Development of clinical judgment in nursing students: A learning framework to use in designing and implementing simulated learning experiences

2008 2008

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Abstract (summary)

There is little doubt that health care has changed dramatically in the last 20 years. Consequently, learning to think like a nurse has become an increasingly complex endeavor. Therefore, professional education must be re-designed to facilitate the development of knowledge, skills, and attitudes that are required of nurses in today's practice environment. High-fidelity simulation provides an education environment for nursing students to develop new professional competencies such as clinical judgment.

The How People Learn (HPL) framework is a comprehensive instructional model that can be used to design clinical learning activities. The HPL framework emerged from the new science of learning and is based on discoveries related to how experts solve ambiguous problems in complex situations. High fidelity simulation, uses advances in technology to provide clinical learning experiences in a near authentic hospital environment. The HPL framework provides guidance to the design of instructional strategies aimed at facilitating the development of clinical judgment in high-fidelity simulated learning laboratories.

The primary focus of this exploratory study was to better understand the development of clinical judgment in nursing students when using the HPL framework to design instructional strategies in high-fidelity simulation environments. A two group study design was applied to differentiate between the groups of students. Data sources incorporating both quantitative and qualitative methodologies were used.

Data analysis related to the research question did not identify statistically significant difference between the control and experimental group. The qualitative data analysis provided possible explanation for the results derived from the quantitative data. Additionally, the qualitative data analysis identified possible effective instructional strategies to use when designing and implementing learning activities that will facilitate the development of clinical judgment in high-fidelity simulation laboratories.

Indexing (details)

Health education;
Higher education;
College students
0350: Health education
0569: Nursing
0745: Higher education
Identifier / keyword
Health and environmental sciences; Education; Clinical judgment; High-fidelity simulation; Learning; Nursing education
Development of clinical judgment in nursing students: A learning framework to use in designing and implementing simulated learning experiences
Gubrud-Howe, Paula Marie
Number of pages
Publication year
Degree date
School code
DAI-A 70/01, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
Portland State University
University location
United States -- Oregon
Source type
Dissertations & Theses
Document type
Dissertation/thesis number
ProQuest document ID
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
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