Enhancing Clinical Reasoning Competency

Communication Clinical Trial

— Reasoning  

Official title:

Enhancing Clinical Reasoning Competency for Undergraduate Nursing Students Using Virtual Simulation-based Education Based on the Rasch Model

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06373172
• Other study ID #: 202005-HR-003
• Status: Completed
• Phase: N/A
• Start date: May 1, 2020
• Est. completion date: March 1, 2023

Study information

• Verified date: April 2024
• Source: Tongmyong University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Enhancing Clinical Reasoning Competency for Undergraduate Nursing Students Using Virtual Simulation-based Education based on the Rasch model

Aims: Clinical reasoning is a core nursing competency that involves analyzing patient-related data and providing appropriate nursing practices. Simulation-based education is effective in improving the clinical reasoning competencies and communication skills of nursing students. This study aimed to verify the effectiveness of virtual simulation-based education.

Description:

Methods: This study used a single-group pre- and post-test experimental design to verify the effectiveness of virtual simulation-based education. Data were collected from June to September 2020. Thirty-six nursing students in the 3rd and 4th grades who understood the purpose of this study were selected as participants. The collected data were analyzed using SPSS Statistics 25.0 and Winsteps 3.68.2.

Keywords: Clinical Reasoning, Competency, Communication, Nursing, Virtual Simulation

Recruitment information / eligibility

• Status: Completed
• Enrollment: 37
• Est. completion date: March 1, 2023
• Est. primary completion date: June 1, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 28 Years

Eligibility

Inclusion Criteria:

• The participants were third- and fourth-year undergraduate nursing students who understood the purpose of the study and voluntarily agreed to participate

Exclusion Criteria:

• A person who has difficulty communicating or has no willingness to participate

Related Conditions & MeSH terms

• Clinical Reasoning
• Communication
• Development, Human

Intervention

Other:
• virtual simulation-based education program
We used "vSim® for Nursing - Nursing Medical-Surgical" as the virtual simulation-based education program. Four modules were included: (a) acute myocardial infarction, (b) diabetes mellitus, (c) transfusion, and (4) asthma. Each module learning sessions was conducted based on scenarios, which consisted of five steps: Suggested reading, Pre-simulation quiz, vSim, Post-simulation quiz, and Guide reflection questions. For each module, the intervention was performed for two hours. The participants attended four module learning sessions and received eight hours of training. Debriefing using guided reflection questions were completed in the form of a team reflection, followed by an instructor-learner discussion and feedback for 20 minutes of each module.

Locations

Country	Name	City	State
Korea, Republic of	Tongmyong Unoversity	Busan

Sponsors (1)

Lead Sponsor	Collaborator
Tongmyong University

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Nurses Clinical Reasoning Scale	The Nurses Clinical Reasoning Scale (NCRS) includes 15 items rated on a five-point Likert scale (1=Strongly disagree, 5=Strongly agree, min:15 & max:75) (Liou et al., 2016). We used the Korean version of the NCRS in this study (Joung & Han, 2017). Higher scores indicated better clinical reasoning. Cronbach's a was 0.94 for the original NCRS, and 0.93 for the Korean version of the NCRS.	4month
Primary	Communication Skills Scale	The Global Interpersonal Communication Competence Scale (GICC-15) includes 15 items rated on a five-point Likert scale (1= strongly disagree to 5= strongly agree. min:15 & max:75) (Rubin & Martin, 1994). We used the Korean version of the GICC-15 (Hur, 2003). Cronbach's a in Hur's (2003) study was 0.72.	4month