title: High-fidelity simulation: Assessment of student nurses' team achievements of clinical judgment.
abstract: Nursing educators have the challenge of preparing nursing students to handle complex patient care situations in real life, but much remains unknown about the ability to make clinical judgments. In this study, high-fidelity simulation (HFS) was used at a Swedish university to find answers about pre-licensure nursing students' success in clinical judgment in terms of team ability and relationships with theoretical achievements, and personal and scenario circumstances. The matrix Lasater Clinical Judgment Rubric (LCJR) was used to analyze and score the students' ability in teams to notice, interpret and respond to complex care situations. Overall, the results showed the student teams in their first meeting with HFS in a complex care situation achieved low clinical judgment points; most teams were in the stages of Beginning and Developing. For attaining high team achievements the majority of the students in the team should theoretically be "high performance". Being observers and having HFS experience before nursing education was significant too. However, age, health care experience, and assistant nurse degrees were of secondary importance. Further research at universities regionally, nationally, and internationally is needed.
authors.affiliation: Department of Nursing Science, Mid Sweden University, Sweden.
authors.forename: Karin
authors.initials: K
authors.lastname: Hallin
authors.affiliation: Department of Nursing Science, Mid Sweden University, Sweden.
authors.forename: Britt
authors.initials: B
authors.lastname: Bäckström
authors.affiliation: Department of Nursing Science, Mid Sweden University, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Häggström
authors.affiliation: Department of Nursing Science, Mid Sweden University, Sweden. Electronic address: lisbeth.kristiansen@miun.se.
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Kristiansen
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D015402:Nursing Education Research; D010348:Patient Care Team / Q000592:standards; D016544:Patient Simulation; D013338:Students, Nursing; D013548:Sweden
keywords: Clinical skills; HFS; Nursing education; Simulation-based performance; Videotaped scenarios