title: Development of a simulation evaluation tool for assessing nursing students' clinical judgment in caring for children with dehydration.
abstract: BACKGROUND
  The lack of reliable and valid tools to evaluate learning outcomes during simulations has limited the adoption and progress of simulation-based nursing education.
  
  
  OBJECTIVE
  This study had two aims: (a) to develop a simulation evaluation tool (SET(c-dehydration)) to assess students' clinical judgment in caring for children with dehydration based on the Lasater Clinical Judgment Rubric (LCJR) and (b) to examine its reliability and validity.
  
  
  METHODS
  Undergraduate nursing students from two nursing schools in South Korea participated in this study from March 3 through June 10, 2014.
  
  
  METHODS
  The SET(c-dehydration) was developed, and 120 nursing students' clinical judgment was evaluated. Descriptive statistics, Cronbach's alpha, Cohen's kappa coefficient, and confirmatory factor analysis (CFA) were used to analyze the data.
  
  
  RESULTS
  A 41-item version of the SET(c-dehydration) with three subscales was developed. Cohen's kappa (measuring inter-observer reliability) of the sessions ranged from .73 to .95, and Cronbach's alpha was .87. The mean total rating of the SET(c-dehydration) by the instructors was 1.92 (±.25), and the mean scores for the four LCJR dimensions of clinical judgment were as follows: noticing (1.74±.27), interpreting (1.85±.43), responding (2.17±.32), and reflecting (1.79±.35). CFA, which was performed to test construct validity, showed that the four dimensions of the SET(c-dehydration) was an appropriate framework.
  
  
  CONCLUSIONS
  The SET(c-dehydration) provides a means to evaluate clinical judgment in simulation education. Its reliability and validity should be examined further.
authors.affiliation: Department of Nursing, Hallym University, Chuncheon, South Korea.
authors.forename: Shin-Jeong
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea. Electronic address: sung1024@cau.ac.kr.
authors.forename: Sunghee
authors.initials: S
authors.lastname: Kim
authors.affiliation: Department of Nursing, Sahmyook University, Seoul, South Korea.
authors.forename: Kyung-Ah
authors.initials: KA
authors.lastname: Kang
authors.affiliation: Department of Nursing, Institute of Health Science, Inje University, Busan, South Korea.
authors.forename: Jina
authors.initials: J
authors.lastname: Oh
authors.affiliation: College of Health Science, Department of Nursing, Kangwon National University, Samcheok, South Korea.
authors.forename: Myung-Nam
authors.initials: MN
authors.lastname: Lee
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D003681:Dehydration / Q000628:therapy; D004508:Education, Nursing, Baccalaureate; D004521:Educational Measurement / Q000379:methods*; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D010371:Pediatric Nursing / Q000193:education; D015203:Reproducibility of Results; D056910:Republic of Korea; D000066908:Simulation Training; D013338:Students, Nursing; D055815:Young Adult
keywords: Clinical judgment; Dehydration; Evaluation; Patient simulation; Tool