(65) Utilizing Screen-Based Nursing Simulations to Prioritize Clinical Judgment Assessment and Feedback

Abstract: Gaps: New nurses have shown a lack of practice readiness and decision-making skills [1], resulting in nursing licensure exams prioritizing clinical judgment using the Clinical Judgment Measurement Model (CJMM) [2]. Screen-based virtual simulations can be utilized to align with CJMM to promote clinical judgment development.

Purpose: This paper explores utilizing screen-based simulations with assessment and feedback aligned with CJMM to support clinical judgment development for undergraduate learners.

Theoretical framework: An instructional design framework [3] as well as the CJMM were applied to ground the design process of the virtual simulations. Following these frameworks, gerontology virtual simulations were designed and utilized to include assessment and feedback of clinical judgment skills. This included the systematic mapping of assessment opportunities to CJMM’s cognitive components, the addition of NGN-style items, and a new results page with feedback aligned with CJMM.

Methods: Eight undergraduate nursing students from ADN and BSN programs across the US participated in semi-structured interviews to discuss designed solutions. A thematic analysis [4] was applied to generate insights from qualitative interview data.

Results/

Conclusions: Clinical judgment assessment items received positive reactions, as students liked NGN practice in their assignments. Students found they would skip the new results page without an indicator, but enjoyed how the results specifically pointed out the clinical judgment skills that were lacking. This study demonstrates how educators can utilize screen-based simulations to support clinical judgment development and practice readiness. Implications for practice include guiding simulation educators who can apply learning experiences to support practice readiness and improved patient outcomes.

Please include a short summary of your presentation that highlights why an attendee would want to view your poster.: This paper explores utilizing screen-based virtual simulations to integrate assessment and feedback aligned with CJMM, to support clinical judgment development for undergraduate learners. Virtual simulations were aligned with CJMM, and eight students participated in interviews to discuss designed solutions. A thematic analysis was applied to generate insights. Implications include guiding simulation educators to support practice readiness.