title: A pilot study to investigate the effect of a simulation strategy on the clinical decision making of midwifery students.
abstract: The actual effect of the use of simulations on clinical decision making is inconclusive. This pilot study used a posttest design to determine the effect of a simulation strategy on the clinical decision-making process of midwifery students. Thirty-six graduate diploma students volunteered and were randomly assigned to two groups, with the experimental group receiving two simulation sessions (normal labor and physiological jaundice), and the control group receiving the two usual lectures. The main findings were that students who received the simulation strategy collected more clinical information, revisited collected clinical information less, made fewer formative inferences, reported higher confidence levels, and for the posttest normal labor simulation, reached a final decision more quickly. Such effects are reasonable for this type of intervention with the existent variability in each group. Further research with a larger sample size and more rigorous data collection strategies is required.
authors.affiliation: School of Nursing, Family and Community Health, Hawkesbury Campus, College of Social and Health Sciences, University of Western Sydney, Locked Bag 1797, Penrith South DC 1797, New South Wales, Australia. j.cioffi@uws.edu.au
authors.forename: Jane
authors.initials: J
authors.lastname: Cioffi
authors.forename: Nita
authors.initials: N
authors.lastname: Purcal
authors.forename: Fiona
authors.initials: F
authors.lastname: Arundell
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003657:Decision Making; D003663:Decision Trees; D004511:Education, Nursing, Graduate / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D009517:New South Wales; D009721:Nurse Midwives / Q000193:education* / Q000523:psychology; D009730:Nursing Assessment / Q000592:standards*; D015402:Nursing Education Research; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000451:nursing; D016544:Patient Simulation; D010865:Pilot Projects; D011247:Pregnancy; D011340:Problem Solving; D020377:Self Efficacy; D013663:Teaching / Q000379:methods* / Q000592:standards; D013997:Time Factors