Date of Conferral

2023

Degree

Ph.D.

School

Nursing

Advisor

Leslie Hussey

Abstract

Simulation is an educational strategy in nursing education that incorporates structured activities that depict real-life situations to develop and enhance the knowledge, skills, and attitudes of nursing students by allowing them to analyze and initiate interventions for realistic situations in a simulated environment. Debriefing is a reflective process and is a key component in the simulation education process, but there is a lack of evidence on debriefing methods that enhance learning outcomes in nursing education. This study, which was guided by the National League for Nursing Jeffries simulation theory, was to determine the effect simulation debriefing, as assessed using the National Council of State Boards of Nursing clinical judgment measurement model framework, had on the clinical reasoning, critical thinking, and clinical judgment of nursing students enrolled in a bachelor of science in nursing (BSN) program. A sample of 40 undergraduate BSN nursing students participated. Data were collected through a pretest and a posttest and were analyzed with a paired samples t-test. The analysis indicated a significant difference in participant scores in clinical reasoning, critical thinking, and clinical judgment between the pretest and posttest after debriefing using the clinical judgment measurement model framework (p < 0.001) with a large Cohen’s d = 1.116. Recommendations for future research include studying nursing students in associate and master’s degree programs and conducting a pretest–posttest control group design. The findings of this study could lead to positive social change by educating the next generation of nurses with effective simulation and debriefing techniques that lead to improved clinical reasoning, critical thinking, and clinical judgment and improve patient outcomes.

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