Comparison of Simulation Exposure in Accelerated Undergraduate Nursing Education and its Effect on Clinical Judgement and Critical Thinking Development

Volume 7, Issue 4, August 2022     |     PP. 119-134      |     PDF (205 K)    |     Pub. Date: July 19, 2022
DOI: 10.54647/education88356    71 Downloads     5423 Views  

Author(s)

Joanne M. Knoesel, Pace University, College of Health Professions, Lienhard School of Nursing, 163 William Street, New York, NY 10038, United States

Abstract
Background
Simulations can provide the environment for learners to enhance their critical thinking skills through repeated practice, reflection, and retention of experiences, which may impact the care and safety of their patients in the future (Jeffries, 2007).  Evidence is lacking on the relationship of critical thinking development with the use of simulation, even though the use of higher order thinking is essential to deliver safe nursing care.
Method
The quasi-experimental, two-group, pre-post design compared, Health Education Systems Inc. (HESI) clinical judgement and critical thinking scores, of accelerated nursing students (who were exposed to simulation for 10% of their traditional clinical time) compared to accelerated nursing students (who were exposed to simulation for 25% of their traditional clinical time) in an undergraduate baccalaureate nursing program.
Results
There were significant differences in the means in the nursing judgement competency scores between students that had 10% and 25% simulation (p=0.013) and the critical thinking scores between students that had 10% and 25% simulation (p=0.022). Specifically, there were higher mean scores for cohorts of students who experienced 10% simulation.
Conclusion/Implications
This study provides novel findings for the relationship between simulation percentage and the development of clinical judgement and critical thinking skills in undergraduate nursing students.

Keywords
Simulation, accelerated undergraduate nursing students, critical thinking, HESI

Cite this paper
Joanne M. Knoesel, Comparison of Simulation Exposure in Accelerated Undergraduate Nursing Education and its Effect on Clinical Judgement and Critical Thinking Development , SCIREA Journal of Education. Volume 7, Issue 4, August 2022 | PP. 119-134. 10.54647/education88356

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