Geriatrics in simulation: Role modeling and clinical judgment effect

Clinical judgment development is critical to preparing students to safely meet the needs of an aging population. Evidence linking manikin-based simulation and clinical judgment is sparse.The purpose of this quasi-experimental international study was to determine the effect of expert role modeling on nursing students' clinical judgment in the care of a simulated geriatric hip fracture client Students from five diverse schools (n = 275) participated in an unfolding simulation. Students were assigned to treatment or control groups.Treatment groups viewed an expert role model video.Trained observers rated student clinical judgment from selected video recordings using the Lasater Clinical Judgment Rubric (n = 94). Significant group differences (p = .000) were found for the clinical judgment dimensions of noticing, interpreting, and responding. Findings provide support for combining expert role modeling with clinical simulation to improve students' clinical judgment in the care of older adults.