcher recommends the need to use the mantles of the expert in the teaching of mathematics.</p>

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