The Effect of Preventable Harm Simulation on Entry-Level Nurses' Clinical Judgment

IF 1.3 Q3 NURSING Nurse Leader Pub Date : 2024-06-01 DOI:10.1016/j.mnl.2024.03.002
Nicole Williams DNP, RN, NPD-BC, NEA-BC
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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.

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可预防伤害模拟对初级护士临床判断力的影响
初入职场的护士面临着各种挑战,如护理工作日益复杂、患者人口老龄化以及知识与实践之间的差距,从而导致实践错误。该项目采用了可预防伤害模拟情景,使用拉萨特临床判断评分标准来评估模拟前和模拟后练习中的临床判断行为,以及由主持人引导的 30 分钟小组讨论。82% 的 LCJR 分数从模拟前(平均值 25.86;标准差 3.93)提高到模拟后(平均值 30.59;标准差 4.58)。评估指出,90% 的护士表示该项目对促进临床判断非常有帮助。由于样本量较小,因此必须谨慎解释这些结果。
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来源期刊
Nurse Leader
Nurse Leader NURSING-
CiteScore
2.10
自引率
7.10%
发文量
129
审稿时长
20 days
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.
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