![[ Visit Client Website ]](images/banner.gif)
Purpose: This study aims to develop the integrated pediatric nursing simulation courseware and evaluate learning outcomes of the courseware when implemented in nursing students.
Method: This study used one group, pre-test, post-post design to evaluate the developed courseware. A convenient sample (n=95) of senior nursing students was recruited from a university between Feb. to Nov. 2012. The simulation took place as a required class activity, but the pre/post-surveys were done on a voluntary basis. The developed courseware was composed of four major components including pre-learning checklist, scenario templates, evaluation tools and scripts. The courseware has four scenarios including infant vital measuring, rapport building, febrile infant simulation and emergency measure for high risk newborn with apnea. We examined learning outcomes with Yoon(2008)’s critical thinking pre and post practicum and Lasatar Clinical Judgment Rubric(LCJR, 2006) after each session. The reliability of LCJR was reported as a Cronbach's α of .884 in this study.
Findings: Average score of clinical judgment using LCJR was 27.9 out of 44, which showed presenting of average clinical judgment among nursing students. Students showed significant improvement in their LCJR score from the first to second simulation experience. Total scores of critical thinking before and after the courseware were 95.97(±5.86) and 101.49(±8.02), respectively. The critical thinking score significantly increased. Most students agreed that they were satisfied with the simulation and were generally satisfied with the overall experience on the courseware. There are several limitations including not having control group for comparison but the findings of this study present enhanced critical thinking and clinical judgment in nursing students after implementing the courseware.