(65) Teaching Clinical Judgment Through Simulation in Undergraduate Obstetric Nursing Education

Abstract: Title: Teaching Clinical Judgment Through Simulation in Undergraduate Obstetric Nursing Education.

Introduction: Only 23% of new nurses demonstrate adequate clinical judgment skills in the clinical setting (Kavanagh, 2017). Clinical judgment, the cognitive dimension that encompasses critical thinking, decision making, and knowledge application (Lasater, 2007a), is an essential domain of nursing. Using Lasater’s Clinical Judgment Rubric (LCJR) (2007b), a tool for measuring students’ clinical judgment by faculty observation, we are creating a simulation experience targeted to teach clinical judgment skills through a postpartum assessment and handoff scenario. Our new simulation educational experience for undergraduate nursing students teaches clinical judgement in accordance with AACN Essentials (2021) and NCSBN Clinical Judgement Measurement Model (2019).

Methods: We are developing an obstetric simulation experience to teach clinical judgment consistent with INACSL 2016 guidelines. We plan to pilot the simulation among junior level undergraduate nursing students in their obstetric nursing course in December 2022. We are creating a self-assessment tool based on the Lasater Clinical Judgment Rubric (2007b) to measure clinical judgment among the students participating in the pilot. Repeated measure t-tests will be used for analysis.

Results: This project will evaluate the effectiveness of a focused simulation experience in developing clinical judgment skills, measured by students’ improved clinical judgment scores on the self-assessment tool.

Conclusions: The goal of this simulation experience is to improve the development of clinical judgment skills among undergraduate obstetric nursing students and to provide educators with an evidence-based educational resource to ensure our students are ready for practice upon graduation.

Please include a short summary of your presentation that highlights why an attendee would want to view your poster.: In this study, we propose to develop a simulation educational experience to teach undergraduate nursing students the practice of clinical judgment in accordance with NCSBN and AACN definitions.