Effects of a Complex Case Study and High-Fidelity Simulation on Mechanical Ventilation on Knowledge and Clinical Judgment of Undergraduate Nursing Students

Salameh, Basma; Ayed, Ahmad; Kassabry, Maysa'; Lasater, Kathie

Abstract

Background
Improving nursing students' knowledge and clinical judgment related to mechanical ventilation (MV) is paramount, considering the heightened need for MV due to the current COVID-19 (coronavirus disease 2019) pandemic. High-fidelity simulation (HFS) provides students with real-life clinical experiences that they would rarely confront in clinical training, especially complex case scenarios (such as a patient needing MV).

Purpose
This study assessed students' clinical knowledge and judgment after including HFS involving MV in an undergraduate nursing program.

Methods
This was a quasi-experimental design with a convenience sample of 151 nursing students using the Lasater Clinical Judgment Rubric.

Results
There were significant differences between the intervention and control groups in knowledge (t = 20.42; P = .001) and total clinical judgment scores (t = 19.55; P < .001) post-HFS.

Conclusions
Including a complex case study using MV and HFS significantly improved students' clinical decision-making, clinical knowledge, and self-confidence and enhanced their critical thinking, noticing, interpreting, reflecting, and responding capabilities.

Citation

Salameh, B., Ayed, A., Kassabry, M., & Lasater, K. (2021). Effects of a Complex Case Study and High-Fidelity Simulation on Mechanical Ventilation on Knowledge and Clinical Judgment of Undergraduate Nursing Students. Nurse Educator, 46(4), E64-E69. https://doi.org/10.1097/nne.0000000000000938

• Journal Article Type: Article
• Acceptance Date: Sep 20, 2020
• Online Publication Date: Nov 24, 2020
• Publication Date: 2021-07
• Deposit Date: Aug 5, 2021
• Journal: Nurse Educator
• Print ISSN: 0363-3624
• Electronic ISSN: 1538-9855
• Publisher: Lippincott, Williams & Wilkins
• Peer Reviewed: Peer Reviewed
• Volume: 46
• Issue: 4
• Pages: E64-E69
• DOI: https://doi.org/10.1097/nne.0000000000000938
• Public URL: http://researchrepository.napier.ac.uk/Output/2791450