Effects of electronic fetal monitoring simulation with problem-based learning on nursing students' performance confidence, clinical judgment, and knowledge

Jpn J Nurs Sci. 2023 Oct;20(4):e12539. doi: 10.1111/jjns.12539. Epub 2023 Apr 30.

Abstract

Aim: This study aimed to determine the effects of an electronic fetal monitoring simulation with problem-based learning (EFM SPBL) program based on the Clinical Judgment Model.

Methods: Third-year nursing students were randomly allocated to the control (n = 46) or experimental groups (n = 46). The control group participated in the conventional clinical practice, while the experimental group participated in the EFM SPBL program. The students completed a structured questionnaire on Google surveys.

Results: Nursing performance confidence (t = 10.72, p < .001) and clinical judgment (t = 2.53, p = .015) increased significantly in the experimental group.

Conclusions: This study recognized improvement in students' clinical judgment in the context of learning transfer. A standardized SPBL with various cases is recommended.

Keywords: clinical judgment; electronic fetal monitoring; nursing student; problem-based learning; simulation training.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cardiotocography
  • Clinical Competence
  • Education, Nursing, Baccalaureate*
  • Female
  • Humans
  • Judgment
  • Pregnancy
  • Problem-Based Learning
  • Students, Nursing*