The Influence of Structured Debriefing on Clinical Judgment in Associate Degree Nursing Students

129 Pages Posted: 20 Nov 2018

See all articles by Andrea Johnson-Ramsay

Andrea Johnson-Ramsay

American Sentinel University, DNP Educational Leadership Program

Date Written: July 2, 2018

Abstract

The objective of this quantitative, comparative research was to determine the influence of structured post-simulation debriefing on clinical judgment in Associate Degree Nursing students who participated in a high-fidelity simulation exercise in comparison with students who received traditional debriefing. The measurement tool was the Lasater Clinical Judgment Rubric (LCJR). Thirty-two students were invited and only 27 responded. Students participated in a code sepsis simulation that lasted 30 minutes followed by structured debriefing. The LCJR score sheet captured the scores. A mixed between-within subjects analysis of variance was conducted to analyze the scores. There was a substantial main effect for debriefing type for noticing; Wilks’ Lambda = .22, F (1, 25) = 86.4, p = .00, ηp2 = .776, interpreting; Wilks’ Lambda = .46, F (1, 25) = 29.1, p = .00, ηp2 = .538, and responding; Wilks’ Lambda = .58, F (1, 25) = 18.2, p = .00, ηp2 =.422. Also, on reflecting; Wilks’ Lambda = .31, F (1, 25) = 29.1, p = .00, ηp2 = .695. The estimated mean between groups were different in those receiving traditional debriefing showing higher scores in those receiving structured debriefing. For noticing; M = 7.0 and M = 9.5, interpreting; M = 4.6 and M = 6.5, responding; M = 9.2 and M = 13.7 and for reflecting; M = 5.0 and M = 6.5 (Pallant, 2016). The research findings have supported and reinforced the importance of structured debriefing after simulation exercises.

Keywords: simulation, structured debriefing, fidelity, clinical judgment, simulation learning

Suggested Citation

Johnson-Ramsay, Andrea, The Influence of Structured Debriefing on Clinical Judgment in Associate Degree Nursing Students (July 2, 2018). Available at SSRN: https://ssrn.com/abstract=3271980 or http://dx.doi.org/10.2139/ssrn.3271980

Andrea Johnson-Ramsay (Contact Author)

American Sentinel University, DNP Educational Leadership Program ( email )

Aurora, CO
United States

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