Enhancing the Ability of Critical Thinking and Clinical Reasoning Among Nursing Students on Post-operative Management Through Scenario-Based Simulation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Hiroshima University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Ability of critical thinking and clinical reasoning with skill
Study Overview
Brief Summary
The goal of this clinical trial is to determine whether scenario-based simulation training can effectively enhance critical thinking and clinical reasoning skills in nursing students in Bangladesh, focusing on postoperative nursing management.
The main questions it aims to answer are:
- Does scenario-based simulation training improve critical thinking and clinical reasoning skills in postoperative nursing management?
- Is scenario-based simulation training more effective than traditional skills training in enhancing these skills?
Researchers will compare an intervention group (receiving scenario-based simulation training) to a control group (receiving traditional skills training) to see if the intervention leads to greater improvements in critical thinking and clinical reasoning abilities.
Participants will:
- Attend lectures on postoperative nursing care, take a pre-test, and be randomly assigned to either the intervention or control group.
- The intervention group will undergo scenario-based simulation training, while the control group will receive traditional skills training.
- Both groups will engage in individual practice and complete post-training evaluations to assess critical thinking, clinical reasoning, and overall competency
This study aims to identify an effective teaching strategy for nursing students, enhancing their ability to handle complex clinical situations and improving patient care quality.
Detailed Description
This study, titled "Enhancing the Ability of Critical Thinking and Clinical Reasoning among Nursing Students on Post-operative Management through Scenario-Based Simulation," evaluates the impact of scenario-based simulation training on developing critical thinking and clinical reasoning skills in 2nd-year Bachelor of Science in Nursing (BSN) students at the Grameen Caledonian College of Nursing (GCCN), Bangladesh.
Design and Methodology:
The research employs a prospective, open-label, randomised controlled trial (RCT) with a 1:1 parallel design and block randomization. The study consists of 57 participants, split into an intervention group (scenario-based simulation training) and a control group (traditional skills training).
- Study Duration: 11 months from November 2024 to September 2025, including preparation, intervention (3 months), and analysis.
- Educational Context: Participants will have no prior exposure to postoperative nursing theory or practice before this intervention.
Intervention Protocol
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •2nd-year BSN students at GCCN who take "Adult medical & surgical nursing."
- •Students who provide informed consent to participate in the study.
Exclusion Criteria
- •Students who have completed theory class and clinical practice in the postoperative ward in any hospital.
Arms & Interventions
Scenario-Based Simulation Training
Students allocated to the intervention group through block randomisation will participate in scenario-based simulation training. The Principal Investigator (PI) and GCCN faculty will guide the students using PI-developed videos and scenarios. The training will incorporate cases that depict abnormal signs and symptoms, fostering active learning and challenging students to apply practical skills. Later, students will engage in group-based skills training for repeated practice and reinforcement.
Intervention: Scenario-based Simulation Skill Training (Other)
Traditional Skills Training
Students allocated to the control group through block randomisation will undergo traditional skills training. The Principal Investigator (PI) and GCCN faculty will demonstrate and train them in postoperative nursing management techniques. Later, students will practice independently in a skills lab under the guidance of the PI and GCCN faculty. Finally, all students will participate in a skills evaluation and knowledge post-test and provide free comments. To address potential ethical concerns, after the study's completion, the PI and GCCN faculty will provide the control group with training in scenario-based simulation and show them the developed videos on post-operative nursing management.
Intervention: Traditional Skill Training (Other)
Outcomes
Primary Outcomes
Ability of critical thinking and clinical reasoning with skill
Time Frame: 6-7 weeks after baseline data collection
The primary outcome, critical thinking and clinical reasoning skills, will be assessed using a validated checklist covering five domains: analysis, inference, evaluation, inductive reasoning, and deductive reasoning. Students' performance in simulations or traditional skill demonstrations will be scored based on practical skills, critical thinking, and clinical reasoning. Trained evaluators will observe and score students' ability to identify patient problems, make evidence-based decisions, and explain their reasoning during debriefing sessions, ensuring a comprehensive assessment of these skills.The postoperative skill evaluation checklist includes practical skills, critical thinking, and clinical reasoning. The overall total score is 100: 48 for postoperative skill, 32 for critical thinking ability, and 20 for clinical reasoning ability. This ranges from 0 - 100. Higher scores show higher skill \& ability, and lower score indicates less skill and ability.
Secondary Outcomes
- Clinical Reasoning Ability(6-7 weeks after baseline data collection)
- Critical Thinking Ability(6-7 weeks after baseline data collection)
- Post Operative Management Skill(6-7 weeks after baseline data collection)
- Knowledge Test Score(1 week after lecture session and 6-7 week after baseline data collection)
- Free Commnents(6-7 weeks after baseline data collection)
Investigators
Sadia Sultana Tonny
Principal Investigator
Hiroshima University