Abstract

BackgroundClinical reasoning skills are essential for nurses to provide competent, evidenced informed nursing care. Cognitive biases are flaws in judgment that may have a negative impact on clinical reasoning skills. This pilot project used simulation based learning (SBL) to explore cognitive biases and the impact of these biases on clinical reasoning in BScN nursing students. Sample: Semester 7 undergraduate nursing students (n = 19) of an eight-semester curriculum. MethodSimulation based learning. ResultsStudents identified multiple cognitive biases during the debriefing session. The most prevalent cognitive biases identified were anchoring 63% (n = 12) and confirmation bias 47% (n = 9). ConclusionThis pilot project supports that SBL is an effective tool to facilitate the identification of cognitive biases by nursing students and can help them develop stronger clinical reasoning and clinical decision making skills. SBL provides an opportunity to practice guided reflection and identification of cognitive biases in a setting that is safe for the student and patient.

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