Effect of Implementation of Simulation on Critical Thinking Skills in Undergraduate Baccalaureate Nursing Students
type: CreativeWork
description: Human patient simulation (HPS) is a time and cost intensive teaching modality that is used widely in nursing education, and has been implemented with little evidence to support its efficacy (Jeffries & Rizzolo, 2006). Researchers note the lack of reliable tools to measure learning using this teaching modality, and consequentially there is a paucity of research linking critical thinking and simulation (Jeffries, 2007; Kneebone, 2003; Nehring, 2008). Nursing clinical decision making affects patient outcomes. Critical thinking is a key factor in clinical decision making. A review of the relevant literature is equivocal on the use of simulation in undergraduate nursing programs to increase critical thinking skills. The need for further research to develop evidence that simulation can enhance critical thinking is integral to continue and expand the use of simulation as a teaching-learning strategy in undergraduate nursing programs (Hayden, Smiley, Alexander, Kardong-Edgren, & Jeffries, 2014). The purpose of this quasi-experimental study was to evaluate the effect of simulation implementation on nursing students’ critical thinking skills, as measured by Health Education Systems Incorporated (HESI) exit exam critical thinking sub-scores from cohorts of baccalaureate nursing graduates, in an undergraduate nursing education program. Benner’s (1984), model From Novice to Expert, provides a theoretical framework for identifying knowledge acquisition and level of clinical expertise based on skill competency, knowledge, and experience, and underpins this study. The findings from this study may: (a) provide insight into the relationship between simulation and critical thinking; and (b) may strengthen current nursing programs to provide meaningful learning experiences in the education of nursing students that can impact learning outcomes and can affect patient safety in the future. Nursing education programs are challenged to ensure that nursing graduates have the knowledge and hi…
abstract: Human patient simulation (HPS) is a time and cost intensive teaching modality that is used widely in nursing education, and has been implemented with little evidence to support its efficacy (Jeffries & Rizzolo, 2006). Researchers note the lack of reliable tools to measure learning using this teaching modality, and consequentially there is a paucity of research linking critical thinking and simulation (Jeffries, 2007; Kneebone, 2003; Nehring, 2008). Nursing clinical decision making affects patient outcomes. Critical thinking is a key factor in clinical decision making. A review of the relevant literature is equivocal on the use of simulation in undergraduate nursing programs to increase critical thinking skills. The need for further research to develop evidence that simulation can enhance critical thinking is integral to continue and expand the use of simulation as a teaching-learning strategy in undergraduate nursing programs (Hayden, Smiley, Alexander, Kardong-Edgren, & Jeffries, 2014). The purpose of this quasi-experimental study was to evaluate the effect of simulation implementation on nursing students’ critical thinking skills, as measured by Health Education Systems Incorporated (HESI) exit exam critical thinking sub-scores from cohorts of baccalaureate nursing graduates, in an undergraduate nursing education program. Benner’s (1984), model From Novice to Expert, provides a theoretical framework for identifying knowledge acquisition and level of clinical expertise based on skill competency, knowledge, and experience, and underpins this study. The findings from this study may: (a) provide insight into the relationship between simulation and critical thinking; and (b) may strengthen current nursing programs to provide meaningful learning experiences in the education of nursing students that can impact learning outcomes and can affect patient safety in the future. Nursing education programs are challenged to ensure that nursing graduates have the knowledge and hi…
author: Knoesel, Joanne M
keywords: Educational Assessment, Evaluation, and Research, Nursing, Simulation, Critical Thinking, Undergraduate Nursing Students
date published: 2017-06-02T07:00:00Z
date modified: 2026-07-24T01:58:49Z
provider: City University of New York - Graduate Center
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: The Graduate School and University Center of The City University of New York