Nursing Commons^™

Patient-Centered Appointment Scheduling Using Agent-Based Simulation, Tammy Toscos, Ayten Turkcan, Brad Doebbeling

Tammy R Toscos

Enhanced access and continuity are key components of patient-centered care. Existing studies show that several interventions such as providing same day appointments, walk-in services, after-hours care, and group appointments, have been used to redesign the healthcare systems for improved access to primary care. However, an intervention focusing on a single component of care delivery (i.e. improving access to acute care) might have a negative impact other components of the system (i.e. reduced continuity of care for chronic patients). Therefore, primary care clinics should consider implementing multiple interventions tailored for their patient population needs. We collected rapid ethnography and observations to …

Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow

Katrina J Eby

No abstract provided.

Preparing Nurse Educators: Designing Hps Simulations Using Cerner Aes., Rachel Ramsey, Katrina Kessler, Robert Snow

Rachel A. Ramsey

No abstract provided.

Proactive Policy Planning For Unexpected Student Distress During Simulation, Janet Willhaus, Mitzi Averette, Michael Gates, Janet Jackson, Susan Windnagel

Janet Willhaus

Stress reactions resulting from participation in simulation scenarios are seldom reported in the literature but are often informally discussed by simulation faculty seeking guidance to manage the occurrences. Although simulation faculty members often describe events where a single learner’s distress interrupted learning for all involved, no examples of policies to plan for this kind of occurrence are available in the simulation literature. This article offers suggested best practices for identifying and assisting students who exhibit uncontrolled stress in simulation and includes a sample policy for planning.

A Safety Mnemonic For Pediatric Oncology Patients: Knowledge, Confidence And Skills Accuracy During Simulation, Luanne Linnard-Palmer, Barbara Ganley

Luanne Linnard-Palmer

Cancer is the second leading cause of death in the United States, surpassed only by heart disease [1]. Approximately 1.6 million Americans will receive treatment for a variety of cancers annually [2]. This increase in oncology nursing care opportunities highlights the need to ensure that nurses have the skills, knowledge, and tools that allow them to safely provide care. Because Undergraduate nursing education often does not provide in-depth coverage of the principles of safe oncology nursing care required for children or adults, this study addressed protocols used when caring for chemotherapy pediatric patients using a chemotherapy mnemonic. The purpose of …

The Effect Of Curricular Sequencing Of Human Patient Simulation Learning Experiences On Students’ Self-Perceptions Of Clinical Reasoning Abilities, Rebecca Jensen

Rebecca S Jensen

It is unknown whether timing of human patient simulation (HPS) in a semester, demographic (age, gender, and ethnicity), and situational (type of program and previous baccalaureate degree and experience in healthcare) variables affects students‘ perceptions of their clinical reasoning abilities. Nursing students were divided into two groups, mid and end of semester HPS experiences. Students‘ perceptions of clinical reasoning abilities were measured at Baseline (beginning of semester) and Time 2 (end of semester), along with demographic and situational variables. Dependent variable was Difference scores where Baseline scores were subtracted from Time 2 scores to reveal changes in students‘ perceptions of …

Nursing Student's Clinical Reasoning During Simulation, Rebecca S. Jensen

Rebecca S Jensen

Statement of problem While debriefing is considered essential for student understanding of the concepts embedded in a simulation, the measurement of clinical reasoning before and after debriefing has been minimally published. Students typically rate their performance as better than ratings by faculty, and the largest disparity is between self and faculty ratings for poorer performing students (Davis et al., 2006). Debriefing may be a method of attenuating students’ self-assessment by explicating their actions and reasoning during the simulation (Dreifuerst, 2012).

Hypotheses

1. There will be no difference in student self-ratings and lab personnel ratings of student performance during simulation using the …

Clinical Reasoning During Simulation: Comparison Of Student And Faculty Ratings, Rebecca Jensen

Rebecca S Jensen

A recently developed tool, the Lasater Clinical Judgment Rubric (LCJR) was used to evaluate nursing students' clinical reasoning during simulated pateint care scenarios. For two semesters, students and nursing faculty completed the clinical reasoning tool after participating in and observing students' reactions to simulated emergent patient simulations. Sores were compared between nursing students and faculty and between programs, associate (AS) and baccalaureate of science (BS). Students' scores differed statistically based on program, BS means greater than AS, but student and faculty ratings were rarely significantly different. Additional research across multiple programs for a larger sample size and additional testing of …

Student Evaluations Of Interprofessional Simulation, Rebecca Jensen, Deborah Poling

Rebecca S Jensen

Statement of problem While the 2010 report “The Future of Nursing: Leading Change, Advancing Health” proposes that nurses work collaboratively with other health care professionals, relatively little has been published on the use of simulation to achieve this goal in nursing and other disciplines. Student ratings of and interprofessional simulation and its effect on collaboration with other disciplines will provide valuable information on ways to improve interprofessional simulations.

Hypotheses

1. Students’ self-ratings of confidence for patient care will improve from beginning to end of the simulation.
2. Students’ self-rating of collaborative learning will improve from beginning to end of the simulation.
3. Students …

An Updated Review Of Published Simulation Evaluation Instruments, Katie Adamson, Suzan Kardong-Edgren, Janet Willhaus

Janet Willhaus

Interest in simulation as a teaching and evaluation strategy in nursing education continues to grow. Mirroring this growth, we have seen a proliferation of instruments designed to evaluate simulation participant performance. This article describes two frameworks for categorizing simulation evaluation strategies and provides a review of recent simulation evaluation instruments. The review focuses on four instruments that have been used extensively in the literature, objective structured clinical examinations (OSCE's) including four OSCE instruments, and an extensive list of new instruments for simulation evaluation.

Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny

Margaret Fink

Testing A Mnemonic On Response Skills During Simulated Codes, Luanne Linnard-Palmer, William Phillips, Margaret Fink, Olivia Catolico, Natalie Sweeny

Luanne Linnard-Palmer

Interdepartmental Simulation Collaboration In Academia: Exploring Partnerships With Other Disciplines, Janet Willhaus

Janet Willhaus

Multidisciplinary collaboration provides opportunities for growth in any simulation program. Simulation coordinators pursuing excellence may find unlikely partners among health care and non–health care professionals. Non-nursing collaborations can offer students, faculty, and simulation coordinators fresh views about simulation in an interdisciplinary climate. Examples of cooperative work with instructors and researchers in radiology, sports medicine, and criminal justice studies are described. Sports medicine students participated in scenarios involving a school-aged child with a spontaneous pneumothorax, a coach who was having a stroke, a pregnant yoga instructor experiencing an asthma attack, and a football player who had been momentarily unconscious after a …