J Korean Acad Soc Nurs Educ.  2017 Aug;23(3):330-340. 10.5977/jkasne.2017.23.3.330.

Simulation-based Clinical Judgment and Performance Ability for Tracheal Suction in Nursing Students

Affiliations
  • 1Associate Professor, College of Nursing, Sungshin Women's University, Korea. kclim@sungshin.ac.kr

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.

Keyword

Patient simulation; Judgment; Clinical competence; Nursing students
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