Simulation-based Clinical Judgment and Performance Ability for Tracheal Suction in Nursing Students.
10.5977/jkasne.2017.23.3.330
- Author:
Kyung Choon LIM
1
Author Information
1. Associate Professor, College of Nursing, Sungshin Women's University, Korea. kclim@sungshin.ac.kr
- Publication Type:Original Article
- Keywords:
Patient simulation;
Judgment;
Clinical competence;
Nursing students
- MeSH:
Adult;
Checklist;
Clinical Competence;
Humans;
Judgment*;
Methods;
Nursing*;
Patient Simulation;
Pneumonia;
Respiratory System;
Students, Nursing*;
Suction*
- From:Journal of Korean Academic Society of Nursing Education
2017;23(3):330-340
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. METHODS: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. RESULTS: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were 36.44±4.82, 13.44±1.71, and 42.32±5.05, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. CONCLUSION: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.
