Abstract

Human patient simulation (HPS) is a time and cost intensive teaching modality that is used widely in nursing education, and has been implemented with little evidence to support its efficacy (Jeffries & Rizzolo, 2006). Researchers note the lack of reliable tools to measure learning using this teaching modality, and consequentially there is a paucity of research linking critical thinking and simulation (Jeffries, 2007; Kneebone, 2003; Nehring, 2008). Nursing clinical decision making affects patient outcomes. Critical thinking is a key factor in clinical decision making. A review of the relevant literature is equivocal on the use of simulation in undergraduate nursing programs to increase critical thinking skills. The need for further research to develop evidence that simulation can enhance critical thinking is integral to continue and expand the use of simulation as a teaching-learning strategy in undergraduate nursing programs (Hayden, Smiley, Alexander, Kardong-Edgren, & Jeffries, 2014). The purpose of this quasi-experimental study was to evaluate the effect of simulation implementation on nursing students' critical thinking skills, as measured by Health Education Systems Incorporated (HESI) exit exam critical thinking sub-scores from cohorts of baccalaureate nursing graduates, in an undergraduate nursing education program. Benner's (1984), model From Novice to Expert, provides a theoretical framework for identifying knowledge acquisition and level of clinical expertise based on skill competency, knowledge, and experience, and underpins this study.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10271741; ProQuest document ID: 1898178990. The author still retains copyright.

Author Details

Joanne M. Knoesel, PhD, MEDSURG-BC, CNE

Sigma Membership

Omega Delta

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Nursing Students, Nursing Education, Simulation Learning, Critical Thinking Skills

Advisor

Eleanor Campbell

Second Advisor

Keville Frederickson

Third Advisor

Joanne Singleton

Fourth Advisor

Barbara Montero

Degree

PhD

Degree Grantor

The City University of New York

Degree Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-11-15

Full Text of Presentation

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