{"title":"The Effect of Preventable Harm Simulation on Entry-Level Nurses' Clinical Judgment","authors":"Nicole Williams DNP, RN, NPD-BC, NEA-BC","doi":"10.1016/j.mnl.2024.03.002","DOIUrl":null,"url":null,"abstract":"<div><p>Beginning nurses face challenges such as increased care complexities, an aging patient population, and the knowledge-to-practice gap, resulting in practice errors. The project used preventable harm simulation scenarios, using the Lasater Clinical Judgment Rubric to evaluate clinical judgment behaviors in pre- and postsimulation exercises and a 30-minute facilitator-led group discussion. Eighty-two percent of the LCJR scores increased from the presimulation (mean 25.86; SD 3.93) to postsimulation (mean 30.59; SD 4.58). The evaluation noted 90% of the nurses indicated the project was extremely helpful in facilitating clinical judgment. It is essential to interpret these results cautiously due to the small sample size.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Leader","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1541461224000430","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Beginning nurses face challenges such as increased care complexities, an aging patient population, and the knowledge-to-practice gap, resulting in practice errors. The project used preventable harm simulation scenarios, using the Lasater Clinical Judgment Rubric to evaluate clinical judgment behaviors in pre- and postsimulation exercises and a 30-minute facilitator-led group discussion. Eighty-two percent of the LCJR scores increased from the presimulation (mean 25.86; SD 3.93) to postsimulation (mean 30.59; SD 4.58). The evaluation noted 90% of the nurses indicated the project was extremely helpful in facilitating clinical judgment. It is essential to interpret these results cautiously due to the small sample size.
期刊介绍:
Nurse Leader provides the vision, skills, and tools needed by nurses currently in, or aspiring to, leadership positions. The bimonthly journal provides nurses with practical information in an easy-to-read format - offering the knowledge they need to succeed. It pulls together insights from a broad spectrum of successful management and leadership perspectives and tailors the information to the specific needs of nurses. Columns include The Coaching Forum and Lessons Learned.