Evaluation of Effects of a Clinical Reasoning Course among Undergraduate Nursing Students

시뮬레이션을 적용한 임상추론 교과목의 적용효과: 일 대학의 예를 중심으로

  • Lee, Ju-Hee (Nursing Policy Research Institute, College of Nursing, Yonsei University) ;
  • Choi, Mo-Na (Nursing Policy Research Institute, College of Nursing, Yonsei University)
  • 이주희 (연세대학교 간호대학.간호정책연구소) ;
  • 최모나 (연세대학교 간호대학.간호정책연구소)
  • Received : 2010.07.29
  • Accepted : 2010.11.30
  • Published : 2011.02.28

Abstract

Purpose: To evaluate undergraduate nursing students' ability in clinical competence, critical thinking, and problem solving following enrollment in a clinical reasoning course. Methods: A clinical reasoning course utilizing a human patient simulator and scenarios was offered to 22 senior students at a College of Nursing in Seoul. Students' clinical competence was measured with a checklist of 15 items by analyzing students' performance recorded on video tapes for eight scenarios. Critical thinking disposition and problem solving were measured by a self-administered questionnaire before and after the course. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. Results: The high scored items of clinical competence were: 'obtain relevant subjective/objective data', 'interpret vital signs', 'communicate with healthcare providers', and 'utilize standard precautions including handwashing.' Students' critical thinking and problem solving scores following the course were increased with statistical significance. Conclusion: A clinical reasoning course utilizing a human patient simulator creates a realistic clinical environment for nursing students and provides the opportunity to obtain clinical competence, critical thinking, and problem solving skills.

Keywords

References

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