Medicine and Health Sciences Commons^™

The Effects Of High-Fidelity Bereavement Simulation On Perinatal Nurse Attitude And Comfort With Providing Bereavement Care For Patients Experiencing Perinatal Loss, Victoria Jule Johnson

Doctoral Dissertations and Projects

Perinatal loss is a global phenomenon that requires holistic and individualized care of patients. Nurses are responsible for providing most bereavement care after the loss of a pregnancy or infant; however, nurses commonly experience a lack of education and exposure to ways to promote high-quality bereavement care, leading to nurse discomfort providing perinatal bereavement care. The purpose of the study is to examine if high-fidelity perinatal bereavement simulation is an effective method to increase nurse comfort and improve nurse attitudes toward providing perinatal bereavement care. Data was collected using a quantitative quasi-experimental one-group pretest-posttest research design using a sample of …

Teaching Advanced Surgical Technique Using Peer-Reviewed Multimedia: An Assessment Of Technical Competence In Cadaveric-Based Simulation, Pocharapong Jenjitranant

Electronic Thesis and Dissertation Repository

Nerve-sparing Retroperitoneal lymph node dissection (RPLND) is a complex and rare surgical procedure where trainees have limited exposure. We have created facilitator-led video learning material to teach this procedure. Ten urology trainees were tasked with performing one-half (unilateral portion) of a nerve-sparing RPLND on human cadavers before and after watching the video material. Their surgical performance was assessed quantitatively and video-recorded for further qualitative assessment by a blinded expert surgeon.

All measurements showed significant improvement after the exposure to the intervention. This included the percentage of lymph node mass resected, mean total OSATS global rating and procedure-specific scales as well …

Addressing A Crisis In Nursing Practice: Exploring The Impact Of Multimedia Case-Based Learning On The Clinical Judgment Of Undergraduate Nursing Students, Macy Jenette Bennett

Theses and Dissertations

Clinical judgment is a priority nursing skill to ensure the delivery of safe and effective nursing care. New graduate nurses and nursing students lack the clinical judgment skills that are necessary for entry-level nursing practice. Nurse educators must therefore implement teaching strategies that facilitate clinical judgment. This study evaluated the clinical judgment of undergraduate nursing students after the implementation of multimedia case studies related to the concept of perfusion. Two research questions guided this study: (a) in what ways do undergraduate nursing students demonstrate clinical judgment after completing a series of perfusion-related multimedia case studies and (b) to what extent …

Post Anesthesia Care Unit Comprehension Safety Program Quality Improvement Project On De-Escalation Of Patients, Mary M. Gaukler Giannavola, Basil George Verghese, Deborah Maier

Advances in Clinical Medical Research and Healthcare Delivery

Background:

Violence within the healthcare setting has risen significantly, and has crossed into areas where staff are less prepared to manage and deescalate challenging patient encounters. This lack of preparedness and confidence has led to increased staff stress, burn out, and can potentiate poor patient outcomes.

Methods:

A pre/post-simulation quality improvement project was performed within a tertiary hospital Post-Anesthesia Care Unit in Upstate New York to evaluate the effect of simulation on feelings of confidence and preparedness in patient de-escalation with PACU nurses and patient care technicians. The project evaluation included the Thackrey’s Clinician Confidence in Coping with Patient Aggression …

Exploring The Use Of Student-Professional Simulation-Based Interprofessional Education: A Preliminary Qualitative Study, Catherine M. Andrea, Summer San Lucas, Anne Boddy

Journal of Innovation in Health Sciences Education

Introduction: Simulation is commonly used to address interprofessional learning within healthcare programs to develop practice-ready clinicians. However, barriers such as scheduling, and discrepancy of learners’ knowledge and attitudes often pose challenges for educators to implement student-student (S-S) simulation-based interprofessional education (IPE). This study explored student perceptions about a novel simulation-based IPE mode in which students were paired with professionals from other disciplines.

Methods: The qualitative study explored 14 Doctor of Physical Therapy (DPT) students’ perceptions about a simulated-learning activity with professionals from other disciplines. One-on-one semi-structured interviews with students from two private universities were analyzed using a constant comparative method …

Impact Of Covid-19 On Coordinated Programs In Dietetics, Eric West, Tiffany Sterling, Joanna Cupp, Sara Tamsukhin

Journal of Dietetic Education

The purpose of this study was to analyze tactics employed by coordinated programs in dietetics during COVID-19 and share best practices in the event that another crisis disrupts the intended learning plan and curriculum. The study was conducted via a survey that consisted of 14 questions, not including consent, that pertained to their specific program, whether COVID disrupted their supervised practice experiences, and if so, how they overcame the challenge. Participants receiving the survey consisted of dietetic coordinated program directors and the clinical coordinators of the respective program if applicable. The survey was sent to 60 total participants with 21 …

Validation Of A Tool To Evaluate Nursing Students’ Electronic Health Record Competency In Simulation, Susan Mcbride, Laura Thomas, Sharon Decker, Matthew Pierce, Shelley Burson, Huaxin Song, Katie Haerling (Adamson)

Nursing Faculty Publications and Presentations

AIM

The aim of the study was to establish reliability and validity of the Competency Assessment in Simulation of Electronic Health Records (CASE) tool.

BACKGROUND

Effective teaching and learning practices, including valid and reliable assessment of students’ electronic health record (EHR) competency, contribute to safe, high-quality, efficient nursing care.

METHOD

The study used a mixed-methods design to test reliability and validity of the CASE tool. RESULTS A nationally representative sample of faculty from universities representing 27 states provided scores for videos using the CASE tool. Forty-seven participants completed the first scoring survey; 22 of the 47 participants (47%) completed the …

The Benefits Of Simulation-Based Training, Brooke Taylor

Nurse Residency

Background: Due to COVID-19, many hospitals shut down their in-person classes and simulated trainings. This has had a negative impact on the education of our new graduate nurses.

La Simulation Pour L’Apprentissage De L’Annonce De Mauvaises Nouvelles Par Les Professionnels De La Santé : Une Revue Rapide Des Écrits, Amélie J. Tremblay, Tanya Mailhot, Claudie Roussy, Patrick Lavoie

Quality Advancement in Nursing Education - Avancées en formation infirmière

Contexte : L’annonce de mauvaises nouvelles est une activité courante dans la pratique de plusieurs professionnels de la santé. Même si peu d’activités de formation leur sont offertes afin de développer leurs compétences communicationnelles à ce sujet, la simulation reste une alternative privilégiée. Le but de cette revue rapide était de décrire les caractéristiques d’activités de simulation offertes aux professionnels de la santé pour apprendre l’annonce de mauvaises nouvelles.

Méthode : Une revue rapide des écrits a été réalisée à partir des bases de données MEDLINE et CINAHL. Les caractéristiques des études et des activités de simulation, ainsi que …

A Follow-Up Study On The Clinical Impact Of Pre-Registration Extended Immersive Ward-Based Simulation, Hugh Davies, Sue Robertson, Deb Sundin, Elisabeth Jacob

Research outputs 2022 to 2026

Aim: To explore how extended immersive ward-based simulation influenced graduate nurses’ experiences six-months post-registration. Background: Graduates of nursing training programs are expected to enter the workforce meeting the role of a registered nurse. Extended immersive ward-based simulation has been adopted by nurse educators as a means of easing the transition to professional practice. To what degree transfer of learning occurs from these experiences is yet to be determined. Design: A qualitative descriptive design was used to conduct a series of face-to-face focus groups. Methods: Participants were nine former students who had participated in a series of ward-based simulation workshops before …

Feesability Of Laryngeal Endoscopy Simulation Labs In Student Training: A Scoping Review, Anna Thut

Student Research Symposium

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) involves passing a flexible endoscope through the nose and down the throat to provide a detailed view of the throat, airway, and vocal folds. With the scope in place, people can eat and drink, allowing the clinician to evaluate for safe swallowing. Speech-Language Pathologists (SLP) use FEES for diagnostic evaluation and to gauge therapy progress and effectiveness. Simulation training on a low or high-fidelity model may provide a bridge for SLP graduate students to gain competency before being introduced to FEES in a clinical setting. This review aims to gather evidence on the use …

Minimally Invasive Tissue Extraction: Continued Growth Through Simulation For Obgyn Residents, Angela Frankel, Md, Mph, Melanie Hotz, Md, Patrick Teefey, Md

Department of Obstetrics and Gynecology Posters

Background

• Minimally invasive surgery often requires tissue morcellation for extraction of large surgical specimens.¹
• Surgeon comfort with tissue morcellation in gynecologic surgery is vital in providing a minimally invasive (MIS) approach.
• However, OBGYN residents often feel underprepared to perform this skill independently.²
• While practicing tissue morcellation in the OR is ideal, simulation has been shown to improve resident technical skill without risking increased operative time or associated morbidity.³
• This intervention seeks to build upon a prior simulation exercise, with the ultimate goal of improving OB-GYN resident self-reported comfort with minimally invasive tissue extraction.

Emotional Intelligence And Srna Success Utilizing A Sim Experience, Melody Gassoway, Kaleigh Peters

Doctor of Nursing Practice Projects

Student registered nurse anesthetists (SRNAs) face many challenges in meeting the rigorous demands of their doctoral-level training. Research demonstrates that high levels of emotional intelligence (EI) contribute to SRNAs’ academic and clinical success and improve patient safety and quality of care. Simulation is emerging as an educational tool to enhance the EI skills of students training in highly stressful professions and demonstrates promising benefits for SRNAs, such as improved decision-making, critical thinking, self-awareness, and self-regulation (Moriber & Beauvais, 2017; Dix et al., 2021). This doctoral project aimed to determine the efficacy of a high-fidelity simulation for strengthening the EI skills …

Integrating Galectin-3 Into A Computational Model Of Cardiac Fibrosis Progression, Adam Pieratt

Chemical Engineering Undergraduate Honors Theses

Cardiac fibrosis, a large contributor to heart failure, is the excessive accumulation of extracellular matrix in response to stress or injury. There are no approved treatments for cardiac fibrosis, and targeting specific species involved creates complex problems for drug development, so a computational model of the cardiac fibroblast signaling network can be used to observe the interactions involved in the progression of cardiac fibrosis. In this paper, a new protein called galectin-3 is integrated into this existing model, and connections are established to expand the coverage of the network. The additions are described, simulated using Netflux biological system simulation software, …

Procedural Sedation Training: Competency Verification Through Simulation, Christine Hawknuff

Doctor of Nursing Practice Projects

A 450-bed tertiary hospital in Central Illinois lacked a standardized process for competency verification for procedural sedation care by registered nurses (RNs). Despite recommendations by many organizations, there are no consistent or standardized guidelines for verifying competency in nursing care of the procedural sedation. This project implemented a Procedural Sedation Training Course which comprised an in-person prelearning lecture, a group simulation learning experience, and an individual verification of competency through simulation.

Fifty-six RNs completed the Procedural Sedation Training Course and demonstrated competency through simulation, and 24 of these RNs completed a procedural sedation within the eight-month pilot period. Qualitative and …

Proof-Of-Concept For Converging Beam Small Animal Irradiator, Benjamin Insley

Dissertations & Theses (Open Access)

The Monte Carlo particle simulator TOPAS, the multiphysics solver COMSOL., and

several analytical radiation transport methods were employed to perform an in-depth proof-ofconcept

for a high dose rate, high precision converging beam small animal irradiation platform.

In the first aim of this work, a novel carbon nanotube-based compact X-ray tube optimized for

high output and high directionality was designed and characterized. In the second aim, an

optimization algorithm was developed to customize a collimator geometry for this unique Xray

source to simultaneously maximize the irradiator’s intensity and precision. Then, a full

converging beam irradiator apparatus was fit with a multitude …

Acute Mechanical Circulatory Support In The Cardiovascular Icu: Investigating The Effects Of An Interactive Cardiovascular Dynamics Simulation Program On Nursing Clinical Judgment., Casey Saulman

Electronic Theses and Dissertations

Introduction: Education on acute mechanical circulatory support (AMCS), a therapy used in the cardiovascular intensive care unit (CICU) to manage cardiogenic shock (CGS) is limited for CICU nurses. There is a need to explore clinical judgment in CICU nurses and provide innovative learning experiences that foster judgment when managing AMCS. Methods: This mixed methods feasibility study investigated the effects of an interactive cardiovascular dynamics simulation program on CICU nurses’ knowledge, clinical reasoning, and clinical judgment. Semi-structured interviews explored the participants’ perceptions of the learning experience. Results: Twenty-one nurses completed the cardiovascular dynamics simulation program. The majority were white (85.7%), female …

Effectiveness Of Virtual Reality In Anesthesia Machine Education, Heather Milder, Rachel Geisendorfer

Doctor of Nursing Practice Projects

The anesthesia machine is an essential part of anesthesia practice, as it connects the patient to the provider and provides a constant stream of vital information. Therefore, the Certified Registered Nurse Anesthetist (CRNA) should be trained to utilize and troubleshoot the anesthesia machine to deliver high-quality patient care. Education about the anesthesia machine begins with Student Registered Nurse Anesthetists (SRNAs) through various learning opportunities. Immersive virtual reality simulation has emerged as a potential educational aid to engage active learners. This project aimed to determine the effectiveness of utilizing the immersive virtual reality simulator SIMVANA for first-year Southern Illinois University Edwardsville …

Simulation And Self-Efficacy In The Student Registered Nurse Anesthetist: A Quantitative, Causal-Comparative Study, Joseph Craig Kiesznowski

Doctoral Dissertations and Projects

The purpose of this quantitative, causal-comparative study was to determine if simulation training causes a significant increase in clinical self-efficacy in Student Registered Nurse Anesthetists. Simulation training in healthcare has been found to improve patient safety and has become a major tenet of nurse anesthetist education. Self-efficacy has been shown to correlate with improved clinical performance. This study builds on the research involving simulation training and clinical self-efficacy in the SRNA population. A convenience sample of SRNAs was taken from 49 different graduate nurse anesthesia programs across 13 different states. The Schwarzer and Jerusalem General Self-efficacy scale was used to …

The Lived Experiences Of Student Nurses During Simulation Of Perinatal Loss, Paloma Alejandra Peña

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the experiences and perceptions of undergraduate nursing students in providing care following a perinatal loss simulation. The theories that guided this study included Malcolm Knowles’ Theory of Andragogy and the National League for Nursing Jeffries Simulation. The selected theories provide structure for adult learners’ need to experience situational learning activities that are relevant to their job while building upon the foundation of students’ knowledge. Incorporation of Knowles’ and Jeffries’ theories guides the qualitative study of the simulation of a perinatal loss and the experiences of nursing students in providing care during …

Improving Emergency Department Nurses Communication Self-Efficacy With Underrepresented Populations Through Cultural Humility Training, Nikki L. Graham

Doctor of Nursing Practice Projects

Problem Description: The chasm of health inequality for underrepresented populations in the United States is growing, despite advances in healthcare and increased life expectancy. Disparities span the age and healthcare continuum for underrepresented populations, with increased mortality and morbidity rates in nearly every category. Non-white residents in Cook County face the same challenges. Historical lack of trust creates a reluctance to seek healthcare among Black populations, but when they do, they are disproportionately dissatisfied with their care, receive less aggressive treatment, and report higher levels of uncontrolled pain. Nurses, as the largest body of healthcare professionals, are uniquely positioned …

Improving Empathy With Simulation: A Quality Improvement Project, Jami Layne

Doctor of Nursing Practice Projects

This study examines the effectiveness of simulation-based training in enhancing empathy levels among undergraduate nursing students. A lack of empathy can negatively impact the healthcare outcomes of patients (Levett-Jones et al., 2019). Improving the empathy levels of nursing students can improve patient outcomes and impact student learning outcomes such as the student’s ability to think critically and improve communication and social skills (Chua et al., 2021; Ferri et al., 2017; Hakansson Eklund et al., 2019; Koukourikos et al., 2021). The purpose of the quality improvement project was to improve empathy levels in undergraduate associate degree nursing students and increase the …

Comparing The Causal Effects Of Observational Versus Active Roles In High-Fidelity Simulation: A Quantitative Study, Bethany D. Rose

Doctoral Dissertations and Projects

Among many of the innovative changes in nursing education, high-fidelity simulation is expanding roles and providing students with new perspectives. The purpose of this quantitative, causal-comparative, posttest only, nonexperimental, between-groups research design study was to determine whether students in active supervisor (observer) roles had an effect on associate degree nursing (ADN) students’ self-perceived knowledge, skills, and attitudes in comparison to students in active participant roles. A convenience sample of second-semester nursing students and third-semester nursing students enrolled in an ADN program in the 2023 academic year was utilized for this study. Participants completed a demographic survey and the Self-Evaluation Scale …

Boosting Confidence In Hearing Loss Services Through An Interprofessional Simulation Led By Peer Instructors, Amanda Stead, Jordan Tinsley, Trent Westrick, Elizabeth Olson, Alexandra Alfieri, Lauren Sams

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists have an ethical responsibility to work with clients with hearing loss. Therefore, speech-language pathology (SLP) students must receive specific education and training in working with this population. SLP students may have low self-efficacy about their ability to work with clients with hearing loss if they haven’t participated in specific training. Interprofessional education utilizing peer teaching by doctor of audiology (AuD) students is one method for helping SLP students learn specific skills to address hearing loss in a clinical setting. The purpose of this study was to investigate SLP graduate students' self-efficacy with working with individuals with hearing loss; …

Using Ar To Teach Ar: Learning Outcomes Of A Guided, Augmented Reality Hearing Loss And Auditory Rehabilitation Simulation With Slp Graduate Students, Alice Henton, Mathew Vansant

Teaching and Learning in Communication Sciences & Disorders

Recent research has found that practicing speech-language pathologists report feeling underprepared to provide services for individuals with hearing loss. At the same time, graduate SLP programs report that students have fewer training opportunities with low-incidence populations. This study examines learning outcomes for a cohort of graduate SLP students using a novel application of an immersive, augmented reality, hearing loss simulation. Results show encouraging outcomes for the simulation experience’s effects on empathy, knowledge, and clinical skills. This simulation offers a unique way to provide training related to auditory rehabilitation in SLP.

How To Create This Gynecological Task Trainer, Jami Monico, Karen S. Carlson

Posters and Presentations: Obsetrics & Gynecology

This document contains instructions for how to create a gynecological task trainer with a 3D-printed uterus and silicone cervix.

A Comparison Of Level Ii Fieldwork Outcomes: Preparation With Simulation Vs Community And Clinical Level I Fieldwork Experiences, Katelyn Brady, Darla Coss, Stephanie De Sam Lazaro

Journal of Occupational Therapy Education

Occupational therapy programs can use a variety of delivery modes for Level I fieldwork. All experiences aim to contribute to the clinical and professional preparation for Level II fieldwork. This study compared the Level II fieldwork outcomes for two cohorts of students, one that participated in simulation-based Level I fieldwork and one that completed community and clinic-based Level I fieldwork. The student outcomes on the American Occupational Therapy Association AOTA Fieldwork Performance Evaluation (FWPE) for the Occupational Therapy Student were used for comparative data. The results indicated no statistically significant difference in the two cohorts’ midterm score ratings. Statistically significant …

Evaluating Change In Skill Performance Over Time And Practice Context In Introductory Fieldwork Simulation, Kaitlin R. Sibbald, Diane E. Mackenzie

Journal of Occupational Therapy Education

Simulation has been recognized for its ability to develop competency-level skills and as a replacement for some introductory fieldwork (FW) hours. This study explored how occupational therapy competency-related skills developed over sequential in-person simulations across health practice contexts during Level 1 FW. Entry-to-practice occupational therapy students (N = 66) participated in six sequential, formative, Level 1 FW simulations. The first three sequential simulations (the same patient case evolves in each successive interaction) included a trained simulated patient in a community mental health context and the following three engaged a trained simulated inpatient in a physical health context. Evaluation rubric variables …

Obstetrics Emergency Labor And Delivery Case Simulations With Normal Vaginal Delivery Demonstration: A Hands-On Simulation For Clerkship Students, Emily A. Young, William A. Winter, Robyn N. D'Agostino, Rose A. Maxwell, Sheela Barhan, Marilyn Kindig

Obstetrics and Gynecology Faculty Publications

Introduction: Simulation is rarely used for medical student education in the field of obstetrics. This method is an effective model of learning for topics that are encountered in clinical situations and for topics that pose significant risk to patients when an untrained individual is involved. Methods: A 2-hour obstetric delivery simulation session was developed and incorporated into the third-year obstetrics and gynecology clerkship rotation at Wright State University Boonshoft School of Medicine. Medical students completed self-guided content reviews with resources provided prior to the session. During the session, each medical student conducted a normal vaginal delivery and one of the …

Occupational Therapy Assistant Students’ Perceptions Of Using Standardized Patient Encounters As A Replacement For Traditional Level I Fieldwork, Tiffany L. Benaroya, Deborah Mckernan-Ace, Sandra L. Rogers, Meredith Cimmino

Journal of Occupational Therapy Education

Standardized patient encounters are being utilized more often in occupational therapy education as a replacement for traditional fieldwork. While there is a growing body of research to support the use of this model in developing student skillsets and confidence, there remains limited information on the topic, and no studies which look at its use with occupational therapy assistant students. Twenty-four occupational therapy assistant students participated in standardized patient encounters which served as a replacement for traditional Level I fieldwork. All students completed an anonymous supplementary course evaluation regarding their experiences. A secondary analysis of the data looked at their perceptions …