title: Geriatrics in simulation: role modeling and clinical judgment effect.
abstract: Clinical judgment development is critical to preparing students to safely meet the needs of an aging population. Evidence linking manikin-based simulation and clinical judgment is sparse.The purpose of this quasi-experimental international study was to determine the effect of expert role modeling on nursing students' clinical judgment in the care of a simulated geriatric hip fracture client. Students from five diverse schools (n = 275) participated in an unfolding simulation. Students were assigned to treatment or control groups.Treatment groups viewed an expert role model video.Trained observers rated student clinical judgment from selected video recordings using the Lasater Clinical Judgment Rubric (n = 94). Significant group differences (p = .000) were found for the clinical judgment dimensions of noticing, interpreting, and responding. Findings provide support for combining expert role modeling with clinical simulation to improve students' clinical judgment in the care of older adults.
authors.affiliation: Ball State University, Muncie, Indiana, USA. eajohnson@bsu.edu
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Johnson
authors.forename: Kathie
authors.initials: K
authors.lastname: Lasater
authors.forename: Kay
authors.initials: K
authors.lastname: Hodson-Carlton
authors.forename: Linda
authors.initials: L
authors.lastname: Siktberg
authors.forename: Stephanie
authors.initials: S
authors.lastname: Sideras
authors.forename: Nancy
authors.initials: N
authors.lastname: Dillard
mesh_terms: D000368:Aged; D004521:Educational Measurement; D005260:Female; D005851:Geriatric Nursing / Q000193:education*; D006620:Hip Fractures / Q000451:nursing; D006801:Humans; D007600:Judgment; D008297:Male; D008348:Manikins; D015397:Program Evaluation; D013663:Teaching / Q000379:methods*; D006113:United Kingdom; D014481:United States