The Impact of Simulation Sequencing on Perceived Clinical Decision Making

Authors

Aimee A. Woda, Marquette UniversityFollow
Jamie Hansen, Marquette UniversityFollow
Mary Paquette, Marquette University
Robert V. Topp, University of San DiegoFollow

Document Type

Article

Language

eng

Publication Date

9-2017

Publisher

Elsevier

Source Publication

Nurse Education in Practice

Source ISSN

1471-5953

Abstract

An emerging nursing education trend is to utilize simulated learning experiences as a means to optimize competency and decision making skills. The purpose of this study was to examine differences in students' perception of clinical decision making and clinical decision making-related self-confidence and anxiety based on the sequence (order) in which they participated in a block of simulated versus hospital-based learning experiences.

A quasi-experimental crossover design was used. Between and within group differences were found relative to self-confidence with the decision making process. When comparing groups, at baseline the simulation followed by hospital group had significantly higher self-confidence scores, however, at 14-weeks both groups were not significantly different. Significant within group differences were found in the simulation followed by hospital group only, demonstrating a significant decrease in clinical decision making related anxiety across the semester. Finally, there were no significant difference in; perceived clinical decision making within or between the groups at the two measurement points.

Preliminary findings suggest that simulated learning experiences can be offered with alternating sequences without impacting the process, anxiety or confidence with clinical decision making. This study provides beginning evidence to guide curriculum development and allow flexibility based on student needs and available resources.

Comments

Accepted version. Nurse Education in Practice, Vol. 26 (September 2017): 33-38. DOI. © 2017 Published by Elsevier Ltd. Used with permission.

Recommended Citation

Woda, Aimee A.; Hansen, Jamie; Paquette, Mary; and Topp, Robert V., "The Impact of Simulation Sequencing on Perceived Clinical Decision Making" (2017). College of Nursing Faculty Research and Publications. 561.
https://epublications.marquette.edu/nursing_fac/561