Nursing Commons^™

Utilizing Mock Code Simulation To Enhance Nurses’ Confidence A Benchmark Project, Denecia Mark

MSN Capstone Projects

Each year, about 292,000 adult patients in the United States have an in-hospital cardiac arrest (IHCA), with substantial variance in their rate of survival (Merchant et al., 2020). Graduate nurses must be knowledgeable and prepared to respond to codes. Mock Codes or simulation-based teaching will allow nurses to practice skills, expand their knowledge, and gain self-confidence in a secure and controlled setting with no risk to patients, reducing nurses' anxiety. CPR certification is currently updated every two years, and research has shown that learned skills begin to deteriorate after three months. As a result, if simulated codes are introduced skills …

Developing Competence And Improving Patient Safety With Documentation Training In The Simulated Environment, Laura Zebreski

DNP Final Reports

With the advent of electronic health records, nursing documentation has declined in quality. Poor documentation exposes patients to safety risks. Nursing documentation is subject to legal standards set by the Texas State Board of Nursing. A DNP scholarly project was designed to create a learning and safety intervention to train student nurses to provide correct documentation before entering clinical settings. The goal of this project was to prepare nursing students to provide quality documentation that fulfills the legal standard to attempt to correct the current deficiencies seen in practice and promote patient safety. For this project, the students took a …

End-Of-Life Simulation Education, Lucas Farris

MSN Capstone Projects

In the current healthcare workforce, there exists a lack of comfort and knowledge about providing end-of-life (EOL) care that will only continue to worsen without prompt changes to the delivery of education (Jablonski et al., 2020). The lack of knowledge and comfort expressed in providing EOL care leads to a nurse’s moral and physical difficulty when a patient chooses palliative care or hospice. This is a detriment to patients and should be a consideration for schools of nursing when developing curriculum and clinical activities. By promoting changes in curriculum and the addition of an EOL simulation at the undergraduate level, …

Nursing Students' Moral Courage Development Through Incivility Simulation Education, Melissa Madden

Nursing Theses and Dissertations

Objectives: The purpose of this study was to determine if the use of an incivility simulation intervention and incivility educational module would increase nursing students’ perceived moral courage more than an incivility educational module alone.

Hypotheses: Nursing students’ moral courage scores would increase more in response to an incivility simulation intervention and educational module than for those who received the incivility educational module intervention alone.

Methods: The NLN Jeffries Simulation Theory framed the proposed intervention using a quasi-experimental pre-test-post-test comparison group design. A convenience sample of 66 students was utilized from one university across two classes. The Moral Courage …

Using Simulation To Develop Clinical Judgment In New-To-Practice Emergency Department Nurses: An Evidence-Based Benchmark Project, Moreno Divine Comiskey

MSN Capstone Projects

In the past 6 months, the Emergency Department at the George Washington University Hospital has onboarded over twice as many new-to-practice nurses as experienced emergency nurses. Studies suggest that these new-to-practice nurses often are deficient in clinical judgment, and our observations at our hospital support these findings. Researchers have found that onboarding programs that include simulation have success in improving clinical judgment, and advocate for its use. Simulation gives another angle to the onboarding program in addition to preceptorship and classroom learning, and allows participants to bridge the gap between theory and practice safely and without fear of harming a …

Cardiopulmonary Resuscitation Using High-Fidelity Simulators, Rebecca Walker

MSN Capstone Projects

Simulation and high-fidelity simulators (HFS) have become an important part of nursing education and its implementation into the curricula. It has become important in enhancing their knowledge and the development of competent nurses by reinforcement of skills that have been previously learned. HFS also increases students' confidence and reinforces their skills and knowledge while introducing cardiopulmonary resuscitation (CPR). The literature suggests that overall the students have greater retention of CPR skills if HFS is used instead of classical CPR training with low-fidelity simulators (LFS). However, some studies suggest that using HFS does not lead to retention of CPR skills or …

Effectiveness Of A Structured Online Prebriefing Activity On Prelicensure Students’ Clinical Judgment, Elizabeth M. Delavan

Nursing Theses and Dissertations

Significance of the Problem: Today’s healthcare environment requires new nurses to have strong clinical judgment skills upon entry to practice. Contributing to this problem are the challenges faced by prelicensure nursing programs that include faculty shortages and the decreasing availability of clinical spaces. Simulation activities offer hands-on clinical learning opportunities in the place of traditional clinical experiences. However, simulation labs are costly to develop and maintain, which impacts student learning opportunities. Prebriefing, an understudied area of simulation, provides educators with another clinical exercise to facilitate students’ growth in clinical judgment.

Objective: The purpose of this study was to explore the …