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Efficacy of a Simulation Program to Improve Clinical Judgment and Clinical Competence Among Graduate Nurses

Abstract AIM This two-group feasibility study tested the efficacy of a four-scenario simulation program to improve clinical judgment and clinical competence among graduate nurses. BACKGROUND Clinical judgment and clinical competence are underdeveloped among new-to-practice nurses. METHOD Clinical judgment was compared between the intervention group (n = 17) and a control group (n = 26) in the practice setting at two time points. RESULTS The simulation program had a large effect on the intervention group’s clinical judgment (η2 = .143) and clinical competence (η2 = .153). There were no statistically significant differences for each outcome at baseline as compared to the final scenario for the intervention group. There was no statistical significance between the intervention and control groups in clinical judgment in the practice setting at each measurement time. CONCLUSION Replication of the study with a randomized controlled trial and large sample size is warranted.