Structured Debriefing and Students' Clinical Judgment Abilities in Simulation

Abstract

This paper is NOT THE PUBLISHED VERSION; but the author's final, peer-reviewed manuscript. The published version may be accessed by following the link in th citation below.

Simulation debriefing for clinical judgment development: A concept analysis

“…When a structured reflective debriefing for clinical judgment follows simulation, three main consequences are anticipated. The first is increased students' acquisition of knowledge or cognitive understanding of the patient's situation (Benner et al, 2009;Chronister and Brown, 2012;Shinnick et al, 2011), which serves as a critical foundation for making clinical judgments; improving selfefficacy (Van Heukelom et al, 2010); and promoting decision-making (Dreifuerst, 2009;Lavoie et al, 2013;Mariani et al, 2013). The second consequence is improving students' psychomotor skills performance (Levett-Jones and Lapkin, 2014), which has been linked to confidence, important to student development as a nurse (Bambini et al, 2009) and clinical judgment ability (Lasater, 2007a).…”

“…In addition, debriefing helps students to reflect on their cognitive, affective, and psychomotor skills without jeopardizing patient safety, thereby enhancing student confidence in a safe and controlled environment. Thus, focused reflection and discussion during debriefing is an effective strategy to foster quality and safety principles (Mariani et al, 2013).…”

“…The effects of debriefing on enhancing students' clinical judgment skills can be assessed using the LCJR (Lasater, 2007b) where both students and faculty can see the expectations to evaluate students' performance (Mariani et al, 2013). Furthermore, the effects of debriefing on enhancing clinical judgment can be measured qualitatively, walking through the aspects (Tanner, 2006) and dimensions (Lasater, 2007a) of clinical judgment, using an open-ended questionnaire to evaluate participants' perceptions of the effects of debriefing on enhancing their clinical judgment abilities (Lavoie et al, 2013).…”

The Lasater Clinical Judgment Rubric as a Framework to Enhance Clinical Judgment in Novice and Experienced Nurses

“…Literature also suggests that structured debriefings provide a learner-centered holistic approach to review knowledge and technical skill, as well as the reactions and emotions embedded within the learning experience (Mariani et al, 2013). Using the LCJR as a reflective framework in a structured debriefing phase of simulation allows nurses to gain insight into the clinical judgment skills that guided their performance within the simulation scenario and may assist with integrating transformed understanding into clinical practice (Lavoie et al, 2013;Mariani et al, 2013).…”

“…Interrater reliability has been reported between 0.889 and 0.96 with stable raters and simulation scenarios Adamson & Kardong-Edgren, 2012;Adamson, KardongEdgren & Willhaus, 2013) and a range of agreement from r = .57 to .96 across three studies . In a 2013 publication, Mariani, Cantrell, Meakim, Prieto, and Dreifuerst (2013) reported alpha reliability coefficients ranging from 0.80 to 0.97 and offered strong evidence of the scale's internal consistency.…”