Colleen Reilly Moss DNP APRN NNP-BC C-ELBW , Eric Hall MSN RN NI-BC CSSWB , Mindy Johnson DNP APRN FNP-BC AGACNP-BC ENP-C , Helen Nation DNP APRN NNP-BC NPT , Jennifer Wilbeck DNP ACNP-BC FNP-BC ENP-C FAANP FAAN
{"title":"A novel collaborative simulation for emergency and neonatal nurse practitioner students","authors":"Colleen Reilly Moss DNP APRN NNP-BC C-ELBW , Eric Hall MSN RN NI-BC CSSWB , Mindy Johnson DNP APRN FNP-BC AGACNP-BC ENP-C , Helen Nation DNP APRN NNP-BC NPT , Jennifer Wilbeck DNP ACNP-BC FNP-BC ENP-C FAANP FAAN","doi":"10.1016/j.ecns.2025.101823","DOIUrl":"10.1016/j.ecns.2025.101823","url":null,"abstract":"<div><h3>Background</h3><div>Interprofessional simulation with telehealth prepares nurse practitioner (NP) students to navigate an increasing complex health care environment. This article details development, results, and future considerations for a collaborative interprofessional simulation.</div></div><div><h3>Methods</h3><div>Students accessed the SET-M via a QR code to evaluate their perception of the simulation.</div></div><div><h3>Results</h3><div>Eighty-three emergency and neonatal NP students participated in a joint simulation to evaluate a late preterm infant in the emergency department. Students reported positive perceptions of the simulation.</div></div><div><h3>Conclusion</h3><div>This interprofessional telehealth simulation promotes collaboration and critical thinking while meeting the call for competency-based learning in nursing education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101823"},"PeriodicalIF":2.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109427","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}
Lori P. Moore DNP, FNP-BC, CHSE, SANE-A, Brady B. Urquhart DNP, RN, Ashleigh F. Bowman DNP, RN, CRNP, CPNP-AC, SANE-A, SANE-P, Carol Pierce MSN, RN, Candice N. Selwyn PhD
{"title":"A telenursing simulation to assess nursing students’ readiness for practice in screening adolescents for depression","authors":"Lori P. Moore DNP, FNP-BC, CHSE, SANE-A, Brady B. Urquhart DNP, RN, Ashleigh F. Bowman DNP, RN, CRNP, CPNP-AC, SANE-A, SANE-P, Carol Pierce MSN, RN, Candice N. Selwyn PhD","doi":"10.1016/j.ecns.2025.101812","DOIUrl":"10.1016/j.ecns.2025.101812","url":null,"abstract":"<div><div>Mental health diagnoses have become prevalent among pediatric patients, leading to the enhanced need for undergraduate nursing students to be competent and comfortable screening and caring for these individuals. Using video-conferencing software as a simulated, telenursing, virtual platform, nursing learners engaged in a simulated scenario with a standardized patient (SP) acting as an adolescent experiencing clinically significant depressive and anxiety symptoms. This simulation was implemented to improve the knowledge, skills, and attitudes of learners in identifying and caring for adolescents experiencing these symptoms. Learners reported a perceived increase in knowledge (<em>M</em> = 3.45 out of 5, <em>SD</em> = 0.93) and self-reported a significant increase in confidence to care for patients reporting depressive symptoms postsimulation (<em>M</em> = 3.49, <em>SD</em> = 0.50) to postsimulation (<em>M</em> = 3.67, <em>SD</em> = 0.52; <em>t (196)</em>= -5.14, <em>p <</em> .001, <em>d</em> = -0.37). Telenursing simulation in undergraduate nursing education introduces nursing students to the principles of telenursing best practices while aligning the nursing curriculum with the American Association of Colleges of Nursing’s <em>Essentials</em> and enhancing practice readiness for the future nursing workforce.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101812"},"PeriodicalIF":2.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098498","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}
Monika S. Schuler PhD, FNP, BC , Mary K. McCurry PhD, RNBC, ANP, ACNP , Jennifer Dunbar Viveiros PhD, RN, CNE , Mirinda Tyo PhD, RN, TCRN , Shannon Avery-Desmarais PhD, RN, AGNP-C , Danielle DeGonge PhD, RN, OCN
{"title":"Challenged, informed, and connected: Nursing students’ insights following Opioid Use Disorder simulation debriefing","authors":"Monika S. Schuler PhD, FNP, BC , Mary K. McCurry PhD, RNBC, ANP, ACNP , Jennifer Dunbar Viveiros PhD, RN, CNE , Mirinda Tyo PhD, RN, TCRN , Shannon Avery-Desmarais PhD, RN, AGNP-C , Danielle DeGonge PhD, RN, OCN","doi":"10.1016/j.ecns.2025.101820","DOIUrl":"10.1016/j.ecns.2025.101820","url":null,"abstract":"<div><h3>Background</h3><div>Negative attitudes toward individuals with opioid use disorder (OUD) are common among healthcare providers, including nursing students. While simulation education can reduce stigma, evidence-based simulations incorporating diverse perspectives of individuals with OUD, including LGBTQ+ individuals, rural residents, older adults, and those experiencing human trafficking, are needed.</div></div><div><h3>Methods</h3><div>This qualitative descriptive study explored the impact of six high-fidelity simulations, co-created with input from the recovery community, on 60 nursing students’ attitudes toward caring for diverse individuals with OUD. Simulation debriefings were analyzed for evolving perspectives.</div></div><div><h3>Results</h3><div>Initial reflections revealed themes of “Limited knowledge of OUD” and “Out of my comfort zone.” Postdebriefing themes included “recognizing stigma,” “treating the person—not the disorder,” “importance of caring behavior,” and “building connections.” Beyond attitudinal shifts, debriefings elicited personal reflection with some students connecting the simulations to family or friend OUD experiences with new meaningfulness. Trauma informed debriefings helped students process emotions triggered by these reflections.</div></div><div><h3>Conclusion</h3><div>Community-informed simulations are transformative in nursing education. By addressing knowledge gaps, challenging biases, and fostering empathy, they promote stigma-free, person-centered OUD care.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101820"},"PeriodicalIF":2.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098497","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}
{"title":"Psychological safety mediates the relationship between climate of silence and team learning in simulation debriefing","authors":"Hyang Eun Yoo MSN , Young Sook Roh PhD","doi":"10.1016/j.ecns.2025.101821","DOIUrl":"10.1016/j.ecns.2025.101821","url":null,"abstract":"<div><h3>Background</h3><div>This web-based cross-sectional study examined whether psychological safety mediates the relationship between climate of silence and team learning during debriefings among nursing students.</div></div><div><h3>Methods</h3><div>This cross-sectional descriptive study included 200 Korean nursing students who completed a web-based questionnaire. Mediation analysis using the percentile bootstrap method was performed.</div></div><div><h3>Results</h3><div>Climate of silence and psychological safety significantly predicted team learning. Psychological safety mediated the relationship between climate of silence and team learning among nursing students.</div></div><div><h3>Conclusions</h3><div>Nurse educators should develop and implement targeted strategies to optimize climate of silence and psychological safety, which are critical predictors of team learning.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101821"},"PeriodicalIF":2.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098505","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}
Carrie Miller PhD, RN, CHSE-A, IBCLC, FAAN, Laura Larsson PhD, MPH, RN, FAAN, Annika Lawrence, Leigh Sturges MS, Susan Wallace Raph DNP, RN, NEA-BC
{"title":"Exploring three modalities of clinical education for prelicensure nursing students and the impact on transition to practice in rural settings","authors":"Carrie Miller PhD, RN, CHSE-A, IBCLC, FAAN, Laura Larsson PhD, MPH, RN, FAAN, Annika Lawrence, Leigh Sturges MS, Susan Wallace Raph DNP, RN, NEA-BC","doi":"10.1016/j.ecns.2025.101806","DOIUrl":"10.1016/j.ecns.2025.101806","url":null,"abstract":"<div><h3>Background</h3><div>Educational pedagogical modalities have shifted recently. The Clinical Learning Environment Comparison Survey (CLECS 2.0) offers insights into the impact of nursing education modalities and their influence in preparing nursing students for the transition to practice. The research team explored traditional clinical experiences and the use of simulation, in-person/face-to-face simulation, and screen-based simulation in the transition-to-practice for nursing students six months or more after graduation.</div></div><div><h3>Methods</h3><div>The CLECS 2.0, a quantitative research survey research approach, was utilized to compare traditional clinical experiences and simulated learning opportunities for postgraduate nursing students. Using the Qualtrics survey, 261 novice nurses were recruited via email solicitation.</div></div><div><h3>Results</h3><div>Nursing graduates were surveyed at least six months postgraduation. Ninety participants completed the survey, all respondents were exposed to traditional clinical experiences, face-to-face simulation and screen-based simulation. Results suggest students felt traditional clinical experiences were the most beneficial, followed by in-person simulation, with the lowest overall scores in screen-based simulation.</div></div><div><h3>Conclusion</h3><div>Novice nurses identified traditional clinical and face-to-face simulation-based learning experiences as influential factors in the transition to practice readiness. Screen-based simulations lacked applicability to practice readiness but were helpful in developing critical thinking.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101806"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096380","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}
{"title":"Effects of beef tongue and virtual reality in episiotomy training on self-efficacy and anxiety in midwifery students: Randomized controlled trial","authors":"Yasemin Hamlaci Baskaya PhD , Büşra Yolcu MSc , Zeliha Demir Kaymak PhD , Serefraz Akyaman PhD , Zekiye Turan PhD , Gülüzar Çit PhD","doi":"10.1016/j.ecns.2025.101817","DOIUrl":"10.1016/j.ecns.2025.101817","url":null,"abstract":"<div><h3>Background</h3><div>The application and repair of an episiotomy is a skill that midwifery students must acquire. The type and realism of training methods may influence students' anxiety levels and self-efficacy.</div></div><div><h3>Aim</h3><div>This study was conducted to evaluate the effects of practice training provided with Beef tongue and virtual reality simulation on students' episiotomy self-efficacy and anxiety levels.</div></div><div><h3>Method</h3><div>This randomized controlled trial was registered at ClinicalTrials.gov (NCT06711198) and conducted with 95 midwifery students. Participants were allocated to one of three groups—beef tongue simulation (<em>n</em> = 31), virtual reality simulation (<em>n</em> = 32), or a mixed group combining both methods (<em>n</em> = 32)—using block randomization with sealed envelopes, performed by an independent person to ensure balanced group sizes. No blinding was used due to the nature of the interventions. Data were collected using the Student Identification Form, State-Trait Anxiety Inventory, and Episiotomy Self-Efficacy Scale. The study received no external funding.</div></div><div><h3>Results</h3><div>All training methods significantly improved episiotomy self-efficacy (<em>p</em> < .05), with the greatest improvement in the mixed group. Training also reduced state anxiety (<em>p</em> < .05), with the largest decrease in the beef tongue group, while VR had the least effect on anxiety reduction.</div></div><div><h3>Conclusion</h3><div>A holistic approach to episiotomy training is essential for skill development. Integrating VR simulations with haptic materials can enhance students' learning by reducing anxiety and improving self-efficacy.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101817"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060591","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}
{"title":"“Let’s go on safari”: Development of a visually enhanced mental simulation for healthcare team collaboration","authors":"Jennifer Dale-Tam RN, MSN, CNCC(c), CCSNE, CHSE-A","doi":"10.1016/j.ecns.2025.101814","DOIUrl":"10.1016/j.ecns.2025.101814","url":null,"abstract":"<div><div>Healthcare team training traditionally relies on medically complex simulations, which may not always emphasize collaboration skills. Visually Enhanced Mental Simulations (VEMS) emerged during the COVID-19 pandemic as an alternative. A non-medical VEMS, Let’s Go on Safari, was refined through three Plan-Do-Study-Act cycles via participant feedback and peer review. Interprofessional participants expressed high satisfaction, and simulation facilitator peers affirmed its potential value in fostering teamwork. The Safari VEMS provides a low-stakes, low-resource approach with the possibility of breaking down silos and enhancing healthcare team collaboration, offering an innovative modality for skill development beyond traditional medical-based simulations.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101814"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060592","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}
{"title":"Evaluation of the effect of breastfeeding counseling education model developed in metaverse on breastfeeding counseling skills, knowledge and empathy level","authors":"Sinem Ceylan PhD , Gulten Guvenc PhD","doi":"10.1016/j.ecns.2025.101810","DOIUrl":"10.1016/j.ecns.2025.101810","url":null,"abstract":"<div><h3>Background</h3><div>Researchers developed a training environment within the metaverse to facilitate breastfeeding counselling practices.</div></div><div><h3>Method</h3><div>In this randomised controlled trial, theoretical breastfeeding education was compared with LactaVerse—a breastfeeding counseling training environment within the metaverse, designed using Unity as two rooms: a hospital room and a room where lactation physiology is examined. A total of 111 nursing students (intervention: 55, control: 56) who volunteered and met the inclusion criteria participated in the study. Students' breastfeeding knowledge levels, counselling skills, and empathy skills were measured.</div></div><div><h3>Findings</h3><div>LactaVerse was found to be effective in increasing nursing students' breastfeeding knowledge and counselling skills, as well as in enhancing emotional empathy skills.</div></div><div><h3>Conclusion</h3><div>It is recommended that LactaVerse be used in nursing education and integrated into different educational fields to create virtual nursing laboratories.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101810"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060524","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}
W. Travis McCall PhD, APRN, CCP, Eric S. Hall MSN, RN, NI-BC, CSSWB
{"title":"Implementation and evaluation of a mass casualty incident simulation for emergency nurse practitioner students","authors":"W. Travis McCall PhD, APRN, CCP, Eric S. Hall MSN, RN, NI-BC, CSSWB","doi":"10.1016/j.ecns.2025.101808","DOIUrl":"10.1016/j.ecns.2025.101808","url":null,"abstract":"<div><h3>Background</h3><div>Competencies and knowledge of practice standards identify that advanced practice nurse education should include the delivery of care to patients affected by disaster events and public health emergencies.</div></div><div><h3>Methods</h3><div>A mass casualty incident simulation utilizing high-fidelity manikins, low-fidelity manikins, and standardized patients was implemented to benefit the education and preparation of emergency nurse practitioner students.</div></div><div><h3>Results</h3><div>Learners provided positive quantitative and qualitative feedback about the simulation and debriefing activities.</div></div><div><h3>Conclusion</h3><div>The simulation was determined to be valuable in the education of emergency nurse practitioner students. The inclusion of a grounding exercise and a discussion of the identification and use of mental health resources following such events were beneficial for learners.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101808"},"PeriodicalIF":2.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050095","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}
Melanie Barlow RN, PhD, BN , Robyn Dickie , Alycia Jacob , Shari Maver , Nick Flynn , Alison Blunt , Susan Darzins , Hugh Davies , Michelle Smith-Tamaray , Elisabeth Jacob
{"title":"Understanding interprofessional co-debriefing practices within large scale ward-based simulation","authors":"Melanie Barlow RN, PhD, BN , Robyn Dickie , Alycia Jacob , Shari Maver , Nick Flynn , Alison Blunt , Susan Darzins , Hugh Davies , Michelle Smith-Tamaray , Elisabeth Jacob","doi":"10.1016/j.ecns.2025.101809","DOIUrl":"10.1016/j.ecns.2025.101809","url":null,"abstract":"<div><h3>Background</h3><div>Despite growing use of interprofessional simulation in healthcare education, there is a lack of published frameworks to guide structured, co-facilitated debriefing between professions. This study explored how nursing and allied health facilitators engage in interprofessional co-debriefing within a large-scale, ward-based simulation program involving over 2000 health students.</div></div><div><h3>Methods</h3><div>Twelve interprofessional co-debriefings were observed and assessed using the debriefing assessment for simulation in healthcare (DASH) tool, with both rater (observer) and instructor (debriefer) versions. Mean debriefing assessment for simulation in healthcare (DASH) scores were compared across five core elements. Qualitative data from instructor short-answer responses and observer field notes were also analysed.</div></div><div><h3>Results</h3><div>Raters consistently scored debriefings higher than instructors, except where debriefers lacked formal training. Three key themes emerged: the interplay between co-facilitation and debriefing structure, uncertainty impedes curiosity and, ``phew, my students are chatty.''</div></div><div><h3>Conclusion</h3><div>This study is among the first to directly examine real-world interprofessional co-debriefing practices. It highlights the critical need for structured guidance in co-debriefing, identifies challenges unique to interprofessional facilitation, and provides practical insights to support the development of future interprofessional debriefing frameworks.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101809"},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050094","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}