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Virtual patients for assessment of clinical reasoning in nursing – a pilot study
Halmstad Univ, Sch Social & Hlth Sci, Halmstad, Sweden .
Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Nursing, Stockholm, Sweden.
Halmstad Univ, Sch Social & Hlth Sci, Halmstad, Sweden .
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.
2011 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 31, no 8, 757-762 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2011. Vol. 31, no 8, 757-762 p.
Keyword [en]
Assessment, Clinical reasoning, Nursing education, Virtual patients
National Category
Information Systems
Research subject
Computer and Systems Sciences
URN: urn:nbn:se:su:diva-67220DOI: 10.1016/j.nedt.2010.11.015ISI: 000297783200007OAI: diva2:469635
4Available from: 2011-12-26 Created: 2011-12-26 Last updated: 2012-07-04Bibliographically approved

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