{"title":"Nursing and medical students’ views before and after participation in a simulated ward-based interprofessional learning activity: An exploratory study","authors":"Hugh Davies PhD, MHM, PostGradDip(Intensive Care), GradCert Academic Practice, GradCert Clinical Simulation, RN , Olivia Gallagher PhD, RN , Amanda Cole PhD, RN, RT , Carol Crevacore PhD, MHPed, GCTT, BN, RN , Evelyn Kang PhD, RN , Kate Jutsum FACEM","doi":"10.1016/j.ecns.2024.101632","DOIUrl":"10.1016/j.ecns.2024.101632","url":null,"abstract":"<div><h3>Background</h3><div>The complex nature of delivering healthcare requires teamwork within and between disciplines. None as important is teamwork between registered nurses and junior doctors. Understanding each other perspectives, practices and purpose offers the prospect of improved patient care. Opportunities for undergraduate interprofessional education allows the exchange of discipline specific knowledge to inform practice.</div></div><div><h3>Aim</h3><div>To explore the views and attitudes of nursing and medical students before and after participation in a simulated ward-based interprofessional activity.</div></div><div><h3>Method</h3><div>Final semester nursing and medical students from different universities were invited to record their views and attitudes before and after participation in an interprofessional simulated ward-based learning activity. A comparison of pretest, post-test scores obtained from the revised Readiness for Interprofessional Learning Scale was undertaken. Content analysis was used to explore post-test responses to open-ended questions.</div></div><div><h3>Results</h3><div>Matched comparisons of 205 pre and post-test responses showed nursing and medical students’ subscale scores for positive professional identity increased significantly (p = .02 vs. p < .001) reflecting a change in views and attitudes post simulated ward-based interprofessional activity.</div></div><div><h3>Conclusions</h3><div>Interprofessional simulated ward-based activities allow opportunities for learning and collaboration in preparation for professional practice outside real-world settings.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"97 ","pages":"Article 101632"},"PeriodicalIF":3.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532646","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}
Fanny Mikula MD , Alex Farr MD, PhD, MPH , Tim Dorittke MD , Anja Catic MD , Florian Heinzl Mag. , Bernhard Roessler MD, PhD , Katharina Adelwoehrer MD , Philipp Foessleitner MD , Eva Karner MD , Veronica Falcone MD, PhD
{"title":"Training of Shoulder Dystocia Using Virtual Reality: A Feasibility Study","authors":"Fanny Mikula MD , Alex Farr MD, PhD, MPH , Tim Dorittke MD , Anja Catic MD , Florian Heinzl Mag. , Bernhard Roessler MD, PhD , Katharina Adelwoehrer MD , Philipp Foessleitner MD , Eva Karner MD , Veronica Falcone MD, PhD","doi":"10.1016/j.ecns.2024.101623","DOIUrl":"10.1016/j.ecns.2024.101623","url":null,"abstract":"<div><h3>Background</h3><div>Simulation training is an important aspect of obstetric education but high-fidelity simulation is resource-intensive. This study aimed to evaluate Virtual Reality (VR) technology for simulation training of shoulder dystocia (SD).</div></div><div><h3>Methods</h3><div>Trainees were instructed on the technological aspects. Consequently, they managed a SD scenario in VR, following a standardized algorithm. Self-evaluation of nontechnical skills and task demands was conducted using the modified Human Factors Skills for Healthcare Instrument and the NASA Task Load Index questionnaire.</div></div><div><h3>Results</h3><div>We included 44 participants, who completed the scenario within a five minute time-limit. There was a significant decrease in time-to-delivery, from 136 (106-181) seconds on the first to 88 (69-135) seconds on the second attempt. Qualitative analysis indicated a high self-perceived initial human skills level and a high degree of effort with 11 (7-13) points, mental (12 [7-15]), and temporal (11.5 [9-15]) demands during training.</div></div><div><h3>Conclusions</h3><div>VR is a modern, feasible, and effective option for simulation training for SD. Randomized controlled trials are required to further evaluate this training modality in obstetric medical education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101623"},"PeriodicalIF":3.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416788","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}
Elizabeth M. Long DNP, APRN, GNP-BC, CNS, CNE, Kacie Calloway MSN, RN, Jennifer M. Thedford MSN, RN, CCRN-K, Carmen Rolf MSN, RN, Bethany W. Steely MSN, RN, CCRN-K, Jennifer Huff MSN, APRN, FNP-BC
{"title":"Bridging nursing professional development and Healthcare Simulation Standards of Best Practice™","authors":"Elizabeth M. Long DNP, APRN, GNP-BC, CNS, CNE, Kacie Calloway MSN, RN, Jennifer M. Thedford MSN, RN, CCRN-K, Carmen Rolf MSN, RN, Bethany W. Steely MSN, RN, CCRN-K, Jennifer Huff MSN, APRN, FNP-BC","doi":"10.1016/j.ecns.2024.101612","DOIUrl":"10.1016/j.ecns.2024.101612","url":null,"abstract":"<div><h3>Background</h3><div>Both the faculty shortage and limited clinical placement opportunities for students impact the use of simulation in nursing programs. Despite widespread use, many nursing faculty do not have training in simulation best practices and have limited skills and confidence in the use of simulation.</div></div><div><h3>Method</h3><div>As part of a Texas Higher Education Coordinating Board Grant, a Simulation Series was developed for nurse educators and graduate nurse educator students with the objective of increasing knowledge, confidence and skill as a nurse educator utilizing simulation as a teaching strategy. The series was developed based on the Healthcare Simulation Standards of Best Practice™. The education was designed to be a four-part Simulation Series combining both in person and virtual components. Completion of the series provided 20 contact hours of Nursing Professional Development (NPD).</div></div><div><h3>Results</h3><div>Twelve participants completed all 4 modules in the series, limiting the generalizability of the data. However, data suggest an overall improvement in knowledge, confidence, and skills.</div></div><div><h3>Conclusions</h3><div>Development of clinically and technologically relevant simulation education based on set standards can challenge nurse educators. Nursing professional development can be a tool to close the knowledge, skills, and practice gap.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101612"},"PeriodicalIF":3.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416641","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}
Erin E Blanchard PhD, MSN, RN, CHSE, CMQ , Beratiye Oner PhD, MSN, RN , Ashleigh Allgood MPH, MBA , Dawn Taylor Peterson PhD , Ferhat D Zengul PhD , Michelle R. Brown PhD, MLS(ASCP)SBB, CHSE
{"title":"Evolution of simulation scholarship: A text mining exploration","authors":"Erin E Blanchard PhD, MSN, RN, CHSE, CMQ , Beratiye Oner PhD, MSN, RN , Ashleigh Allgood MPH, MBA , Dawn Taylor Peterson PhD , Ferhat D Zengul PhD , Michelle R. Brown PhD, MLS(ASCP)SBB, CHSE","doi":"10.1016/j.ecns.2024.101620","DOIUrl":"10.1016/j.ecns.2024.101620","url":null,"abstract":"<div><h3>Background</h3><div>Text mining uses advanced machine learning algorithms, natural language processing, and statistical analyses to unveil hidden themes in a body of text. Reviewing the simulation literature though text mining allows researchers to categorize extensive collections of publications and develop salient questions based on mapping the evolution of simulation scholarship.</div></div><div><h3>Methods</h3><div>This review examined manuscripts in five healthcare simulation journals between 2006 and 2022, resulting in 2,382 articles included in the text corpus.</div></div><div><h3>Results</h3><div>The top 20 topics were identified and named, in addition to which topics had the highest number of publications. Finally, publication patterns for each topic were examined, with several hypotheses offered as explanation of the results.</div></div><div><h3>Discussion</h3><div>Practical implications of text mining include tracking publication shifts over time, as well as identifying areas of future research that warrant more in-depth, contextual analyses.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101620"},"PeriodicalIF":3.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416640","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":"Differences in community health nursing learning outcomes based on simulation modality","authors":"Amelia Perez PhD, RN, Angela Andrews PhD, RN, Rebecca Luebbert PhD, RN","doi":"10.1016/j.ecns.2024.101606","DOIUrl":"10.1016/j.ecns.2024.101606","url":null,"abstract":"<div><h3>Background</h3><div>Various modalities of community health nursing simulation have been useful in improving confidence, communication, and meeting learning objectives. Research focusing on comparing community health nursing learning outcomes in simulation with standardized patients versus mannequins is limited. This study aimed to explore differences in clinical reasoning, clinical learning, knowledge, communication, self-confidence, and learner satisfaction among community health students participating in standardized patient simulation compared to mannequins.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with a convenience sample of 66 prelicensure students in community health nursing. Students completed a pre- and post-knowledge quiz, Satisfaction with Simulation Experience scale, and a simulation evaluation survey.</div></div><div><h3>Results</h3><div>Compared to simulation with mannequins, clinical reasoning, clinical learning, knowledge, communication, realism, and learner satisfaction scores were significantly higher with standardized patient simulation.</div></div><div><h3>Conclusions</h3><div>Simulation with standardized patients can be useful for increasing community health nursing knowledge while enhancing clinical reasoning and realism. Future research including larger samples and more comprehensive community health topics is needed.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101606"},"PeriodicalIF":3.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416637","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":"Implementing an obstetric simulation training protocol in a critical access hospital","authors":"Jessica Manning DNP, RN, CNE, CHSE","doi":"10.1016/j.ecns.2024.101619","DOIUrl":"10.1016/j.ecns.2024.101619","url":null,"abstract":"<div><h3>Background</h3><div>A high-fidelity (HF) simulation training protocol was implemented to improve nurses' knowledge, skills, and self-confidence to improve patient quality of care and safety, thus ultimately having an impact on decreasing maternal mortality rates.</div></div><div><h3>Sample</h3><div>The sample consisted of 16 participants including nurses, a physician, emergency medical technicians (EMTs), and paramedics.</div></div><div><h3>Methods</h3><div>This project used a self-confidence and competence assessment prior to and following participation to determine statistical significance. In addition, review of the National League for Nursing Student Satisfaction and Self-Confidence in Learning tool data was done to determine the overall success of implementing a HF simulation training protocol.</div></div><div><h3>Results</h3><div>Success of the simulation and content was determined by a reported increase in self-confidence and competence post-simulation. The summative evaluation revealed that participants felt that implementing a HF simulation training protocol, in general, was useful for training.</div></div><div><h3>Conclusion</h3><div>While this project focused on obstetrics, the premise of the project can be applied to many subject areas to advance practice in rural health. Findings suggest that use of a high-fidelity simulation training protocol is beneficial.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101619"},"PeriodicalIF":3.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416638","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}
Bailey J. Regier MSN, RN, CNE, Theresa A. Kessler PhD, RN, CNS-BC, CNE, FAAN
{"title":"The Clinical Judgment Debriefing Structure: Integrating the Clinical Judgement Measurement Model into debriefing","authors":"Bailey J. Regier MSN, RN, CNE, Theresa A. Kessler PhD, RN, CNS-BC, CNE, FAAN","doi":"10.1016/j.ecns.2024.101627","DOIUrl":"10.1016/j.ecns.2024.101627","url":null,"abstract":"<div><div>The transformation of nursing education in the United States, driven by the Next Generation NCLEX (NGN), demands a focus on clinical judgment. However, a gap exists in the literature regarding debriefing structures that center on clinical judgment and integrate the Clinical Judgment Measurement Model (CJMM). This paper introduces the Clinical Judgment Debriefing Structure (CJDS) that was designed to incorporate the CJMM into debriefing to support the development of clinical judgment and enhance NGN preparedness. The CJDS provides clinical judgment practice using reflective questions and tasks by emphasizing each element in Layer 3 of the CJMM. Implementation involves faculty inputting simulation content into the CJDS by preparing answers to the standardized reflection questions and tasks. The CJDS streamlines faculty preparation and ensures standardization of each debriefing session. Presented at the 2023 International Nursing Association for Clinical Simulation and Learning (INACSL) conference, the CJDS received positive feedback, indicating its practicality and applicability in simulation practices. Findings from initial testing of the CJDS using a qualitative/quantitative design, demonstrated increased knowledge and confidence in clinical judgment. While measuring clinical judgment remains challenging, the CJDS stands as a unique tool for centering debriefing on clinical judgment and guiding students through Layer 3 of the CJMM, ultimately contributing to safer nursing practice.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101627"},"PeriodicalIF":3.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416647","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}
Kevin Gosselin PhD, Hillary Oliver BSN, RN, Dixie Rose PhD, RN, ACUE, Julie George PhD, RN, ACUE, Anna Hanson MSN, RN, ACUE, Katherine Strout PhD, RN, Dee Crabtree MSN, RN, ACUE, Belinda Deal PhD, RN, CNE
{"title":"Efficacy of 15-minute music intervention on nursing students' anxiety, self-efficacy, and performance in simulation testing: A randomized study","authors":"Kevin Gosselin PhD, Hillary Oliver BSN, RN, Dixie Rose PhD, RN, ACUE, Julie George PhD, RN, ACUE, Anna Hanson MSN, RN, ACUE, Katherine Strout PhD, RN, Dee Crabtree MSN, RN, ACUE, Belinda Deal PhD, RN, CNE","doi":"10.1016/j.ecns.2024.101625","DOIUrl":"10.1016/j.ecns.2024.101625","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety can negatively impact nursing students' confidence and performance during simulation-based training, leading to suboptimal learning outcomes.</div></div><div><h3>Sample</h3><div>The study included 102 prelicensure Bachelor of Science in Nursing (BSN) students. The participants (µ<sub>age</sub> = 21.72, <em>SD</em> = 3.14), mostly female (<em>n</em> = 85, 83.33%) and Caucasian (<em>n</em> = 67, 65.69%), were randomized into control (<em>n</em> = 51) and experimental (<em>n</em> = 51) groups.</div></div><div><h3>Method</h3><div>Participants in the control group prepared for simulation as they usually would, while those in the experimental group listened to 15-minutes of classical music before their simulation sessions. Anxiety, self-efficacy, and instructor-assigned performance ratings during the simulation were evaluated.</div></div><div><h3>Results</h3><div>The experimental group experienced significantly lower anxiety, increased self-efficacy, and higher performance scores compared to the control group (<em>p</em>-values < .001 for all measures).</div></div><div><h3>Conclusion</h3><div>These results suggest that a 15-minute music-listening intervention could effectively reduce anxiety, boost self-efficacy, and improve performance during simulation-based training.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101625"},"PeriodicalIF":3.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416639","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}
Dawn Mosher DNP, RN, CHSE, CNE , Radhika Sreedhar MD, MS , Norman Martin MacDowell DrPH, MBA , Linda Chang PharmD, MPH, BCPS , Paul David Chastain II PhD
{"title":"Measuring student competency in an interprofessional education hospital discharge simulation","authors":"Dawn Mosher DNP, RN, CHSE, CNE , Radhika Sreedhar MD, MS , Norman Martin MacDowell DrPH, MBA , Linda Chang PharmD, MPH, BCPS , Paul David Chastain II PhD","doi":"10.1016/j.ecns.2024.101614","DOIUrl":"10.1016/j.ecns.2024.101614","url":null,"abstract":"<div><h3>Background</h3><div>Many patients report a clinical adverse event after being discharged from the hospital. Communication interventions provided at time of discharge are associated with significantly lower readmission rates, increased adherence to treatment, and higher patient satisfaction. Despite hospital discharge being important for patient safety, formal Interprofessional team-based patient discharge curricula for health care students is limited.</div></div><div><h3>Methods</h3><div>Clinical students from medicine, nursing, and pharmacy participated in the simulation. Teams were evaluated via pre- and post-workshop self-evaluation, faculty evaluation of verbal and written discharge instruction competency and communication standards.</div></div><div><h3>Results</h3><div>Self-assessment questions showed significant positive changes after the simulation. Student teams met about half of the discharge plan competency standards measured. Specific communication standards were met by most teams. Written discharge instructions fell short of expected outcomes.</div></div><div><h3>Conclusion</h3><div>The simulation helped students develop skills in planning discharge of patients while working in an interdisciplinary team. Students would benefit from more structured education and practice before completing the simulation to increase the likelihood of teams meeting established competency standards.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101614"},"PeriodicalIF":3.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416648","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}
Mei-Chuan Shih RN, MN , Jun-Yu Fan RN, PhD, FAAN , Pei-Yu Lee RN, PhD , Chin-Yen Han RN, PhD
{"title":"Enhancing emergency nurses' competence in identifying and reporting child abuse and neglect through simulation-based training","authors":"Mei-Chuan Shih RN, MN , Jun-Yu Fan RN, PhD, FAAN , Pei-Yu Lee RN, PhD , Chin-Yen Han RN, PhD","doi":"10.1016/j.ecns.2024.101624","DOIUrl":"10.1016/j.ecns.2024.101624","url":null,"abstract":"<div><h3>Background</h3><div>Emergency nurses need effective skills to identify and report child abuse and neglect (CAN) because they are often the first healthcare professionals to encounter these cases. This study aims to evaluate the effectiveness of simulation-based training in improving self-efficacy in child abuse and neglect (CAN) reporting among emergency nurses.</div></div><div><h3>Methods</h3><div>Participants (n = 105) were randomly assigned to receive simulation-based or conventional training. Outcomes were post-training mean differences in CAN reporting self-efficacy scale.</div></div><div><h3>Results</h3><div>Both groups had significant improvement in CAN cognition, knowledge, and efficacy expectation-suspected (EES). Simulation training had higher efficacy expectation-confirmed (EEK) and outcome expectations (OE) for CAN reporting. Regression analysis showed simulation training was associated with improvement in EEK (1-3yr nursing experience) and OE (10+yr nursing experience) (all <em>p</em> < .05).</div></div><div><h3>Conclusion</h3><div>Simulation-based training improved self-efficacy in reporting CAN, supporting its integration as part of a training program for emergency nurses.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101624"},"PeriodicalIF":3.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416643","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}