Designing for clinical judgment: Integration of screen-based simulation

Introduction: Clinical judgment is essential to nursing practice. Increased attention is being paid to the role nursing judgment has on the safety of patients. Screen-based simulation has emerged as a meaningful and safe strategy for incorporation of clinical situations that emphasize the skills needed to inform clinical judgment among health professions.
Conceptual Framework: The NLN/Jeffries simulation theory provided an evidence-based framework for incorporation of the INACSL Standards of Best Practice: Simulation Design for the integration of screen-based simulation into the health professions curriculum. Scenario selections was guided by the NCSBN Clinical Judgment Model with placement in a progressive manner to facilitate deliberate practice.
Target Population and Setting: Undergraduate health professions students; classroom environments; 5-250 students
Project

Description: This project offers health professions educators techniques for integration of screen-based simulation to move through a clinical judgment case study suitable for a large group classroom setting, simulation lab preparation or clinical post-conference experience. The learner is immersed in the client care situation during briefing, data gathering, hypothesis generation, testing and evaluation. Learners engage in a structured debriefing, peer discussion/analysis and guided reflection.
Results/Outcomes/Evaluation: Participants will be able to identify strategies for integrating screen-based simulation into health professions education to promote clinical judgment. This presentation seeks to provide faculty with design strategies for integration of screen-based simulation to promote clinical judgment and techniques to evaluate learner performance.
Discussion and

Conclusion: With a focus on patient safety, screen-based simulation offers a cost-effective solution to designing for clinical judgment in the ever-changing healthcare practice environment.