Clinical Simulation in Nursing最新文献_第10页

Deepening the graduate nurse understanding and appreciation of health policy development through a mock legislative hearing remote simulation 通过模拟立法听证会远程模拟，加深研究生护士对卫生政策制定的理解和欣赏

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-03-07 DOI: 10.1016/j.ecns.2025.101702

Josanne Christian DNP, PHN, RN, Julie Sabo PhD, RN, APRN, CNS, FCNS, Krista Anderson DNP, RN, CHSE-A, FSSH

{"title":"Deepening the graduate nurse understanding and appreciation of health policy development through a mock legislative hearing remote simulation","authors":"Josanne Christian DNP, PHN, RN, Julie Sabo PhD, RN, APRN, CNS, FCNS, Krista Anderson DNP, RN, CHSE-A, FSSH","doi":"10.1016/j.ecns.2025.101702","DOIUrl":"10.1016/j.ecns.2025.101702","url":null,"abstract":"<div><h3>Background</h3><div>Political advocacy skills are essential for healthcare professions, including nursing, to decrease social and health disparities and advocate for professional practice.</div></div><div><h3>Methods</h3><div>The mock legislative hearing remote simulation (MLHRS) was part of a Doctor of Nursing Practice (DNP) policy course and incorporated the Healthcare Simulation Standards of Best Practice™. Faculty facilitated the simulation synchronously via video conference, and each student presented a prepared oral testimony to the mock hearing committee. After all testimony, students voted on the issue. Small and large group debriefing followed the hearing.</div></div><div><h3>Results</h3><div>Students found the MLHRS experience effective in understanding the legislative hearing process. Students learned to analyze a policy critically and practiced the power of influence through testimony during the MLHRS.</div></div><div><h3>Conclusion</h3><div>The MLHRS effectively engaged graduate students in the practice of policy analysis and professional communication skills focused on the power of influence while considering the principles of social justice.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"101 ","pages":"Article 101702"},"PeriodicalIF":3.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using exploratory sequential mixed methods design to develop simulation safety practice tool (SSPT) 采用探索性顺序混合方法设计开发模拟安全实践工具（SSPT）

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-03-05 DOI: 10.1016/j.ecns.2025.101704

Mohamed Toufic El Hussein RN, PhD, NP , Giuliana Harvey PhD RN CHSE , Daniel Favell BA, psychology, BN nursing, RN

{"title":"Using exploratory sequential mixed methods design to develop simulation safety practice tool (SSPT)","authors":"Mohamed Toufic El Hussein RN, PhD, NP , Giuliana Harvey PhD RN CHSE , Daniel Favell BA, psychology, BN nursing, RN","doi":"10.1016/j.ecns.2025.101704","DOIUrl":"10.1016/j.ecns.2025.101704","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the face validity of a tool that assesses a student's safety during participation in simulation-based experiences.</div></div><div><h3>Design</h3><div>This study is the first phase of an exploratory sequential mixed methods design used for the development of a tool to support undergraduate nursing students' application of safety principles in simulation.</div></div><div><h3>Method</h3><div>The authors recruited 10 simulation experts from undergraduate nursing programs in Canada and the United States. Ten semi-structured interviews were conducted to assess the face validity of the tool. Thematic analysis was used to identify and generate themes using Braun and Clarke's approach.</div></div><div><h3>Results</h3><div>Based on feedback from the participants, the tool was updated iteratively until the final current version was created.</div><div>The tool has the potential to support undergraduate nursing students in integrating safety principles in simulation settings; therefore, they may transfer this integration into clinical settings.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"101 ","pages":"Article 101704"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotions in nursing students’ simulations: A qualitative case study 护生模拟情绪：质性个案研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-03-05 DOI: 10.1016/j.ecns.2025.101701

Virpi Salo MSc, MA , Pauliina Rikala PhD , Katja Vähäsantanen PhD , Raija Hämäläinen PhD

{"title":"Emotions in nursing students’ simulations: A qualitative case study","authors":"Virpi Salo MSc, MA , Pauliina Rikala PhD , Katja Vähäsantanen PhD , Raija Hämäläinen PhD","doi":"10.1016/j.ecns.2025.101701","DOIUrl":"10.1016/j.ecns.2025.101701","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based education (SBE) can provide a realistic clinical learning environment to enhance knowledge and self-confidence. Simulation exercises can cause many emotions, but the interaction between emotions and simulation-based learning is not yet fully understood.</div></div><div><h3>Method</h3><div>Data from day-long simulation events were collected from online written material (diaries and online chats) produced by undergraduate nursing students (<em>N</em> = 56) who were studying at a Finnish university of applied sciences. From autumn 2020 to spring 2022, there were a total of 10 simulation days with 2–4 scenarios per simulation day for a total of 32 scenarios. The datasets were analyzed via thematic analysis.</div></div><div><h3>Results</h3><div>The simulation process evoked a mix of pleasant and unpleasant emotions among the students. However, unpleasant emotions like stress, tension, anxiety, and others seemed to outweigh the pleasant ones, such as calmness and enthusiasm.</div></div><div><h3>Conclusions</h3><div>This research has important implications for the field of nursing education. Recognizing and addressing students' emotions can lead to more effective instruction and increased satisfaction in simulation-based education. Our findings suggest that emotional awareness can potentially transform the educational experience for nursing students.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"101 ","pages":"Article 101701"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of a virtual simulation and self-debriefing app on nursing students' pediatric pain knowledge: A randomized controlled trial 虚拟模拟和自我汇报应用程序对护生儿科疼痛知识的有效性：一项随机对照试验

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-03-01 DOI: 10.1016/j.ecns.2025.101700

Ying-Mei Liu PhD , Jun-Yu Fan PhD , Tang-Her Jaing MD , Tzu-Jung Tseng PhD , Lan-Yan Yang PhD

{"title":"Effectiveness of a virtual simulation and self-debriefing app on nursing students' pediatric pain knowledge: A randomized controlled trial","authors":"Ying-Mei Liu PhD , Jun-Yu Fan PhD , Tang-Her Jaing MD , Tzu-Jung Tseng PhD , Lan-Yan Yang PhD","doi":"10.1016/j.ecns.2025.101700","DOIUrl":"10.1016/j.ecns.2025.101700","url":null,"abstract":"<div><h3>Background</h3><div>Knowledge retention and decision-making skills are important in clinical nursing practice. A virtual child-based simulation and self-debriefing learning application (app) was developed for pediatric pain assessment and management.</div></div><div><h3>Method</h3><div>Third-year nursing students received either classroom instruction on pediatric pain (control group (CG), <em>n</em> = 84) or instruction and a virtual simulation learning app (intervention group (IG), <em>n</em> = 100). Differences in pediatric pain knowledge scores between groups before instruction (T0) versus postinstruction (T1) and versus one-month postinstruction/simulation (T2) examined the effect of the intervention on knowledge retention. Three simulation tasks were used to assess the thinking and actions taken (right thinking/right action) by the IG.</div></div><div><h3>Results</h3><div>General estimating equations indicated that knowledge scores increased significantly from T0 to T2 for the IG compared to the CG (<em>β</em> = 6.826, <em>p</em> = .016), indicating better knowledge retention. Right thinking/right action for all simulation tasks was achieved by only 22.0% of the IG.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that virtual scenario-based teaching should include self-briefing to ensure that the correct actions taken during simulations reflect correct thinking about the problem.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"101 ","pages":"Article 101700"},"PeriodicalIF":3.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetric multidisciplinary team high spinal simulation 产科多学科小组高脊柱模拟

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-25 DOI: 10.1016/j.ecns.2025.101688

Ranna Safi DNP, CRNA , Carra Webb DNP, CRNA , Jessica Szydlowski Pitman DNP, CRNA, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN

{"title":"Obstetric multidisciplinary team high spinal simulation","authors":"Ranna Safi DNP, CRNA , Carra Webb DNP, CRNA , Jessica Szydlowski Pitman DNP, CRNA, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN","doi":"10.1016/j.ecns.2025.101688","DOIUrl":"10.1016/j.ecns.2025.101688","url":null,"abstract":"<div><h3>Background</h3><div>High spinal is a rare, yet potentially life-threatening, complication of obstetric (OB) anesthesia that is defined as a blockade of spinal nerves above T4. Providers often feel inadequate to respond to emergencies they rarely or never experience. Multidisciplinary OB simulation-based training (SBT) has been shown to improve knowledge, confidence, and team performance during emergencies.</div></div><div><h3>Methods</h3><div>Twenty-three OB multidisciplinary team participants at a hospital in the Southeastern United States were included in this pre-post interventional design. Participants completed surveys assessing knowledge and confidence, participated in a baseline simulation, and engaged in an educational session focused on high spinal recognition and management. Participants then repeated the simulation and completed debriefing and a posteducation survey.</div></div><div><h3>Results</h3><div>Pre- to post-education, knowledge assessment scores increased from 84.8% to 88.6% (<em>p</em> = .446); confidence in high spinal management improved significantly (<em>p</em> = .002), and percentage of completed team tasks improved from 59.9% to 81.0% (<em>p</em> = .001).</div></div><div><h3>Conclusion</h3><div>This project demonstrated SBT can potentially improve knowledge, confidence, and task completion in multidisciplinary team management of a high spinal.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"100 ","pages":"Article 101688"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prioritizing Person‐Centered Care of a Person Living with Bipolar Disorder: A Mixed Methods Usability Study 优先考虑以人为中心的双相情感障碍患者护理：一项混合方法的可用性研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-21 DOI: 10.1016/j.ecns.2025.101697

Frances C. Cavanagh RN, MN , Laura A. Killam RN, MScN , Katherine E. Timmermans RN, MScN , Jason Corcoran MEd , Jane Tyerman RN, PhD, CCSNE , Marian Luctkar-Flude RN, PhD, CCSNE, FCNEI

引用次数: 0

Video-driven active learning strategies to enhance simulation preparation 视频驱动的主动学习策略，加强模拟准备

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-20 DOI: 10.1016/j.ecns.2025.101693

Tracy M. Dodson PhD, RN, Janet M. Reed PhD, RN, CMSRN, Lisa Davis PhD, RN

引用次数: 0

Communication of bad news related to suicide attempt: High-fidelity simulation for clinical teaching 与自杀企图有关的坏消息的传达：临床教学的高保真模拟

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-17 DOI: 10.1016/j.ecns.2025.101687

Larissa Castelo do Amaral PhD, Kelly Graziani Giacchero Vedana PhD, Débora Tatiane Góes Silva PhD, Aline Conceição Silva PhD, Laysa Fernanda Silva Pedrollo MD

{"title":"Communication of bad news related to suicide attempt: High-fidelity simulation for clinical teaching","authors":"Larissa Castelo do Amaral PhD, Kelly Graziani Giacchero Vedana PhD, Débora Tatiane Góes Silva PhD, Aline Conceição Silva PhD, Laysa Fernanda Silva Pedrollo MD","doi":"10.1016/j.ecns.2025.101687","DOIUrl":"10.1016/j.ecns.2025.101687","url":null,"abstract":"<div><h3>Background</h3><div>The communication of bad news related to suicide attempts is challenging for health professionals, since suicide is a complex phenomenon. Training in this area is highlighted, and clinical simulation becomes a promising strategy, providing tools for understanding mental suffering and promoting skill development in the real learning environment.</div></div><div><h3>Methods</h3><div>It is a methodological study for constructing and validating a high-fidelity simulation scenario on the communication of bad news related to a suicide attempt, based on the SPIKES protocol on the communication of bad news. Eleven experts validated the constructed scenario. Simple descriptive analyses, the content validity index, and Gwet's AC1 test for agreement reliability were performed.</div></div><div><h3>Results</h3><div>Most of the items obtained agreement greater than 70%. The overall reliability (AC1 = 0.80321) of the scenario was considered excellent. In high-fidelity simulation (AC1 = 0.71749), it was satisfactory and in communicating bad news (AC1 = 0.86164) excellent.</div></div><div><h3>Conclusions</h3><div>A high-fidelity simulation scenario related to communication of bad news about a suicide attempt was constructed and validated and obtained a satisfactory evaluation for simulation and is excellent for communicating bad news; that is, it can be used in teaching students and healthcare professionals and can be replicated countless times.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"100 ","pages":"Article 101687"},"PeriodicalIF":3.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immersive virtual reality in nursing didactic courses: Bringing the patient to the classroom to foster clinical judgment 沉浸式虚拟现实在护理教学课程中的应用：将患者带入课堂，培养临床判断能力

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-17 DOI: 10.1016/j.ecns.2025.101689

Erin Armstrong DNP, RN, CNE, Cynthia Bradley PhD, RN, CNE, CHSE, ANEF, Carol Flaten DNP, RN, PHN

{"title":"Immersive virtual reality in nursing didactic courses: Bringing the patient to the classroom to foster clinical judgment","authors":"Erin Armstrong DNP, RN, CNE, Cynthia Bradley PhD, RN, CNE, CHSE, ANEF, Carol Flaten DNP, RN, PHN","doi":"10.1016/j.ecns.2025.101689","DOIUrl":"10.1016/j.ecns.2025.101689","url":null,"abstract":"<div><h3>Background</h3><div>The new AACN Essentials calls for schools to develop students’ clinical judgment to be prepared for practice. Using immersive virtual reality (IVR) in didactic courses offers students opportunities outside of the simulation center to develop their clinical judgment.</div></div><div><h3>Sample</h3><div>Sixty-one prelicensure students enrolled in an accelerated Master of Nursing program.</div></div><div><h3>Method</h3><div>The authors implemented an IVR scenario with Debriefing for Meaningful Learning (DML), supported by the Clinical Judgment Measurement Model (CJMM), in a didactic course. A pre- and post-test design was used to evaluate student confidence related to clinical judgment. Mental workload, usability of the technology, and student impressions were evaluated.</div></div><div><h3>Results</h3><div>Students reported increased confidence in clinical judgment and providing care. Students perceived a high level of mental workload and low usability with IVR.</div></div><div><h3>Conclusion</h3><div>IVR with DML debriefing, supported by the CJMM in a didactic course, positively impacted student confidence in clinical judgment and providing care.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"100 ","pages":"Article 101689"},"PeriodicalIF":3.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing understanding of the Social Determinants of Health through hologram-assisted interdisciplinary education simulation scenarios: An exploratory study 通过全息图辅助的跨学科教育模拟情景增强对健康的社会决定因素的理解：一项探索性研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-02-13 DOI: 10.1016/j.ecns.2025.101694

Peggy P. Hill PhD, RN, CHSE , Desiree A. Díaz PhD, APRN, FNP-BC, CNE, CHSE-A, ANEF, FSSH, FAAN , Bari Hoffman PhD, CCC-SLP, ASHAF , Denise Kay PhD , Mindi Anderson PhD, APRN, CPNP-PC, CNE, CHSE-A, ANEF, FSSH, FAAN

{"title":"Enhancing understanding of the Social Determinants of Health through hologram-assisted interdisciplinary education simulation scenarios: An exploratory study","authors":"Peggy P. Hill PhD, RN, CHSE , Desiree A. Díaz PhD, APRN, FNP-BC, CNE, CHSE-A, ANEF, FSSH, FAAN , Bari Hoffman PhD, CCC-SLP, ASHAF , Denise Kay PhD , Mindi Anderson PhD, APRN, CPNP-PC, CNE, CHSE-A, ANEF, FSSH, FAAN","doi":"10.1016/j.ecns.2025.101694","DOIUrl":"10.1016/j.ecns.2025.101694","url":null,"abstract":"<div><h3>Background</h3><div>Overlooking health disparity cues can result in misdiagnosis and ineffective treatment. Providing interprofessional teams with engaging education can elevate the relevance of Social Determinants of Health (SDOH) and encourage careful assessment for disparities.</div></div><div><h3>Methods</h3><div>For this exploratory study, interprofessional student cohorts participated in one of three holoportation encounters and completed open-ended questions about their perceptions of the impact of the experience on their understanding of SDOH. Content and thematic analysis was conducted using the FORT-CAST framework.</div></div><div><h3>Results</h3><div>Four main themes were identified: 1. Deeper understanding of human interaction, 2. The impact of holoportation on understanding SDOH, 3. Benefits and recommendations for holoportation technology, and 4. Interprofessional education (IPE) is beneficial.</div></div><div><h3>Conclusion</h3><div>Holoportation allows for consistent IPE experiences without the drawbacks of synchronized scheduling. Learners reported the benefits of observing the body positioning, sights, sounds, and raw emotions demonstrated by the hologram patient. Future work is needed to incorporate artificial intelligence to provide a more interactive experience.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"100 ","pages":"Article 101694"},"PeriodicalIF":3.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0