The Effects of High-fidelity simulation on the Clinical Judgment of Professional Nurses in the Obstetrics Department, Yala Hospital.

Abstract

     This quasi-experimental research, employing a one-group pretest-posttest design, aimed to examine the effects of using high-fidelity simulation (HFS) on the clinical judgment abilities of professional nurses working in the obstetric department at Yala Hospital. The sample consisted of 30 professional nurses working in the obstetric department at Yala Hospital, selected through purposive sampling. The research instruments included: 1) two high-fidelity simulation scenarios focusing on postpartum hemorrhage (PPH) and severe preeclampsia; and 2) a clinical judgment assessment scale adapted from the Lasater Clinical Judgment Rubric (LCJR), which demonstrated a content validity index (CVI) of 0.86 and a reliability of 0.74. Data were analyzed using descriptive statistics and the Wilcoxon Signed-Ranks Test.

     The results revealed that after participating in the high-fidelity simulation program, the overall clinical judgment scores of the participants were significantly higher than those before the intervention (Z = -4.673, p < .001), with the median score increasing from 14.50 to 16.00. Regarding specific scenarios, the clinical judgment scores significantly increased in both the postpartum hemorrhage (p < .001) and severe preeclampsia (p < .001) scenarios. Furthermore, analyzing by the subscales of the clinical judgment process showed significant improvements in the dimensions of Noticing (p = .021), Interpreting (p = .001), and Responding (p < .001).