Enhancing the Ability of Critical Thinking and Clinical Reasoning Among Nursing Students on Post-operative Management Through Scenario-Based Simulation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 64
- 试验地点
- 2
- 主要终点
- Ability of critical thinking and clinical reasoning with skill
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •2nd-year BSN students at GCCN who take "Adult medical & surgical nursing."
- •Students who provide informed consent to participate in the study.
排除标准
- •Students who have completed theory class and clinical practice in the postoperative ward in any hospital.
结局指标
主要结局
Ability of critical thinking and clinical reasoning with skill
时间窗: 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.
次要结局
- Critical Thinking Ability(6-7 weeks after baseline data collection)
- Clinical Reasoning 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)
研究者
Sadia Sultana Tonny
Principal Investigator
Hiroshima University