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- Forsberg, Elenita, et al.
(författare)
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Assessing Clinical Reasoning skills in Nursing using Virtual Patients
- 2010
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Ingår i: Proceeding of AMEE 2010.
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Konferensbidrag (refereegranskat)abstract
- Clinical reasoning (CR) in nursing covers many aspects of problem solving and decision making regarding the well-being and care of patients. CR is seldom a specific topic in nursing curricula and is usually informally trained during clinical rotations. CR in nursing is different from medicine, and besides a different vocabulary, decisions in nursing seldom are focused on medical diagnosis, laboratory/imaging data or therapy, but more on the caring process and well-being of the patient. This has led to problems finding good methods for assessing nursing students’ clinical reasoning skills. In this study, Virtual patients (VPs) were introduced as an assessment tool for CR in three different nursing courses at two universities comprising 64 students in total. Students’ opinions about this assessment method were investigated using questionnaires regarding students’ acceptance, adaptation to nursing procedures and the potential of the VP-based assessment as a learning experience. A vast majority of the students reported positive attitudes to the VP-based assessment. Many students thought that the VP cases were well adapted to nursing, but some wanted the VP system to be less “medical” and asked for more focus on nursing. Almost all students identified the VP-based assessment as a good learning experience.
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| 2. |
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| 3. |
- Forsberg, Elenita, et al.
(författare)
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Virtual patients for assessment of clinical reasoning in nursing – a pilot study
- 2011
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Ingår i: Nurse Education Today. - Edinburgh : Elsevier BV. - 0260-6917 .- 1532-2793. ; 31:8, s. 757-762
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Tidskriftsartikel (refereegranskat)abstract
- In different nursing programmes, one important learning outcome is clinical reasoning (CR) skills. However, to date, there is limited number of methods available for assessment of CR skills; especially for distance-based courses. This study investigates students' opinions about the feasibility of using Virtual Patients (VPs) for assessing CR in nursing education. VPs were introduced as an assessment tool in three different nursing courses at two universities, comprising 77 students in total. Students' overall acceptance of this assessment tool, including its applicability to the practise of nursing and the potential of VP-based assessment as a learning experience, were investigated using questionnaires. Course directors used the Web-SP system to assess students' interactions with VPs and their answers regarding diagnoses, caring procedures and their justifications. Students' found the VP cases to be realistic and engaging, and indicate a high level of acceptance for this assessment method. In addition, the students' indicated that VPs were good for practising their clinical skills, although some would prefer that the VP system be less "medical" and asked for more focus on nursing. Although most students supplied correct diagnoses and made adequate clinical decisions, there was a wide range in their ability to explain their clinical reasoning processes.
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