Exploring the impact of simulation anxiety on clinical judgment for nursing students
View File(s)
- Author(s)
- Details
-
Janet M. Reed, PhD, RN, CMSRN is a medical surgical nurse who is an associate professor at Kent State University at Stark in Ohio. Her Ph.D. is from Kent State University in Curriculum & Instruction. She also holds a MSN degree from the University of Toledo in Nursing Education, as well as a BSN from the University of Massachusetts Amherst and ADN from Lorain County Community College in Ohio.
- Sigma Affiliation
- Non-member
Research literature provides evidence that new graduate nurses are often deficient in clinical judgment (CJ). One way to increase CJ is by using simulations. However, the literature is replete with descriptions of the high anxiety that simulation triggers. It is not currently known how anxiety in simulation affects clinical judgment for undergraduate nursing students. Therefore, the purpose of this study was to explore the effect of different types of anxiety on the clinical judgment of undergraduate nursing students in simulation.
This research project used a one-group repeated measures quantitative design to answer the research questions using the conceptual framework of Tanner’s (2006) model of clinical judgment. A convenience sample of 45 sophomore-level undergraduate nursing students participated in a study to explore how state and trait anxiety impacted their clinical judgment within an introductory simulation.
The results indicated that anxiety did not have a significant impact on clinical judgment. When controlling for baseline state and trait anxiety, pre-simulation anxiety level did not significantly predict scores on the Lasater Clinical Judgment Rubric (LCJR) within the simulation. State anxiety did change significantly between the three time measurements, going up to significantly high levels at pre-simulation. These anxiety levels remained high at postsimulation. The findings imply a changed focus to reframe how anxiety is thought about and its effects. Some anxiety is good and facilitative, and therefore, faculty should not be so worried about reducing anxiety for all students. Rather, nursing educators should help students function despite anxiety, in order to prepare them for real world nursing practice.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 29221783; ProQuest document ID: 2658846484. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
| Type | Dissertation |
| Acquisition | Proxy-submission |
| Review Type | None: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | Quantitative Research |
| Keywords | Nursing Education; Clinical Judgment; Simulation Learning; Student Anxiety |
| Grantor | Kent State University |
| Advisor | Ferdig, Richard E.; Shelestak, Debra; Karpinski, Aryn |
| Level | PhD |
| Year | 2022 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Exploration of two methodologies for measuring clinical judgment in baccalaureate nursing students
Introduction: Senior nursing students need a requisite level of preparedness to safely care for an acutely ill, complex patient once they graduate and become independent clinicians. This level of preparedness may be evaluated ... -
Influence of learning style and learning flexibility on clinical judgment of prelicensure nursing students within a human patient computer simulation environment
Nursing education is experiencing a transition in how students are exposed to clinical situations. Technology, specifically human patient computer simulation, is replacing human exposure in clinical education (Nehring, ... -
The effects of nursing program simulation experience level and type of advanced organizer on clinical judgment performance, satisfaction, self-confidence, and perceived cognitive load of pre-licensure nursing students in simulation based learning
Nursing education programs face many challenges with training students to become professional nurses who will practice safely in an evolving and complex healthcare system. Nurse educators are obliged to prepare students ... -
The impact of critical thinking upon clinical judgment during simulation with senior nursing students
(2014-05-13)Session presented on: Friday, April 4, 2014: The purpose was to examine the impact of critical thinking (CT) upon clinical judgment (CJ) during pediatric medication administration. Objective Structured Clinical Evaluations ... -
Baccalaureate nursing students' attitudes toward end of life care: The impact of simulation-based learning
All nurses may be obliged to care for patients at the end of life. Baccalaureate nursing education should prepare nurses to provide this care, but best practice for end of life care education has not been established. ...
