(112) Integrating NCSBN'S Clinical Judgment Measurement Model into Simulation

Abstract :

Background: Novice registered nurses lack safe clinical judgement competency (CJC; Hensel et.al., 2020). Kavanagh et.al. (2021) reported the practice CJC gap indicated a decline in patient safety evidenced by an increase in failures to rescue. To address the gap, 2023 NCLEX-RN test plan added CJC evaluation(s) via Next Generation NCLEX (NGN) questions. The academic setting was challenged to improve CJC teaching strategies with an expected decrease in graduate nurses’ the gap. Simulation activities are an effective method to both teach and evaluate competency, but little information exists regarding how integration of the NCSBN – Clinical Judgement Model (CJM) and NGN-style questions during the simulation can improve overall practice judgement.
Methodology: The NCSBN’s CJM was integrated into Texas Tech University Health Science Center’s Traditional Undergraduate Program’s (TUG-Level 3) Complex Concepts course Simulation #3: Respiratory Failure. During Pre-brief, using the SBAR review, (using a whiteboard), as a group, the participants were asked to identify significant cues, then analyze and prioritize them. The participants were expected to generate possible solutions to the problems identified as part of the professional SBAR (recommendations) during an ‘MD’ contact. During debrief (DML), the participants were asked to evaluate the effectiveness of their actions.

Results: Perform a pre/post t test on Integrated Learning Formative/Summative assessment scores.
Conclusions/

Discussion: The long-term effect of this program has not been studied, but, if, as with the NGN NCLEX-RN and 2021 BSN Essentials, the changes in delivery model(s) work as expected, patients can expect a more competent novice RN practicing at the bedside.