title: The effect of high-fidelity patient simulation on the critical thinking and clinical decision-making skills of new graduate nurses.
abstract: This study was conducted to determine whether the addition of high-fidelity patient simulation to new nurse orientation enhanced critical thinking and clinical decision-making skills. A pretest-posttest design was used to assess critical thinking and clinical decision-making skills in two groups of graduate nurses. Compared with the control group, the high-fidelity patient simulation group did not show significant improvement in mean critical thinking or clinical decision-making scores. When mean scores were analyzed, both groups showed an increase in critical thinking scores from pretest to posttest, with the high-fidelity patient simulation group showing greater gains in overall scores. However, neither group showed a statistically significant increase in mean test scores. The effect of high-fidelity patient simulation on critical thinking and clinical decision-making skills remains unclear.
authors.affiliation: Temple University, Philadelphia, PA, USA. rmaneval@temple.edu
authors.forename: Rhonda
authors.initials: R
authors.lastname: Maneval
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Fowler
authors.forename: John A
authors.initials: JA
authors.lastname: Kays
authors.forename: Tiffany M
authors.initials: TM
authors.lastname: Boyd
authors.forename: Jennifer
authors.initials: J
authors.lastname: Shuey
authors.forename: Sarah
authors.initials: S
authors.lastname: Harne-Britner
authors.forename: Cynthia
authors.initials: C
authors.lastname: Mastrine
mesh_terms: D000328:Adult; D003162:Competency-Based Education / Q000379:methods* / Q000458:organization & administration; D004509:Education, Nursing, Continuing / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000193:education*; D016544:Patient Simulation; D013192:Staff Development / Q000379:methods* / Q000458:organization & administration; D013850:Thinking; D055815:Young Adult