A Comparison of Student Development of Reflective Judgment Utilizing Simulation

2.50
Hdl Handle:
http://hdl.handle.net/10755/153115
Type:
Presentation
Title:
A Comparison of Student Development of Reflective Judgment Utilizing Simulation
Abstract:
A Comparison of Student Development of Reflective Judgment Utilizing Simulation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:McKenzie, Carole A., PhD, CNM
P.I. Institution Name:Northwestern Oklahoma State University
Title:Associate Professor and Chairperson
Co-Authors:James L. Bowen, PhD
[Research Presentation] Purpose: Utilizing innovative and effective technologies and teaching methods are one way to bridge the gap in teaching students about clinical reasoning.  Utilizing the pilot work completed by McKenzie and Bowen (2008) on the use of simulation in developing reflective judgment, this study takes the model (Spurgeon and Bowen, 2002) to compare the pilot study group of junior nursing students to determine if their level of reflective judgment has improved. In the pilot, students were given a simulation situation, proactively reflected on what they expected to find and experienced what Maslow (1971) called "awakenings" and McKenzie, et. al (2006, 2007) called "epiphanies".  These epiphanies provided the context for students to reflect on their experience and be assessed in terms of reflective judgment.  Students became more cognizant of their learning needs and deficits, and more certain of their nursing role.  They also recognized their lack of judgment regarding a crisis situation.  Methods: For this study, students were given a clinical situation to proactively reflect  upon that was a higher acuity patient situation and required higher level reflective judgment. They were given a reflective journal template upon which to record their proactive reflections as well as their post experience reflections. They were again videotaped during the clinical scenario presentation to determine if the anticipatory or "proactive" reflection enhanced student insight into the appropriate solutions to clinical situations. Results: The results of the pilot study were correlated with their reflective judgment period at the time of the senior level data collection.  Students were clearly more progressed in their clinical judgment and their clarity regarding their roles. Conclusion: These insights provide a mandate for the utilization of simulation and reflection in assisting students in not only gaining appropriate levels of clinical reasoning and reflective judgment but in assisting faculty in teaching clinical judgment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Comparison of Student Development of Reflective Judgment Utilizing Simulationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153115-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Comparison of Student Development of Reflective Judgment Utilizing Simulation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McKenzie, Carole A., PhD, CNM</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Northwestern Oklahoma State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor and Chairperson</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">camckenzie@nwosu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">James L. Bowen, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: Utilizing innovative and effective technologies and teaching methods are one way to bridge the gap in teaching students about clinical reasoning.&nbsp; Utilizing the pilot work completed by McKenzie and Bowen (2008) on the use of simulation in developing reflective judgment, this study takes the model (Spurgeon and Bowen, 2002) to compare the pilot study group of junior nursing students to determine if their level of reflective judgment has improved. In the pilot, students were given a simulation situation, proactively reflected on what they expected to find and experienced what Maslow (1971) called &quot;awakenings&quot; and McKenzie, et. al (2006, 2007) called &quot;epiphanies&quot;.&nbsp; These epiphanies provided the context for students to reflect on their experience and be assessed in terms of reflective judgment. &nbsp;Students became more cognizant of their learning needs and deficits, and more certain of their nursing role.&nbsp; They also recognized their lack of judgment regarding a crisis situation.&nbsp; Methods: For this study, students were given a clinical situation to proactively reflect&nbsp; upon that was a higher acuity patient situation and required higher level reflective judgment. They were given a reflective journal template upon which to record their proactive reflections as well as their post experience reflections. They were again videotaped during the clinical scenario presentation to determine if the anticipatory or &quot;proactive&quot; reflection enhanced student insight into the appropriate solutions to clinical situations. Results: The results of the pilot study were correlated with their reflective judgment period at the time of the senior level data collection.&nbsp; Students were clearly more progressed in their clinical judgment and their clarity regarding their roles. Conclusion: These insights provide a mandate for the utilization of simulation and reflection in assisting students in not only gaining appropriate levels of clinical reasoning and reflective judgment but in assisting faculty in teaching clinical judgment.</td></tr></table>en_GB
dc.date.available2011-10-26T12:03:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:03:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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