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Comparing Clinical Judgment Competency Between Accelerated and Traditional Bachelor of Science in Nursing Students during High-fidelity Simulation

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2023-12-01

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Martin, Jeanne

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East Carolina University

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ABSTRACT Background: Evidence suggests that competency in clinical judgment may be lacking in new graduate nurses. Graduates from accelerated baccalaureate nursing (ABSN) programs have even less time to develop clinical judgment competency. Various simulation modalities, including high-fidelity manikin and virtual reality, have been used to develop clinical judgment in pre-licensure students. However, the outcomes of these simulation modalities on clinical judgment in accelerated and traditional baccalaureate nursing students (TBSN) is not well understood. Method: Using Tanner’s Clinical Judgment Model as the theoretical framework, a quasi-experimental design compared clinical judgment competency between two interventions groups using a manikin with TBSN participants and virtual simulation with ABSN participants. Results: ABSN participants had statistically significant higher noticing, interpreting, and overall clinical judgment competency scores that the TBSN group. Conclusion: Findings from this study indicate accelerated nursing programs are effective in developing clinical judgment competency. However, results may have been affected by the simulation modality used in the TBSN group. Future research should include comparison studies aimed at examining the effect of these modalities with students in both traditional and accelerated programs.

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