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Titre : | Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: A systematic review (2021) |
Auteurs : | Karen A. Theobald ; Naomi Tutticci ; Joanne Ramsbotham ; Sandra Johnston |
Type de document : | Article |
Dans : | Nurse Education in Practice (Vol. 57, November 2021) |
Article en page(s) : | 9 p. |
Note générale : | https://doi.org/10.1016/j.nepr.2021.103220 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Formation par simulation ; Raisonnement clinique ; Revue systématique ; Sens critique |
Mots-clés: | Enseignement infirmier de premier cycle |
Résumé : | Aim/objective This systematic review examines the effectiveness of undergraduate nursing students using simulation to acquire clinical reasoning. Background Use of simulation to positively impact practice outcomes is an established method in nursing education. Clinical reasoning is a graduate capability that contributes to safe practice, so developing clinical reasoning requires explicit scaffolding in undergraduate contexts. While research has primarily evaluated specific clinical reasoning frameworks, variability in clinical reasoning definitions has obscured simulation efficacy for clinical reasoning acquisition. Design This review uses the Joanna Briggs Institute Systematic Reviews approach. Methods An electronic database search was conducted to identify studies published from May 2009 to January 2020 using a three-step search strategy. Selected papers were assessed by at least two independent reviewers for inclusion criteria, methodological validity, and data extraction. Ten studies using quasi-experimental designs involving 1532 students were included. Results Evidence regarding the effectiveness of simulation for undergraduate nursing students acquisition of clinical reasoning was limited but of high quality. Review results showed no statistically significant gains in clinical reasoning with a single simulation exposure. Two emerging concepts, situation awareness and teamwork support the enhancement of clinical reasoning within simulation. In order to draw future conclusions on the efficacy of simulation to develop clinical reasoning, more research is warranted. Conclusions New insights about team-based simulations and situation awareness were identified as integral for development of clinical reasoning in the context of simulation. More consistent use of terminology in the context of simulation research is also recommended. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1471595321002560 |