Simulasyon: Brifing Öncesi Hazırlık, Klinik Yargı ve Yansıma. İlişki Nedir?

Anahtar Kelimeler:

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Simulation: Pre-briefing Preparation, Clinical Judgment and Reflection. What is the Connection?

Objectives: Assess efficacy of pre-briefing preparatory materials handed out prior to simulation lab and explore the connection between simulation, clinical judgment and reflective process. Methods: Triangulated evaluation study, utilizing Survey Monkey for three survey instrument data collection, designed to assess the efficacy of preparatory materials for undergraduate junior and senior nursing students and nurse educators while exploring the connection with clinical judgment and reflection. This study was conducted in the U.S.A. Results: Pre-briefing preparatory material for both students and instructors provided essential and adequate information for an effective and enhanced simulation learning experience. Students felt their ability to grasp the experience; understand the simulation situation; provide effective nursing actions; and reflect upon their experience was enhanced with the utilization of the pre-briefing preparatory material. Instructors felt more confident and prepared after reading the preparatory material.Conclusions: Pre-briefing preparatory material provides students with information necessary to allow them to fully engage during the simulation experience, while decreasing anxiety and promoting critical thinking, clinical reasoning, reflective practice and confidence. Providing instructors with pre-briefing preparatory material enhances their overall ability to effectively teach at a higher caliber while promoting professionalism and accuracy in patient care.

Keywords:

Simulation, pre-briefing preparation, critical thinking, reflective practice, clinical judgment education,

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Parker B, Myrick F. A critical examination of high-fidelity human patient simulation within the context of nursing pedagogy. Nurs Educ Today 2009;29(3):322-329.
Brown D, Chronister C. The Effect of Simulation Learning on Critical Thinking and Self-confidence When Incorporated Into an Electrocardiogram Nursing Course. Clin Sim in Nsg 2009;5(1):e45-e52.
Gore T, Hunt C, Parker F, Raines K. The Effects of Simulated Clinical Experiences on Anxiety: Nursing Students' Perspectives. Clin Sim in Nsg 2011;7(5):e175-e180.
Swenty C, Eggleston B. The Evaluation of Simulation in a Baccalaureate Nursing Program. Clin Sim in Nsg 2011;(5):e181-e187.
Sullivan-Mann J, Perron CA, Fellner AN. The effects of simulation on nursing students' critical thinking scores: A quantitative study. Newborn and Infant Nsg Reviews 2009;9(2):111-116.
Fero LJ, O’Donnell JM, Zullo TG, Dabbs AD, Kitutu J, Samosky JT, Hoffman L.A. Critical thinking skills in nursing students: comparison of simulation‐based performance with metrics. J of Adv Nsg 2010;66(10):2182-2193.
Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. J of Nsg Ed 2006;45:204-211.
Lapkin S, Levett-Jones T, Bellchambers H, Fernandez R. Effectiveness of Patient Simulation Manikins in Teaching Clinical Reasoning Skills to Undergraduate Nursing Students: A Systematic Review. Cl Sim in Nsg 2010;6(6):e207-e222.
Nielsen A, Stragnell S, Jester P. Guide for reflection using the clinical judgment model. J of Nsg Ed 2007;46(11):513-516.
Lasater K. Clinical judgment: The last frontier for evaluation. Nurs Educ in Pract 2011;11(2):86-92.
Kardong-Edgren SE, Starkweather AR, Ward LD. The integration of simulation into a clinical foundations of nursing course: student and faculty perspectives. Int J of Nurs Educ Scholarsh 2008;5(1) doi: 10.2202/1548-923X.1603
Howard V, Englert N, Kameg K, Perozzi K. Integration of Simulation Across the Undergraduate Curriculum: Student and Faculty Perspectives. Clin Sim in Nsg 2011;7(1):e1-e10.
Cantrell M. The Importance of Debriefing in Clinical Simulations. Clin Sim in Nsg 2008;4(2):e19-e23.
Jeffries P. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nsg Ed Persp 2005;26(2):96-103.
Foronda C, Liu S, Bauman, E. Evaluation of Simulation in Undergraduate Nurse Education: An Integrative Review. Clin Sim in Nsg 2013; 9(10):e409-e416.
Jeffries P. Simulation in nursing education. From conceptualization to evaluation. New York: National League for Nursing, 2007.
Kardong-Edgren S, Willhaus J, Bennett D, Haydenm J. Results of the National Council of State Boards of Nursing National Simulation Survey: Part II. Clin Sim in Nsg 2012;8(4):e117-123.
Lasater K. Clinical judgment development: Using simulation to create an assessment rubric. J of Nsg Ed 2007;26(11):496-503.
Ashcraft A, Opton L. Evaluation of the Lasater Clinical Judgment Rubric. Clin Sim in Nsg 2009;5(3):e130.
Schon D. The reflective practitioner. New York, NY: Basic Books, Inc, 1991.
Lundberg KM. Promoting self-confidence in clinical nursing students. Nurse Educ 2008;33(2):86-89.
Sleeper JA, Thompson C. The use of hi fidelity simulation to enhance nursing students' therapeutic communication skills. Int J of Nsg Ed Scholarsh 2008;5(1):1-12.
Author. Integrating YouTube into Nursing Curriculum, OJIN: The Online J of Iss in Nsg 200;16(3). http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No3-Sept-2011/Articles-Previous-Topics/YouTube-and-Nursing-Curriculum.html.
Hoffmann RL, O'Donnell JM, Kim Y. The effects of human patient simulators on basic knowledge in critical care nursing with undergraduate senior baccalaureate nursing students. Sim in Healthcare 2007;2(2):110-114.
Author. Preliminary exploration of simulation preparation, clinical judgment and reflective process. J of Cont Med 2012;2(3):141-150.
Author. Simulation and learning to care for patients: Acute alcohol withdrawal. J of Cont Med 2013;3(1):22-27.