Digital Commons Network^™

Implementation Of A High Fidelity Post Partum Hemmorhage Simulation For An Acute Care Multisite, Interprofessional Women And Childrens Service Line Improves Patient Care Outcomes, Laura Wining, Tracy D. Mcguire

General Submissions: Presentations (Oral and Poster)

A large hospital system in Colorado where 3500 women deliver each year provided 45 simulation sessions for 195 registered nurses, 34 obstetricians and anesthesiologists, and 24 surgical techs. Simulations were provided in situ and included 4 RN's, 1-2 physicians, and 1 surgical tech. Simulations began in a patient room and progressed with transfer and treatment to the operating rooms. Simulations followed INACSL Standards of Best Practice: Simulation(SM). Team objectives included initiating early warning blood loss criteria, coordinate care, demonstrate early crew resource management, closed loop communication, equipment locations, medication management, and blood administration in an acute massive transfusion situation. Electronic …

The Development Of An On-Campus Clinical Rotation In Psychiatric/Mental Health For Bsn Students, Liana Kappus, Darlene Rogers, Karen Ragaisis, Cory Ann Boyd

General Submissions: Presentations (Oral and Poster)

Schools of nursing are challenged with ensuring high-quality clinical experiences in psychiatric/mental health nursing for BSN students. Varied exposure to certain mental health illnesses coupled with declining numbers of accessible clinical placements has created significant challenges for providing BSN students essential clinical experiences.1 An on-campus clinical (OCC) pilot program was designed to improve student performance and self-efficacy in caring for mental health patients and their families through simulation-based clinical experiences.

The pilot alternates five 8-hour clinical experiences in an acute care setting with five 4-hour OCC simulation learning modules. Preparation for each OCC module requires pre- written and reading assignments …

Teaching The Teachers-A Two-Day Simulation Focused Teamstepps Master Training Program For An Interprofessional Team Of Hospital Leaders, Helen Stacks, Crystal Veal

General Submissions: Presentations (Oral and Poster)

Teaching the Teachers- A Two-Day Simulation Focused TeamSTEPPS Master Training Program for an Interprofessional Group of Hospital Leaders.

Healthcare facilities all over are embracing AHRQ's TeamSTEPPS program. TeamSTEPPS programs are free, however class locations are limited, and require 3 person teams to travel. We designed a Simulation Focused TEAMSTEPPS Master Training program on site for 32 leaders in medicine, nursing and hospital operations in our Integrated Center for Advanced Simulation (ICAMS) lab. Our scenarios included standardized patients in our falls with injury scenario, high fidelity manikins in CODE blue scenarios, and a mix of high fidelity and "confederates" in our …

Nursing Students Gopro: Enhancing Clinical Judgment With Cameras In Simulation, Dawn Mabry Parker, Amanda Benz, Carol Greulich, Jennifer Richard

General Submissions: Presentations (Oral and Poster)

In the School of Health Sciences Simulation Lab at the University of Saint Francis , Dawn Parker, director, observed that significant embedded cues in simulation scenarios were going unnoticed. To enhance "noticing" and clinical judgment development, she designed a project with wearable cameras. This innovative idea was awarded a Ball Venture grant in 2015. This INACSL presentation will be made by the project director and faculty members who served as simulation design advisors. Each of the three phases of the project will be described. Phase One, Preparation, includes faculty development in the Best Practice Standard: Simulation Design. During Phase Two, …

Validation Of "Time To Task" Performance Assessment Method In Simulation, Mary Ann Shinnick, Mary A. Woo

General Submissions: Presentations (Oral and Poster)

Background. Current methods to assess clinical performance are known to be often invalid and unreliable1. Therefore, we pilot tested an objective assessment of clinical competence, "Time to Task" (ability to perform specific activities within 5 minutes) and compared it to two other assessments, the Lasater Clinical Judgement Rubric (Lasater) and the common "pass/fail" assessment (subjective measure of whether the subject would "pass" or "fail").

Methods. Using a prospective, "Known Groups" (expert vs. novice nurses) design, Expert nurses (ICU nurses) and Novice nurses (senior prelicensure nursing students) participated individually in a simulation. Academic and clinical experts reviewed each video and scored …

Care Of Veterans: A Patient With Post Traumatic Stress Disorder And Depression In A Peri-Operative Scenario, Stacey Knight, Kelli M. White, Cynthia Stinson, Mary Ford, Lisa Donnelly, Gloria Morris Green

General Submissions: Presentations (Oral and Poster)

Care of veterans concepts in nursing curriculum is vital for students in all settings to understand the impact that military service has on health (Johnson et al., 2013). Significant physical health issues, behavioral problems, substance abuse, and harmful effects on families have been associated with and exacerbated by multiple deployments (Seal et al., 2009). Although these behaviors are not typical for most service members after deployment, some are clearly at risk for a variety of psychological, behavioral, and neurological health issues resulting from their experiences during direct combat situations (Bush et al., 2011). With only 25% of all veterans taking …

Delivering Teamstepps Using A Train-The-Trainer Approach, Patricia G. Francis-Johnson, Sharon Decker, Kathryn Whitcomb, Sandra Caballero, Melissa S. Leal

General Submissions: Presentations (Oral and Poster)

In 1999, after the Institute of Medicine (IOM) released its landmark report, To Err is Human, healthcare organizations began the journey to reduce adverse patient events in healthcare settings. This, and a subsequent report from the IOM (2011) suggested the most common associations in adverse patient events are missed communication and poor teamwork. In 2003, TeamSTEPPS training was developed based on more than 25 years of research related to teamwork, team training, and culture changes (King, et al., 2008). Since 2006, multiple research studies have demonstrated the application of TeamSTEPPS has improved teamwork skills, communication, and promoted safe quality healthcare …

Aces 2.0: Evolution Of A Model For Teaching About Vulnerable Populations, Susan G. Forneris, Mary Anne Rizzolo

General Submissions: Presentations (Oral and Poster)

In 2009 the National League for Nursing (NLN) began a project to develop innovative teaching strategies to teach nursing students about care of older adults - the ACES project. The model that emerged included a Framework, a set of unfolding cases that include first person monologues, simulations, along with teaching strategies and toolkits to help faculty incorporate the content into their curriculum.

The project has greatly exceeded its original goal of providing tools to help faculty teach how to provide excellent care for a rapidly expanding geriatric population. In the early stages of development, a model emerged that has been …

Debriefing 2.0 - Finding The Missed Opportunities For Learning, Tonya Schneidereith, Julie Poore, Carla Nye, Alaina Herrington, Patricia V. Morgan, Crystel L. Farina, Linda Bensfield

General Submissions: Presentations (Oral and Poster)

The INACSL Standards of Best Practice SM have identified the importance of ongoing education for facilitators of simulation, especially in the art of debriefing. This rapidly expanding area of simulation challenges educators to develop facilitation methods that evolve alongside the evidence. One of these challenges is the reliance on scripted debriefing questions. While these are helpful for those new to debriefing, the consequence of this narrowed facilitation is the missed opportunity to explore reflection on action and reflection in action. This 4-hour preconference will address the skills needed to facilitate a deeper exploration of actions and comments made by learners …

Nln Jeffries Simulation Theory And Its Application In The Simulation Based Learning Experiences, Pamela Davis

General Submissions: Presentations (Oral and Poster)

This preconference addresses the state of the science in simulations presentation, using the NLN Jeffries Simulation Theory as a foundation and describing how the theory is incorporated in the immersive simulation experiences at the George Washington University School of Nursing (GWSON) Simulation Learning and Innovation Center, a sophisticated two floor experiential learning space.

Simbus Innovations: Taking Disaster Preparedness Simulations To The Outlying Areas, Carol Wilson, Janet Sprehe, Carla Brunk

General Submissions: Presentations (Oral and Poster)

As simulation emerges as the best practice in education; access to its offered trainings still remains a challenge. The James A. Haley Veterans' Hospital and Clinics serves over 94,000 unique Veteran and active duty patients in more than 1.2 million outpatient visits at its main hospital, Primary Care Annex, Outpatient Clinic and three community based outpatient Clinics (CBOCs) spread out over more than two dozen offsite locations.

Currently more than 260 nursing and medical staff work at locations other than the main hospital campus. It is often difficult, if not impossible, to schedule staff training at the main hospital for …

Student Learning Outcomes And Perceptions Of Using Vsim For Nursingâ„¢: A Mixed-Methods Study, Cynthia L. Foronda, Sandra Swoboda, Nancy Sullivan, Emma Kamau, Krysia Warren Hudson

General Submissions: Presentations (Oral and Poster)

Background: Virtual simulation is being trialed in schools of nursing with limited evidence about its impact on student learning outcomes.

Aim: The aim of this study was to explore pre-licensure students' learning outcomes and perceptions of using vSim for Nursing™.

Methods: Ninety-nine pre-licensure students performed virtual simulations with a patient suffering anaphylaxis and a patient suffering cardiac arrest. Students provided feedback through surveys after the simulations. The study employed a mixed methods design using descriptive statistics and content analysis.

Results: Quantitative data suggested that the majority of students found the content relevant (89%) and would recommend the virtual simulation for …

Championing Change In Simulation Through Student Engagement, Sheri Wright, Marie Laenen, Shannon Still

General Submissions: Presentations (Oral and Poster)

Low levels of nursing student engagement have been linked to heavy academic work loads that limit extracurricular activity. In a quest to meaningfully engage nursing students we developed the Student Crew in Simulation volunteer group. We were overwhelmed by the interest and number of applications we received to volunteer with us. Students were looking for engagement opportunities that reflected their interests, provided networking opportunities, and that would identify them as leaders among their peers. After the first semester we asked the Student Crew in Simulation to evaluate their experiences. The volunteers identified becoming a contact point between faculty and students, …

Evaluating Learning With Simulation And Debriefing: Tools And Measurement, Diana Odland Neal

Nursing Education Research Conference (NERC)

Session presented on: Saturday, April 5, 2014:

The depth and breadth of a nurse's understanding within the context of care is vitally important to achieving successful patient outcomes. Nursing education is calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. How nurses are educated and oriented to think in practice is receiving well-deserved attention in the literature. To that end, formal evaluation and dissemination of learning outcomes that validate the use of these transformative strategies is necessary. The purpose of this symposium is to engage educators in a dialogue …

Translating Learning Outcomes To Enhance Teaching And Curriculum, Jone Tiffany

Nursing Education Research Conference (NERC)

Session presented on: Saturday, April 5, 2014: The depth and breadth of a nurse's understanding within the context of care is vitally important to achieving successful patient outcomes. Nursing education is calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. How nurses are educated and oriented to think in practice is receiving well-deserved attention in the literature. To that end, formal evaluation and dissemination of learning outcomes that validate the use of these transformative strategies is necessary. The purpose of this symposium is to engage educators in a dialogue …

Combating Workplace Violence: An Evidence-Based Initiative, Diana L. Giordano

Creating Healthy Work Environments (CHWE)

Multiple factors (e.g., a misperception of what constitutes violence and lack of administrative response following violent events) may precipitate a lack of compliance in hospital employees' reporting patient-to-staff violent incidents, as well as lead to poor staff perception of personal safety and support from hospital administration. Lack of recognition of the true incidence and underreporting of verbal violence, which often precedes physical violence, may contribute to a false sense of security within a healthcare facility.

The purpose of this evidence-based practice (EBP) project is to evaluate the effectiveness of instituting an institutional practice policy, implemented on (a) reports of patient-to-staff …

Health Literacy Of Diabetics At A Free Community Health Clinic, Fay Patsy T. Catacutan, Laura E. Strietelmeier, Katy A. Doumtsop, Mary Eileen Walsh

Creating Healthy Work Environments (CHWE)

Background: According to the National Assessment of Adult Literacy, only 12% of U.S. adults have proficient health literacy and over 77 million people have difficulty with common health related tasks, including following directions on a prescription drug label. Even with extensive research discoveries related to the pathology of diabetes, the complications of the disease state continue to rise. In diabetes, health literacy includes knowledge of the disease, self-care behaviors, and glycemic control. Individuals with inadequate health literacy levels have poorer health outcomes regardless of illness, social and economic status, education, gender, and age. Individuals with diabetes who attend a free …

The Relationship Of Conscience And Ethical Climate Among Registered Nurses In The Acute Care Environment, Theresa A. Kyzar

Dissertations

Although there has been extensive research on factors contributing to moral distress, burnout, and turnover intentions in the nursing profession, there has been limited research on the relationship of conscience and ethical climate. Both the ethical climate theory and moral distress theory were utilized to guide the implementation of this study. A predictive correlational design was utilized to determine the relationship between the variables defined as perceptions of conscience, hospital ethical climate and stress of conscience. A purposive, non-probability-based sampling of 193 registered nurses throughout the state of Louisiana was surveyed using a web-based survey instrument.

An Exploration Of Registered Nurse Preparation For Safe Medication Management, Catherine Illman Sykes

Dissertations

This descriptive study examined the perceptions of new graduate registered nurses (RNs) about medication error identification, causes, and reporting; as well as the nursing education and workplace orientation experiences they believed prepared them to safely manage medications. The study also explored how prelicensure RN nursing education and hospital orientation programs in North Carolina (NC) prepared nurses to manage medications safely. The theory of situated cognition provided the organizing framework. Data were collected from the three participant groups (new graduate RNs, schools of nursing, and hospitals) using online surveys, and respondents included 131 new graduate RNs, 35 schools of nursing, and …

The Impact Of Clinical Documentation Improvement Specialists In The Critical Care Unit, Rachael Lattanzio

DNP and Student Works

Across the nation, hospitals are searching for a way to increase their case mix index (CMI), return on investment, and revenue from insurance companies. One of the most successful ways to enhance all three is by employing a clinical documentation improvement specialist (CDIS). Yet there are many factors that influence the success of a CDIS. This paper will follow the implementation and deduction of an eight-week CDI-program initiated in a critical care unit. The PICOT question posed is how does the implementation of a clinical documentation improvement specialist improve physician documentation and increase reimbursement in the critical care unit over …

Health Literacy Competencies For Registered Nurses: An E-Delphi Study, Coleen E. Toronto

Dissertations

In the United States, only 12% of adults possess proficient health literacy skills. Individuals with low health literacy skills experience poorer health outcomes. Failure of registered nurses to consider health literacy in communication with patients can significantly affect an individual's ability to understand and therefore, follow health advice. The Institute of Medicine's (IOM) Health Literacy: A Prescription to End Confusion (2004) landmark report recommends that health professionals be trained to effectively communicate with patients with limited health literacy. There is an absence of nurse competencies that explicitly address the needs of patients with low health literacy. Therefore the purpose of …

The Effectiveness Of Structured Educational Modules For Primary School Teachers On The Knowledge And Skills In Identification Of Common Mental Health Problems In Selected Schools Of Bangalore District, Esther Shirley Daniel

Dissertations

The teacher plays a significant role in the promotion of the health of the children. Teachers spend most of the school hours with children and are familiar with them. They can detect the signs and symptoms of common mental health problems at the earliest in the classroom setting. It is expected that out of 51 lakh children (6-11 years of age), approximately 5 lakh (9.8 %) children suffer from mental health problems in Karnataka. But there is no organized school mental health programme for teachers in Karnataka. There is no record of active participation of teachers in the school mental …

The Impact Of First-Line Nurse Managers Leadership Development Training Program On Workgroup Climate And Performance, Reem Mabrouk Abd El Rahman

Dissertations

The uncertainty in the health care industry, particularly in nursing, makes the next millennium an important time for nurses to develop leadership skills. One of the greatest challenges faced in the nursing profession is developing future nurse leaders. A better understanding of what transformational leadership is, can improve our ability to provide effective leadership training programs and interventions. To respond to changing technological and social forces, new managerial responsibilities are placed on the nursing services requiring nurse administrators who are knowledgeable, skilled and competent in all aspects of leadership. To confront these expanding responsibilities and demands, the leader's role must …

Development Of An Evidence-Based Advisory Opinion Guiding Preceptorships, Leanne S. Prenovost

DNP and Student Works

The use of preceptorships for nursing students has become an accepted practice in contemporary nursing. The preceptorship phenomenon is a complex and interactive process that involves many stakeholders including nurse preceptors, health care agencies, schools of nursing, nursing regulatory agencies, nursing faculty, student nurses, and patients. Since this process involves many interrelated activities and stakeholders, the risk to the patient is increased. Boards of Nursing exist to protect the public's health and welfare by overseeing and ensuring safe nursing practice; therefore, it is logical that the boards of nursing provide guidance on this topic. An updated advisory opinion to interpret …

Bar Code Medication Administration-Clinic Orders (Bcma-Co) Increase Nurses' Satisfaction With The Medication Administration System - A Quality Improvement Project, Maria Jinky R. Valdez

DNP and Student Works

Nurses' satisfaction was compared before and after implementation of Bar Code Medication Administration- Clinic Orders (BCMA-CO) in a Veterans Affairs (VA) urgent care clinic. Results were significant, revealing increased satisfaction with medication administration system after the implementation of BCMA-CO.

Evaluation Of A Sedation Vacation Protocol, Georgianne A. Summer, Priscilla Hartley, Autumn M. Schumacher

International Nursing Research Congress (INRC)

The use of a sedation vacation protocol was evaluated in a medical intensive care unit. Only 67% of the electronic medical records documented that this protocol was used by the nursing staff. Continuing education should stress the need for using and documenting this protocol to improve patient outcomes.

Improving Health And Wellness For Persons With Chronic And Disabling Conditions: Evidence For Practice, Alexa Stuifbergen

International Nursing Research Congress (INRC)

This presentation will summarize a 25-year program of research describing the impact of health promotion behaviors on quality of life for persons with a range of chronic and disabling conditions. Findings from studies using descriptive and experimental designs and qualitative and quantitative methods will be discussed.

The Msc Person-Centred Practice Framework Curriculum: Underpinning Philosophy And Model, Avina Tropea

International Nursing Research Congress (INRC)

Consensus on values and beliefs about learning is important in curriculum development. This presentation focuses on the process of co-creation of the philosophy underpinning the MSc Person-centred Practice Framework and of the curriculum model by using critical dialogues and creative visual representations to capture emerging key concepts and principles.

Nursing Self-Care: Current Evidence And Implementation Strategies For Improving Patient Outcomes And Nurse Well-Being, Steffanie Schweitzer, Kady L. Martini, Jessica Wood, Christine Mayer, Shana Straka, Olivia Bonnano, Corryn Christy

International Nursing Research Congress (INRC)

This project examines the current evidence, and presents strategies to implement throughout nursing to cultivate self-care behaviors, in nursing education, floor units, and hospitals, to achieve the best possible outcomes.

Professional Development Of Nursing Leaders: A Case Study Of Canadian Nurses Association Presidents (Cna), Laura Jane Colley, Sonya Grypma, Magdalena Theron

International Nursing Research Congress (INRC)

Nursing leadership development is not well documented or understood. Seven nurses who have held the title of President of the CNA were interviewed.These interviews focused on their personal experiences and perspectives about their leadership journey. These interviews provided insight into their practice wisdom and provide a resource for future leaders.