Development of a Clinical Judgment Measurement Model-Based Simulation Module for Ileus: A Mixed-Methods Study

Background: Despite the increasing prevalence of simulation education, a specific clinical judgment measurement model-based simulation module for ileus has yet to be developed. Method: Using a mixed-methods research design, quantitative data were collected through a survey, and qualitative data were collected through reflective journals. Collected data were used to develop a simulation module, which subsequently was implemented with 88 nursing students from Korea. Results: Quantitative analyses confirmed the module effectively improved participants' knowledge of ileus, clinical skill, and performance ability. Qualitative analysis of the journals identified five themes and 11 subthemes in three domains. Conclusion: The developed scenario effectively enhanced nursing students' learning, implying that similar modules for various diseases may help students to acquire necessary nursing skills. However, current results cannot be generalized; a more accurate analysis of its effects requires further and repeated studies to compare clinical decision-based simulation modules with modules that apply different learning methods.