Simulation and development of clinical reasoning for nursing students: a pilot study

Objectives: To evaluate the self-perceived effect of a structured, three-year, longitudinal simulation training program in the development of clinical reasoning skills among nursing students Methods: This was a single-center, observational pilot study utilizing a convenience sample of 84 final-year nursing students who completed the mandatory simulation curriculum. Data were collected via a questionnaire, including a modified, self-assessed Italian version of the Nursing Clinical Reasoning Scale (NCRS). Results: The average NCRS score was 58.9 (SD= 5.7). This analysis revealed a statistically significant positive correlation between the total NCRS score and the students' perceived effectiveness of the nurse educator's guidance. Conclusions: The structured, longitudinal simulation program appears successful in fostering high levels of self-perceived clinical reasoning ability. The significant association found between competence and perceived guidance highlights the crucial role of the simulation facilitator in effective teaching.