Development of a simulation evaluation tool for assessing nursing students' clinical judgment in caring for children with dehydration. (February 2016)

• Record Type: Journal Article
• Authors: Kim, Shin-Jeong; Kim, Sunghee; Kang, Kyung-Ah; Oh, Jina; Lee, Myung-Nam
• Is Part Of: Nurse education today. Volume 37(2016)
• Page Start: 45
• Page End: 52
• Publication Date: 2016-02
• Subjects: Clinical judgment -- Dehydration -- Evaluation -- Patient simulation -- Tool; Nursing -- Study and teaching -- Periodicals; Education, Nursing -- Periodicals; Soins infirmiers -- Étude et enseignement -- Périodiques; Nursing -- Study and teaching; Periodicals; 610.7307
• DOI: 10.1016/j.nedt.2015.11.011
• Languages: English
• ISSNs: 0260-6917

Abstract

Summary: Background: The lack of reliable and valid tools to evaluate learning outcomes during simulations has limited the adoption and progress of simulation-based nursing education. Purposes: This study had two aims: (a) to develop a simulation evaluation tool (SET c-dehydration ) to assess students' clinical judgment in caring for children with dehydration based on the Lasater Clinical Judgment Rubric (LCJR) and (b) to examine its reliability and validity. Participants: Undergraduate nursing students from two nursing schools in South Korea participated in this study from March 3 through June 10, 2014. Methods: The SET c-dehydration was developed, and 120 nursing students' clinical judgment was evaluated. Descriptive statistics, Cronbach's alpha, Cohen's kappa coefficient, and confirmatory factor analysis (CFA) were used to analyze the data. Results: A 41-item version of the SET c-dehydration with three subscales was developed. Cohen's kappa (measuring inter-observer reliability) of the sessions ranged from .73 to .95, and Cronbach's alpha was .87. The mean total rating of the SET c-dehydration by the instructors was 1.92 (± .25), and the mean scores for the four LCJR dimensions of clinical judgment were as follows: noticing (1.74 ± .27), interpreting (1.85 ± .43), responding (2.17 ± .32), and reflecting (1.79 ± .35). CFA, which was performed to test construct validity, showed that the four dimensions of the SET c-dehydration was an appropriate framework. Conclusion: The SET c-dehydration provides a means to evaluate clinical judgment in simulation education. Its reliability and validity should be examined further. Highlights: This study was the development of a tool to evaluate students' clinical judgment in simulation practice. A SET c-dehydration with 41 items and three subscales was developed. The SET c-dehydration was examined the reliability and validity.