A Comparison of Student Nurses' Self-assessed Clinical Judgment Skills Compared to Observed Clinical Judgment Abilities during a Simulated Activity.

A Comparison of Student Nurses' Self-assessed Clinical Judgment Skills Compared to Observed Clinical Judgment Abilities during a Simulated Activity.

Academic Year:
2012 - 2013 (June 1, 2012 through May 31, 2013)
Funding Requested:
$2,000.00
Project Dates:
-
Applicant(s):
Overview of the Project:
The purpose of this study is to determine how closely student nurses' perceptions of their clinical judgment skills match their demonstrated clinical judgment skills when participating in a simulated clinical situation. The evidence suggests there are disparities in the student nurses' ability to make accurate and timely clinical judgments, along with the lack of recognition that the judgments were incomplete or incorrect. I will begin this research study on November 15, 2012 using the undergraduate nursing students in my junior level Adult Illness nursing courses in the fall and winter semesters. I believe the results of this study will be ground breaking, regardless of the findings because of the lack of research in this area. The problem is apparent, but there is a lack of solid evidence to clearly identify the salient issues, It is imperative that nursing faculty become aware of the issues surrounding student nurse self perception of performance, as it compares to their actual abilities, in order to develop appropriate methods to assess, evaluate, and eliminate any inequities discovered. The Lecturer's Professional Development Fund monies would allow me the opportunity to disseminate the findings of this study to nursing faculty at a large national conference. The Drexel Nursing Education Institute is a heavily attended conference that focuses on research and innovation in nursing education. The conference in 2013 will be held on June 18 through June 21 in New Orleans, Louisiana. I will be submitting an abstract for consideration for a podium presentation at this conference.
Final Report Fields
Project Objectives:

1. Determine if there is a relationship between the students' self assessment of their clinical judgment abilities and their actual judgment skills when performing in a hands on simulation. 2. Determine if the Lasater Clinical Judgment Rubric is an appropriate tool for student self assessment.

Project Achievements:

The data is not completely analyzed at this time. Basic analysis showed that students self assessed themselves at a level much higher than their actual performance score. This reinforced what was already thought to be true. The plan now is to have the students continue with their self assessment after each hands on simulation in their junior level adult illness course. The instructor will continue to assess each student based on their actual performance. The next step is do to a one on one debriefing where the self assessment and the actual performance evaluations are discussed with the student. Understanding the level of expected performance should improve self assessed performance over time. The rubric needs continued evaluation to determine its effectiveness in this type of situation.

Continuation:
Unsure at this time.
Dissemination:
The results of this study was presented at a Nursing Education conference in June.
Advice to your Colleagues:
It was very time consuming to complete this type of evaluation on each student and to have the students complete their self assessment. I need some assistance to determine the effectiveness of the rubric for use with student self assessment.

Source URL: https://crlt.umich.edu/node/85845