通过模拟将下一代 NCLEX-RN 案例研究带入生活：提高护士执照考前培训学生的临床判断能力

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-05-01 DOI:10.1016/j.ecns.2024.101535

Logan J. Camp-Spivey PhD, MSN, RN, CHSE, Ryan P. Crawford PhD, RN, CNE, Vera Bratnichenko MSN, RN

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引用次数: 0

摘要

背景美国国家护理委员会将临床判断测量模型 (NCJMM) 作为评估临床判断的循证框架。护理专业教师正在利用 NCJMM 为学生准备下一代 NCLEX-RN（NGN）考试。本文介绍了创新性 NGN 案例研究模拟的开发和实施。方法在预习时，学生们回顾了学习目标和患者信息。学生在模拟过程中回答了 NGN 案例研究问题。结果教师表示，NGN 病例研究模拟让他们看到了临床判断的行动。学生使用模拟效果工具（Simulation Effectiveness Tool - Modified）自我报告了他们对模拟的感受。学生（N = 97）非常同意他们认为前期汇报是有益的（93.8%），模拟增强了决策能力（74.2%），汇报提高了临床判断能力（96.9%）。学生评论的共同主题是加深了对课程内容的理解，提高了对知识的应用。结论使用新颖的 NGN 案例研究模拟可以积极影响学生将临床判断应用于患者护理的能力，并将课堂和临床内容联系起来。

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Bringing Next Generation NCLEX-RN Case Studies to Life through Simulation: Enhancing Prelicensure Nursing Students’ Clinical Judgment

Background

The National Council of State Boards of Nursing incorporated the Clinical Judgment Measurement Model (NCJMM) as an evidence-based framework for evaluating clinical judgment. Nursing faculty are utilizing the NCJMM to prepare students for the Next Generation NCLEX-RN (NGN). This article describes the development and implementation of an innovative NGN case study simulation.

Methods

During prebriefing, students reviewed learning objectives and patient information. Students answered NGN case study questions during simulation. Debriefing allowed for reflection and feedback.

Results

Faculty stated that the NGN case study simulation allowed them to view clinical judgment in action. Students self-reported their feelings on the simulation using the Simulation Effectiveness Tool – Modified. Students (N = 97) strongly agreed that they felt prebriefing was beneficial (93.8%), simulation empowered decision-making (74.2%), and debriefing improved clinical judgment (96.9%). Student comments shared themes of deeper understanding of course content and improved application of knowledge.

Conclusion

The use of a novel NGN case study simulation can positively impact students’ abilities to apply clinical judgment to patient care and make connections between classroom and clinical content.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.