Development and psychometric testing of a Clinical Reasoning Evaluation Simulation Tool (CREST) for assessing nursing students' abilities to recognize and respond to clinical deterioration

Liaw, Sok Ying; Rashasegaran, Ahtherai; Wong, Lai Fun; Deneen, Christopher Charles; Cooper, Simon; Levett‐Jones, Tracy; Goh, Hongli Sam; Ignacio, Jeanette

doi:10.1016/j.nedt.2017.12.009

Cited by 45 publications

(50 citation statements)

References 39 publications

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“…Nevertheless, the mean student SCT score (57.8 to 58.9) and the mean expert SCT score (83.3) in our study are similar to those previously described in the literature, which suggests that our use of SCTs was correct [43]. In addition, self-assessment was equally used to assess the various steps of the nursing clinical reasoning process but this part is less validated, as it rests on student's perception only [20,24,39,47].…”

Section: Limitationssupporting

confidence: 84%

“…This tool explores the process by which nurses collect information, process the information, identify problems/issues, establish goals, take action, and evaluate outcomes. Recently, and after the beginning of our study, Liaw et al published a study describing another specific tool used to assess clinical reasoning in clinical deterioration which, on the whole, used the same criteria as our own study [47]. The weaknesses in the previous literature as well as the neutral results (including ours) could be explained by the difficulty to assess clinical reasoning, the complexity of education, and the need to explore results in the long-term.…”

Section: Discussionmentioning

confidence: 76%

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Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students

2020

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Background: Early detection and response to patient deterioration influence patient prognosis. Nursing education is therefore essential. The objective of this randomized controlled trial was to compare the respective educational value of simulation by gaming (SG) and a traditional teaching (TT) method to improve clinical reasoning (CR) skills necessary to detect patient deterioration.Methods: In a prospective multicenter study, and after consent, 2nd year nursing students were randomized into two groups:-Simulation by gaming "SG": the student played individually with a serious game consisting of 2 cases followed by a common debriefing with an instructor; -Traditional Teaching "TT": the student worked on the same cases in text paper format followed by a traditional teaching course with a PowerPoint presentation by an instructor.CR skill was measured by script concordance tests (80 SCTs, score 0-100) immediately after the session (primary outcome) and on month later. Other outcomes included students' satisfaction, motivation and professional impact.Results: One hundred forty-six students were randomized. Immediately after training, the SCTs scores were 59 ± 9 in SG group (n = 73) and 58 ± 8 in TT group (n = 73) (p = 0.43). One month later, the SCTs scores were 59 ± 10 in SG group (n = 65) and 58 ± 8 in TT group (n = 54) (p = 0.77). Global satisfaction and motivation were highly valued in both groups although significantly greater in the SG group (p < 0.05). The students declared that the training course would have a positive professional impact, with no difference between groups. Conclusions:In this study assessing nursing student CR to detect patient deterioration, no significant educational difference (SCT), neither immediate nor 1 month later, was observed between training by SG and the TT course. However, satisfaction and motivation were found to be greater with the use of SG. Trial registration: ClinicalTrials.gov; NCT03428269. Registered 30 january 2018.

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Section: Limitationssupporting

confidence: 84%

Section: Discussionmentioning

confidence: 76%

Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students

2020

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“…The researcher developed three vignettes of PPH. The five-point scale developed by Liaw et al (2018) with the description of each score was used. The potential scores ranged from 12-60.…”

Section: Clinical Reasoningmentioning

confidence: 99%

Effects of team‐based learning about postpartum haemorrhage on learning outcomes and experience of midwifery students in Indonesia: A pilot study

et al. 2020

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Aim This pilot study aimed to evaluate the effects of team‐based learning about postpartum haemorrhage on the learning outcomes and experience of midwifery students in Indonesia. Design One‐group pre‐test–post‐test study. Methods This study enrolled 64 midwifery students as participants from an Indonesian health polytechnic school. This group attended two team‐based learning class sessions (90 min weekly for 2 weeks) on postpartum haemorrhage. Student learning outcomes and experience were assessed quantitatively. Results The mean knowledge score (0–100) was significantly higher at post‐test (mean = 85.9, SD 9.8) than at pre‐test (mean = 61.4, SD 12.9) ( p < .001). There was a significant difference in the mean clinical reasoning score (12–60) between post‐test (mean = 35.4, SD 5.8) and pre‐test (mean = 21.3, SD 7.9) ( p < .001). Most students (98.4%) engaged in classroom activities.

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“…Além de ser uma ferramenta de avaliação, o Clinical Reasoning Evaluation Simulation Tool (CREST) é um guia para fornecer feedback sobre o desempenho do raciocínio clínico dos estudantes. para avaliar as habilidades de raciocínio clinico de estudantes de enfermagem do 2 e 3 ano e utiliza pesquisadores internacionais (LIAW et al, 2018). MATIA et al (2019) validam um instrumento de avaliação que permite identificar fragilidades no processo de ensino aprendizagem e apontaram que um formato de avaliação claro e objetivo tanto para professores e estudantes contribuem para desmistificar o processo avaliativo e amenizar os desafios da avaliação da competência no ensino superior nas áreas da saúde.…”

Section: Resultsunclassified

A Biomassa De Banana Verde No Combate a Obesidade E Ao Diabetes Mellitus Tipo Ii No Adulto

Costa¹,

Oliveira²,

Lima³

et al. 2021

Dinamismo E Clareza No Planejamento Em Ciências Da Saúde

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Development and psychometric testing of a Clinical Reasoning Evaluation Simulation Tool (CREST) for assessing nursing students' abilities to recognize and respond to clinical deterioration

Cited by 45 publications

References 39 publications

Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students

Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students

Effects of team‐based learning about postpartum haemorrhage on learning outcomes and experience of midwifery students in Indonesia: A pilot study

A Biomassa De Banana Verde No Combate a Obesidade E Ao Diabetes Mellitus Tipo Ii No Adulto

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