EMERGE: Enhancing MEdical SuRgical Critical ThinkinG among BaccalaureatE Nursing Students

EMERGE: Enhancing MEdical SuRgical Critical ThinkinG among BaccalaureatE Nursing Students

The goal of this project is to enhance the curriculum of the pre-licensure Bachelor of Nursing program at Our Lady of the Lake College by graduating students who possess the clinical reasoning capacity to manage the complex health care needs of Louisiana residents. Clinical decision making is often predicated on access, exposure, and time spent in the clinical environment. However, student learning is often compromised during hospital rotations by large clinical groups with limited time to apply knowledge and develop clinical reasoning. Thus a more predictable learning experience that is realistic and action-oriented will enhance our current clinical rotation schedule and give students the opportunity to practice and perfect clinical reasoning. Our goal will be actualized through four outcomes: 1) healthcare critical thinking, 2) Medical-Surgical decision making,3)cumulative decision making, and 4)NCLEX-RN passage rates. These objectives will be accomplished through the inclusion of course specific and level appropriate high fidelity clinical simulations. Escalating clinical scenarios, which are associated with clinical decline in the acute care settings, will be presented to students. These simulations will promote the integration of didactic content and critical decision making in order to prevent clinical deterioration of the patient. Repetitive practice of managing challenging simulated patients will enhance students’ clinical reasoning skills. This will ultimately improve patient care throughout the state of Louisiana as students will be better prepared to use honed clinical reasoning skills upon graduation. The proposal will prepare our graduates for success in nursing by giving students multiple opportunities to apply didactic content in a controlled simulated clinical environment. Through high fidelity simulation, students will recognize the existence of a problem, determine evidence to support assertions, and logically determine a course of action before a lethal decline occurs. Patient safety is predicated on the critical thinking and clinical aptitude of the registered nurse, thus our graduates’ ability to think critically and intervene effectively is essential. Louisiana employers expect it and patients deserve it. Project will begin 7/1/2016.
Sponsor: 
Louisiana Board of Regents: Enhancement in Health and Medical Sciences
Submission Date: 
October 23, 2015
Funding Status: 
Research Funded
Award Date: 
April 11, 2016