Utilizing Technology and Reflective Practice to Develop Clinical Judgment in Nursing Students

2.50
Hdl Handle:
http://hdl.handle.net/10755/243372
Category:
Full-text
Type:
Presentation
Title:
Utilizing Technology and Reflective Practice to Develop Clinical Judgment in Nursing Students
Author(s):
McKenzie, Carole A.; Collins, Leslie N.; Bowen, James L.
Lead Author STTI Affiliation:
N/A
Author Details:
McKenzie, Carole A., PhD, CNM, camckenzie@nwosu.edu; Collins, Leslie N., RN, BSN; Bowen, James L., EdD, MEd, BS;
Abstract:
Purpose:  Utilizing the pilot work completed by McKenzie and Bowen (2008, 2009, 2010) on the use of simulation in developing reflective judgment, this study compares  two groups of students—one at  different times in their nursing curriculum and the other comparing junior and senior students .   The theoretical framework for the study was the model developed by (Spurgeon and Bowen, 2002; King and Kitchener, 1994.  Student epiphanies in the clinical simulation experience provided the context for students to reflect on their experience and be assessed in terms of reflective judgment.  Students became more cognizant of learning needs and deficits, clearer about the nursing role and recognition of their lack of judgment regarding a crisis situation. 

Methods: Nursing students were evaluated for reflective judgment at the end of their junior year and again at the end of their senior year. For this study, students were given a higher acuity clinical situation upon which to proactively reflect.  A reflective journal template recorded their proactive reflections as well as their post experience reflections. They were videotaped during the clinical scenario presentation to determine if anticipatory or “proactive” reflection enhanced insight into appropriate solutions to clinical situations.  In the second phase of the study and for the comparison group evaluation, students were evaluated utilizing the same methodology.

Results: Study results provide mandates for utilization of simulation and reflection in assisting students to gain appropriate levels of clinical reasoning , and also in assisting faculty in teaching clinical (reflective) judgment.   The research further supports earlier findings.

  Conclusion: The results of each phase were correlated with their reflective judgment period at the time of each data collection.  Students were significantly progressed in their clinical judgment.  Students gained insight into their behaviors during these clinical situations via the videotaping and debriefing, particularly when the manikin ”expired”. on: 

Keywords:
Technology; Reflective Practice; Clinical Reasoning
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleUtilizing Technology and Reflective Practice to Develop Clinical Judgment in Nursing Studentsen
dc.contributor.authorMcKenzie, Carole A.en
dc.contributor.authorCollins, Leslie N.en
dc.contributor.authorBowen, James L.en
dc.contributor.departmentN/Aen
dc.author.detailsMcKenzie, Carole A., PhD, CNM, camckenzie@nwosu.edu; Collins, Leslie N., RN, BSN; Bowen, James L., EdD, MEd, BS;en
dc.identifier.urihttp://hdl.handle.net/10755/243372-
dc.description.abstract<b>Purpose: </b>&nbsp;Utilizing the pilot work completed by McKenzie and Bowen (2008, 2009, 2010) on the use of simulation in developing reflective judgment, this study compares&nbsp; two groups of students&mdash;one at&nbsp; different times in their nursing curriculum and the other comparing junior and senior students .&nbsp;&nbsp; The theoretical framework for the study was the model developed by (Spurgeon and Bowen, 2002; King and Kitchener, 1994.&nbsp; Student epiphanies in the clinical simulation experience provided the context for students to reflect on their experience and be assessed in terms of reflective judgment.&nbsp; Students became more cognizant of learning needs and deficits, clearer about the nursing role and recognition of their lack of judgment regarding a crisis situation.&nbsp; <p><b>Methods: </b> Nursing students were evaluated for reflective judgment at the end of their junior year and again at the end of their senior year. For this study, students were given a higher acuity clinical situation upon which to proactively reflect.&nbsp; A reflective journal template recorded their proactive reflections as well as their post experience reflections. They were videotaped during the clinical scenario presentation to determine if anticipatory or &ldquo;proactive&rdquo; reflection enhanced insight into appropriate solutions to clinical situations.&nbsp; In the second phase of the study and for the comparison group evaluation, students were evaluated utilizing the same methodology. <p><b>Results: </b>Study results provide mandates for utilization of simulation and reflection in assisting students to gain appropriate levels of clinical reasoning , and also in assisting faculty in teaching clinical (reflective) judgment.&nbsp;&nbsp; The research further supports earlier findings. <p>&nbsp;&nbsp;<b>Conclusion: </b> The results of each phase were correlated with their reflective judgment period at the time of each data collection.&nbsp; Students were significantly progressed in their clinical judgment.&nbsp; Students gained insight into their behaviors during these clinical situations via the videotaping and debriefing, particularly when the manikin &rdquo;expired&rdquo;.&nbsp;on:&nbsp;en
dc.subjectTechnologyen
dc.subjectReflective Practiceen
dc.subjectClinical Reasoningen
dc.date.available2012-09-12T09:21:18Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:21:18Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.