Department of Nursing, University of North Dakota, Grand Forks, ND, USA.
Faculty of Nursing, University of Windsor, Windsor, ON, Canada.
West J Nurs Res. 2020 Oct;42(10):829-837. doi: 10.1177/0193945920907395. Epub 2020 Feb 20.
Clinical judgment, one's ability to think like a nurse, is an essential skill for safe nursing practice. With the rise of simulation to replace clinical experiences, there is limited evidence regarding the effectiveness of simulation on the development of clinical judgment. This study explored differences in clinical judgment in maternal-newborn courses between undergraduate nursing students participating exclusively in simulation and those participating in hospital-based clinical experiences. Following completion of the clinical rotation, students participated in an evaluative maternal-newborn high-fidelity simulation experience that was recorded and evaluated using the Lasater's Clinical Judgment Rubric (2007). Lasater's Clinical Judgment Rubric scores between the simulation and clinical practice groups were compared using an independent sample -test. There was no statistical difference in clinical judgment scores between the simulation and hospital-based clinical groups ( = -1.056, = .295). Our findings suggest that simulation may be a comparable alternative to clinical experience in nursing education.
临床判断，即像护士一样思考的能力，是安全护理实践的基本技能。随着模拟技术取代临床经验的兴起，关于模拟对临床判断发展的有效性的证据有限。本研究探讨了仅参与模拟的本科护理学生和参与基于医院的临床经验的学生在母婴课程中的临床判断差异。在临床轮转完成后，学生们参与了一个评估性的母婴高保真模拟体验，该体验使用 Lasater 的临床判断量表（2007 年）进行记录和评估。使用独立样本 t 检验比较模拟组和临床实践组的 Lasater 临床判断量表评分。模拟组和基于医院的临床组的临床判断评分没有统计学差异（ = -1.056， =.295）。我们的研究结果表明，模拟可能是护理教育中替代临床经验的一种等效方法。
