Nursing Commons^™

Increasing Labor And Delivery Nurse Knowledge Of Triaging Non-Obstetrical Medical Emergencies In Pregnant Women Through The Use Of Simulation, Julie Hoffman

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to evaluate the effect simulation training has on an OB nurse's ability to correctly triage pregnant patients. Registered Nurses (RNs) working in OB triage must be able to correctly and expediently identify the care a pregnant patient needs. OB triage nurses are trained to recognize pregnancy related issues that commonly present during the months leading up to delivery. It is as important for these nurses to have the skills to realize when a pregnant patient is having a non-obstetrical health crisis. A group of OB triage RNs participated in simulation-training scenarios based on non- …

Debriefing Experience Scale: Development Of A Tool To Evaluate The Student Learning Experience In Debriefing, Shelly Jensen Reed

Faculty Publications

Background: Debriefing represents the reflection phase of the simulation process, in which feelings are resolved and learning is solidified, but the nursing student experience during debriefing is largely unknown.

Method: The Debriefing Experience Scale was developed from debriefing literature and expert opinion. This scale was used in 2 research studies and refined through the use of factor analysis.

Results: The resulting scale, divided into 4 subscales, consists of 20 items defining the nursing student debriefing experience.

Conclusions: The Debriefing Experience Scale has the potential to assist in providing further insight.

The Use Of Simulation In Staff Preparation For A New Environment Of Care, Centracare Health

Nursing Posters

Overview: The use of experiential learning in the form of simulation enabled our staff to prepare to coordinate and deliver care during a department move and within the new environment.

The Task: Planning and execution of simulation as a staff training modality for a complete patient department move into a newly constructed environment of care encompassing training of new technology systems including call light and infant security systems, new equipment, and expanded physical space from

The Effect Of Medium Fidelity Simulation On Perceived Competence Level Of Novice Nursing Students, Tracy D. Arnold

Nursing Theses and Capstone Projects

This Capstone Project examined the effect of medium fidelity simulation on perceived competence level of novice nursing students. A convenience sample of 56 second-year associate degree nursing students enrolled in an Adult Medical-Surgical II nursing course and experiential laboratory course participated in this project. Students were divided into two separate groups based on course schedules: 27 students participated in the traditional laboratory experience, and 29 students participated in the instructor guided Mock Code simulation-based learning experience. Descriptive statistics were used to determine the overall mean of all student responses to each question on an altered version of the Perceived Competence …

The Effects Of A High Fidelity Simulation Experience On Students' Knowledge, Starla H. Logan

Nursing Theses and Capstone Projects

The purpose of this study was to identify and examine the effects of high-fidelity simulation on the knowledge of second semester associate degree nursing students at a small community college. The research question addressed was: Does high-fidelity simulation increase the knowledge level of second semester ADN students. Researcher developed pre and post tests were used to measure the effects of the simulation on the students' knowledge level. The data was analyzed using the Statistical Package for Social Sciences, Version 19. Findings revealed a significant difference between the scores of the pre-test and the scores of the post-tests. The results of …

Second-Year Associate Degree Nursing (Adn) Self-Efficacy In Relation To Simulation Lab Experiences, Sarah W. Tate

Nursing Theses and Capstone Projects

Second-Year Associate Degree Nursing (ADN) Self-Efficacy in Relation to Simulation Lab Experiences utilized a convenience sample of second-year associate degree nursing students to conduct a survey of their perceptions of an increase in self-efficacy or self confidence in relation to their simulation lab experiences. Albert Bandura's theory of self-efficacy was the theoretical framework for the study. Students who have high levels of self-efficacy have been shown to handle obstacles with less stress, perseverance, and success. In this study, 85% of the students agreed that simulation lab experiences were beneficial in increasing their confidence to perform safely in their preceptorship and …

Challenges And Benefits Of Using A Virtual Community To Explore Nursing Concepts Among Baccalaureate Nursing Students, Linnea L. Carlson-Sabelli, Jean F. Giddens, Louis Fogg, Ruth A. Fiedler

School of Nursing Publications

This research study examines learner perceptions of benefits and challenges associated with the Neighborhood (NBH), an innovative pedagogy that fosters learner engagement and integration of nursing concepts using a “virtual community” as an alternative to lecture. First-semester students from five baccalaureate nursing programs that used the NBH intervention were divided into high (N = 78) and low faculty use (N = 203) groups. Qualitative analysis revealed that the NBH intervention promoted application of concepts to real life situation was engaging and “eye-opening,” allowing students to understand health care issues from a variety of perspectives. A major challenge was busy work …

Teamstepps Communication And In Situ Simulation Training To Improve Individual And Team Performance During Handoff Of The Immediate Post-Operative Cardiovascular Surgical Patient, Stacy Lynn Jepsen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this pilot study was to identify if establishing a reliable framework for consistent use of TeamSTEPPS communication would improve the team communication and performance during the critical handoff of the cardiac surgical patient from the OR team to the ICU team. Breakdown in handoff communication has been attributed as the cause of adverse health events, delays in treatment, inappropriate treatment, increased length of stay, and increased costs and inefficiencies from rework. Standardizing handoff communication is a Joint Commission National Patient Safety Goal, and immediate postoperative cardiac surgical patients are a high-risk population needing consistently high quality communication …

Nursing Students: Untapped Resource For Running Computerized Patient Simulators, Starla Aragon, Amy Kotter, Patricia K. Ravert, Suzan E. Kardong-Edgren

Faculty Publications

High-fidelity simulation (HFS) is sweeping the nation as a legitimate and exciting new resource for nursing educators. As with most new technologies, HFS is not without its difficulties. It can be a costly program to run and may also cause anxiety among the faculty required for implementation. There is a simple solution to help increase the ease of its implementation: using student workers. This article discusses how using students to help run the simulations can not only reduce overall cost and anxiety associated with this new technology but also increase learning among those participating in HFS.

Designing A Simulation For Student Evaluation Using Scriven's Key Evaluation Checklist, Shelly Jensen Reed

Faculty Publications

Human patient simulation use has increased dramatically in nursing education over the past 10 years, with many benefits. One advantage is that it allows students to learn by practicing skills in a risk-free environment, with immediate faculty feedback. Another benefit is that it prepares and ensures the competence of student nurses, leading to improved patient safety outcomes. Student opinions gathered in a survey of nursing schools and simulator centers favored use of competency evaluation using simulation in at least some circumstances. As little research concerning use of simulation to evaluate student competency can be found, an established guide such as …

Glimpse Into Simulation And Critical Thinking: A Pilot Study Comparing Utah And Ecuador, Katrina Duncan, Patricia K. Ravert

Faculty Publications

Classroom learning is practiced and applied through simulation, which can help develop critical thinking and clinical judgment skills imperative in clinical settings for both students and new nurse graduates. Simulation is well developed in the United States but is in early stages of use and development in South America.

Improving Communication Among Healthcare Providers: Preparing Student Nurses For Practice, Lorretta Krautscheid

Faculty Publications - College of Nursing

Communication errors are identified by the Joint Commission as the primary root cause of sentinel events across all categories. In addition, improving the effectiveness of communication among healthcare providers is listed as one of the Joint Commission’s 2008 National Patient Safety Goals. Nursing programs are expected to graduate practice-ready nurses who demonstrate quality and safety in patient care, which includes interdisciplinary communication. Through objectively structured clinical assessment simulations, faculty evaluate each nursing student’s ability to perform many aspects of care, including the ability to communicate effectively with physicians via telephone in an emergent situation. This quality improvement project reports the …

Sensitizing Students To Functional Limitations In The Elderly: An Aging Simulation, Sherry Allen, Viki Lorraine, Anne Lockett, Carolyn M. Rutledge

Ellmer School of Nursing Faculty Publications

Background and Objectives: Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fouth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience the physical frailties of aging, 2) develop creative problem-solving techniques, 3) identify feelings regarding the experience of functional loss, and 4) develop proactive clinical approaches to the care of the elderly.

Methods: Students are assigned one of four diagnoses (Parkinson's disease, rheumatoid arthritis, advanced diabetes, or stroke) and are then impaired to simulate …

The Impact Of Supplemental Simulation On Newly Licensed Registered Nurses, Aimee A. Woda, Kristina Dreifuerst, Mauricio Garnier-Villarreal

College of Nursing Faculty Research and Publications

Background

Challenges exist for nursing students as they transition to their role as newly licensed registered nurses (NLRNs) due to a mismatch between their perceived readiness and role competency and the demands of the practice environment. Simulations with debriefing may be one strategy to better prepare students for the role of a NLRN. The purpose of this study was to explore whether supplementing traditional clinical experiences with simulation versus substituting simulation for traditional clinical experiences had an impact on NLRNs' perception of competence, work stress, and job satisfaction.

Sample

A convenience sample of 115 NLRNs from two successive graduating classes …