Simulation-based education has demonstrated the ability to foster clinical judgement and bridge the knowledge practice gap for those entering clinical practice (Jang & Park, 2021). Using the INACSL Simulation Design and Facilitation Standards and Tanner’s Clinical Judgement Model (CJM) it is possible to redesign psychomotor skills laboratory activities. Adopting a learner-centered approach to facilitating carefully designed case-based learning experiences in this setting creates opportunities for learners to notice, interpret, and respond to client cues. This asks learners to reflect in action as they consider what they have noticed, interpreted, and plan to do for the client. Debriefing and reflection is incorporated into each session and asks learners to consider the how and the why behind the actions/skills implemented and possible alternative outcomes or solutions.
Dr. Nicola Contreras is the Clinical Learning Lab coordinator at Galen College of Nursing in San Antonio, Texas and a Term Lecturer and Simulation Coordinator with MGH Institute of Health Professions in Boston, Massachusetts. She has been involved in simulation design and facilitation since 2017 and has worked in simulation in both clinical and academic settings. Presently Dr. Contreras’ focus is on designing simulation-based learning experiences in the virtual and psychomotor skills laboratory settings that provide case-based learning that foster clinical judgement and improves readiness for practice for those learners she works with in vocational, associate and baccalaureate degree nursing programs.
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