J Korean Acad Soc Nurs Educ.  2014 May;20(2):212-222.

Nursing Students' Clinical Judgment Skills in Simulation: Using Tanner's Clinical Judgment Model

• Kim EJ

Abstract

PURPOSE
The purpose of this study was to evaluate the nursing students' clinical judgment skills in simulation using Tanner's Clinical Judgment Model. METHOD: Forty-five teams of a total 93 nursing students participated in a post-operative patient care scenario using human patient simulator. Data were collected from students' responses in scenario and guided reflective journaling according to the framework of Tanner's model which comprised noticing, interpreting, responding, and reflecting on response. Data were analyzed using descriptive statistics.
RESULTS
The students' responses of the situation were in accordance with the goals of scenario, i.e. relieving patient' pain and preventing pulmonary complications. However, most of students needed clinical cues and focused on a given clue to solve the issues. They were lack of ability to collect additional information as well as connect the relevant clues in simulated clinical situation.
CONCLUSION
The nursing students have difficulty in what they notice, how they interpret finding, and respond appropriately to the situation. The simulation training using Tanner's model could provide faculty and nursing students with an effective teaching and learning strategy to develop the clinical judgment skills.

Keyword

Nursing education; Nursing students; Decision making; Patient simulation

MeSH Terms

Cues
Decision Making
Education, Nursing
Humans
Judgment*
Learning
Nursing*
Patient Care
Patient Simulation
Students, Nursing