Sharon MacLean RM, RN, PhD , Fiona Geddes PhD , Michelle A. Kelly RN, PhD , Janie Brown RN,PhD
{"title":"High-Fidelity Simulation in Wound Care Education: A Qualitative Evaluation of Efficacy and Acceptability","authors":"Sharon MacLean RM, RN, PhD , Fiona Geddes PhD , Michelle A. Kelly RN, PhD , Janie Brown RN,PhD","doi":"10.1016/j.ecns.2024.101573","DOIUrl":"10.1016/j.ecns.2024.101573","url":null,"abstract":"<div><h3>Background</h3><p>High-fidelity simulation is an effective tool in nursing education, but a research gap exists in its application to wound care training. This study explored the acceptability of working with simulated patients (SPs) with moulaged wounds to improve students' wound care skills.</p></div><div><h3>Method</h3><p>This descriptive qualitative study used semi-structured interviews with 14 student nurses who competed a high-fidelity wound simulation. Data were analysed using a deductive thematic approach.</p></div><div><h3>Findings</h3><p>Findings are presented with reference to the Australian Standards of Wound Prevention and Management guidelines. Four main themes (and six subthemes) were identified: realism (moulage and SPs), situational awareness (decision making and task focus), reflective practice (learning from others and self-reflection), and consolidation of practice.</p></div><div><h3>Conclusion</h3><p>The standards-based simulation proved effective and acceptable to students.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000653/pdfft?md5=8a0085a7e995e9c739509adce91daf8b&pid=1-s2.0-S1876139924000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629848","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}
Sajedah Al-hamzat MSN, RN, Jehad A. Rababah PhD, RN, Mohammed Munther Al-Hammouri PhD, MA-ABA, CHPE, RN
{"title":"Examining the Effectiveness of a Simulation Training Program on Enhancing Nursing Students' Efficacy About Managing Nonphysical Violence","authors":"Sajedah Al-hamzat MSN, RN, Jehad A. Rababah PhD, RN, Mohammed Munther Al-Hammouri PhD, MA-ABA, CHPE, RN","doi":"10.1016/j.ecns.2024.101577","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101577","url":null,"abstract":"<div><h3>Background</h3><p>The literature regarding using simulation-based training to manage nonphysical violence among Jordanian nursing students is limited. The aim of this study was to examine the effectiveness of simulation-based training on nursing students’ efficacy about managing nonphysical violence.</p></div><div><h3>Method</h3><p>This study was conducted using a single-group, pre-test, post-test experimental design. Non-probability convenience sampling method was used to recruit the nursing students in the current study (N = 67). The participants attended a simulation-based training session about violence in healthcare settings. The data collection consisted of a demographics questionnaire, the perception of aggression scale (POAS), and the Defence Styles Questionnaire-40 (DSQ-40). A paired sample t-test was performed to compare the mean scores of POAS and DSQ-40 pre- and postintervention.</p></div><div><h3>Results</h3><p>The results of this study showed that the simulation training program did not produce a significant impact on enhancing nursing students’ efficacy about managing nonphysical violence.</p></div><div><h3>Conclusion</h3><p>While no statistically significant differences were observed in the outcome measures, this study informs future research by reporting findings from a single simulation exposure and adding to the literature about using simulation interventions to impact education outcomes.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594639","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}
Don M. Leidl RN, BSN, MN, EdD , Hua Li RN, BSN, MN, PhD , Manal Kleib RN, BSN, MN, PhD , Jay Wilson BA, BEd, MEd, EdD, MBA
{"title":"Integrating Branching Spherical Video Learning into Mental Health Nursing Clinical Education: Feasibility, Efficacy, and Student Impact","authors":"Don M. Leidl RN, BSN, MN, EdD , Hua Li RN, BSN, MN, PhD , Manal Kleib RN, BSN, MN, PhD , Jay Wilson BA, BEd, MEd, EdD, MBA","doi":"10.1016/j.ecns.2024.101571","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101571","url":null,"abstract":"<div><h3>Background</h3><p>Nursing education faces significant challenges in providing students with adequate clinical learning experiences, particularly in mental health. Anxiety among nursing students related to clinical practice is well-documented and can hinder effective learning and performance.</p></div><div><h3>Methods</h3><p>This pilot study aimed to assess the feasibility and effectiveness of using Branching spherical video learning scenarios to reduce student anxiety and enhance mental health assessment knowledge in undergraduate nursing students. A mixed-methods approach, including quasi-experimental design and qualitative interviews, was employed. Participants were randomly assigned to intervention and control groups, with the intervention group experiencing the learning scenario during their clinical course.</p></div><div><h3>Results</h3><p>Quantitative analysis revealed reductions in anxiety and increases in confidence among the intervention group postintervention. Qualitative interviews confirmed reduced anxiety, increased confidence, and enhanced mental status examination (MSE) knowledge among participants.</p></div><div><h3>Conclusion</h3><p>Branching spherical video learning scenarios show promise in alleviating student anxiety and improving mental health assessment knowledge in nursing education. The study underscores the potential of immersive VR technologies to enhance learning experiences and prepare students for clinical practice.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187613992400063X/pdfft?md5=3de34755d49b3fd4df29b62b5aae3721&pid=1-s2.0-S187613992400063X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583326","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}
{"title":"The Impact of Simulation-Based Learning on Nursing Decision-Making Ability: A Meta-Analysis","authors":"Wei ZHAO, Meng-meng XU, Qi TIAN, Yu-jie HAN, Zi-qi WANG, Wei ZHANG PhD","doi":"10.1016/j.ecns.2024.101576","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101576","url":null,"abstract":"<div><h3>Background</h3><p>In multi-level health care environments, the complexity of nursing decisions is increasing, which places greater demands on nurses’ decision-making ability. Compared with traditional teaching methods, simulation has gradually been introduced into nursing decision-making training curricula because of the advantages of simulation-based learning (SBL).</p></div><div><h3>Methods</h3><p>Meta-analysis.</p></div><div><h3>Results</h3><p>This meta-analysis included 11 studies. SBL showed statistically significant improvements in nursing decision-making ability (SMD = 0.89, 95% CI = [0.39, 1.38], <em>p</em> < .001), knowledge (SMD = 0.46, 95% CI = [0.14, 0.79], <em>p</em> = .006), critical thinking (SMD = 0.50, 95% CI = [0.15, 0.84], <em>p</em> = .005), and skills (SMD = 0.34, 95% CI = [0.10, 0.58], <em>p</em> = .005). Subgroup analyses revealed that SBL was more helpful for nursing students than for registered nurses. The effects of a computer-based simulation were similar to those of a people-based simulation. Interventions conducted for “2-8 weeks” and immediate measurement were found to be more effective.</p></div><div><h3>Conclusions</h3><p>SBL is an effective method for improving nurses’ decision-making ability, knowledge, critical thinking and skills.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583324","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}
P. Irwin PhD , S. Fealy PhD , A. Barnett MN , R. Kenny MN , K. Montgomery MCN, MBA, MEd , S. Weiley MCN , D. Jones PhD , D. Noble MN , A. Ul Haq PhD , L. Mollart PhD
{"title":"Pioneering the Australian Academic Electronic Medical Records (AAeMR) Program Prototype to Enhance Nursing Students' Readiness for Practice: A Cohort Study","authors":"P. Irwin PhD , S. Fealy PhD , A. Barnett MN , R. Kenny MN , K. Montgomery MCN, MBA, MEd , S. Weiley MCN , D. Jones PhD , D. Noble MN , A. Ul Haq PhD , L. Mollart PhD","doi":"10.1016/j.ecns.2024.101566","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101566","url":null,"abstract":"<div><h3>Background</h3><p>An Australian academic electronic medical records (AAeMR) program was tested amongst third-year undergraduate nursing students at one large regional university.</p></div><div><h3>Methods</h3><p>An inductive qualitative thematic analysis of focus group data was applied.</p></div><div><h3>Results</h3><p>Four themes emerged 1) Being prepared for an e-change; 2) Is e-learning better or just different? 3) Learning to be safe using workstations on wheels in a safe environment and 4) Caring for patients when connecting with technology.</p></div><div><h3>Conclusion</h3><p>Students identified the AAeMR software promotes the delivery of patient centred care and enhances their preparedness to use electronic records in clinical practice.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000586/pdfft?md5=05fb8cfd64dbaf85d65f1b1f029742e6&pid=1-s2.0-S1876139924000586-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583325","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}
{"title":"Implementation of a Multiple Patient Scenario to Enhance Nurse Practitioner Student Role Transition","authors":"Theresa Motley DNP, MPH, CPNP-AC/PC , Ann-Marie Brown PhD, CPNP-AC/PC, CCRN, CNE, FCCM, FAANP, FASPEN","doi":"10.1016/j.ecns.2024.101575","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101575","url":null,"abstract":"<div><p>There is strong evidence supporting the integration of simulation into nurse practitioner (NP) education; however, there is a lack of literature describing the benefits of multiple patient scenarios. The goal of this innovative simulation is for the NP student to manage multiple acutely ill pediatric patients and communicate effectively with an interprofessional team. A formative simulation was implemented in the last semester of an acute care pediatric NP program. The scenario included four patients with commonly encountered diagnoses on a pediatric hospitalist service. A postimplementation survey was developed to assess student perceptions of the simulation activity. Students (n = 13) reported increased confidence in assessment skills, clinical decision making, and their ability to prioritize patient care interventions. Overall, 69.2% of students strongly agreed and 30.8% agreed that this was a useful simulation experience. Multiple patient simulation scenarios may enhance NP student competency and confidence while facilitating the transition to the provider role.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542543","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}
Samantha Juan EdD, RN, CCRN-A, CHSE, CNE , Kathleen A. O'Connell PhD, RN, FAAN
{"title":"The Impact of Virtual Simulation on Empathy in Undergraduate Nursing Students","authors":"Samantha Juan EdD, RN, CCRN-A, CHSE, CNE , Kathleen A. O'Connell PhD, RN, FAAN","doi":"10.1016/j.ecns.2024.101570","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101570","url":null,"abstract":"<div><h3>Background</h3><p>Empathy is essential to effective patient-nurse relationships and decision making in nursing care. This study aimed to explore the use of virtual simulation to promote empathy and the relationship between empathy and attitude in nursing students.</p></div><div><h3>Methods</h3><p>Randomized pre-test and post-test control group design was employed.</p></div><div><h3>Results</h3><p>The participants who experienced the text-based case study or virtual simulation self-reported significantly increased empathy after the activity, but no differences between the groups. Meanwhile, more negative attitudes toward substance overuse correlated with a lower level of empathy toward affected patients.</p></div><div><h3>Conclusion</h3><p>Both text-based case study and virtual simulation are effective to promote empathy.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542481","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":"Development and Application During Clinical Simulation of MEDISIM, A Checklist for Assessing Nursing Students’ Competence in Safe Medication Administration","authors":"Cristina Alfonso-Arias RN, MSN, PhD, Encarna Rodríguez-Higueras RN, MSN, PhD, Pilar Fuster Linares RN, MSN, PhD, Laia Wennberg-Capellades RN, MSN, PhD, Albert Gallart Fernández-Puebla RN, MSN, PhD, Mireia Llauradó-Serra RN, MSN, PhD","doi":"10.1016/j.ecns.2024.101568","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101568","url":null,"abstract":"<div><h3>Aim</h3><p>To develop and apply during clinical simulation a checklist for assessing nursing students' competence in safe medication administration.</p></div><div><h3>Design and Method</h3><p>Two-stage instrumental study: 1) Development and preliminary validation of the checklist; 2) observational study of first- and second-year students to assess reliability of the checklist and analyze the results obtained. The observation involved simulation scenarios in which students had to administer intravenous medication.</p></div><div><h3>Results and Conclusions</h3><p>The MEDISIM checklist comprises 26 items and shows good psychometric properties (Cronbach's alpha = .842; inter-observer reliability = .974). A high proportion of students were observed to have adequate needle technique (86%) and to wash their hands prior to preparing medication” (72%), whereas far fewer disinfected the catheter hub before administering medication (18%) or checked for drug allergies (33%). Mean scores (out of a possible 26) were 15.2 (SD 4.54) among year 1 students and 18.0 (SD 5.29) for year 2 students (<em>p</em> < .001). The results obtained highlight areas that need to be addressed in nurse education, as well as by students in their independent learning.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542480","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}
Renee Flippo DNP, APRN, CPNP-PC , Shelby L. Garner PhD, RN, CNE, FAAN , Jessica Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN , Libby E. Rosonet DNP, RN, CNL , Megan L. Dorion DNP, APRN, NNP , Tanya Sudia PhD, RN , Lyn S. Prater PhD, RN, CNE , Weiming KE PhD , Amy Siew MBBS, FPM, MSc , Madhuri Maganth MD , Sarah Ruby Johnson MSN, BSN
{"title":"Effectiveness of an Interdisciplinary Pediatric and Neonatal Palliative Care Simulation Program in India","authors":"Renee Flippo DNP, APRN, CPNP-PC , Shelby L. Garner PhD, RN, CNE, FAAN , Jessica Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN , Libby E. Rosonet DNP, RN, CNL , Megan L. Dorion DNP, APRN, NNP , Tanya Sudia PhD, RN , Lyn S. Prater PhD, RN, CNE , Weiming KE PhD , Amy Siew MBBS, FPM, MSc , Madhuri Maganth MD , Sarah Ruby Johnson MSN, BSN","doi":"10.1016/j.ecns.2024.101569","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101569","url":null,"abstract":"<div><h3>Background</h3><p>Palliative care is a human right to which all people should have access, however pediatric and neonatal palliative care resources are limited in India.</p></div><div><h3>Design and Methods</h3><p>A quantitative one-arm pre-test / post-test and descriptive correlational design was used to determine the impact of an interprofessional pediatric and neonatal palliative care specialty education and simulation program among health providers and ancillary support team in India.</p></div><div><h3>Results</h3><p>Post-intervention scores were significantly higher than pre-intervention scores for self-assessment, education assessment, and knowledge assessment of the healthcare team. The mean score of barriers to palliative care utilization had no significant difference between the pre- and post-intervention.</p></div><div><h3>Conclusion</h3><p>Nurses in India are ready and interested in improving pediatric and neonatal palliative care outcomes and favored interprofessional simulation as a teaching and learning strategy. Results indicated the specialty education and simulation program was effective in improving pediatric and neonatal health capacity among an interprofessional healthcare team in India. This study highlights the need for effective, structured programs to build pediatric and neonatal palliative care capacity in India.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484922","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}
Sima Shulman MD , Eli Jaffe PhD , Omer Perry MSc , Yuval Bitan PhD
{"title":"The Sukkah Drill: A Novel Approach to Incident Command Training","authors":"Sima Shulman MD , Eli Jaffe PhD , Omer Perry MSc , Yuval Bitan PhD","doi":"10.1016/j.ecns.2024.101565","DOIUrl":"10.1016/j.ecns.2024.101565","url":null,"abstract":"<div><h3>Background</h3><p>First responders classically train to manage Mass Casualty Incidents (MCIs) by practicing incident command skills during Field Drills which mimic real-world conditions but are also costly and logistically complex to conduct. We therefore present the Sukkah Drill (named for its similarity to the hut used on the holiday of Sukkot) as an alternative, low-cost and simple innovative teaching method for MCI management. This study compares the Field and Sukkah Drills to better understand the advantages and disadvantages of this new training method.</p></div><div><h3>Methods</h3><p>We compared the physical design features of the Sukkah and Field Drills qualitatively. A checklist of fourteen procedural actions was used to evaluate incident commanders during six Field Drills and seven Sukkah Drills, and the rates of performance of each action compared quantitively.</p></div><div><h3>Results</h3><p>Despite differences in design, thirteen of fourteen procedural actions were performed at similar rates across both Sukkah and Field Drills.</p></div><div><h3>Conclusions</h3><p>The Sukkah Drill provides a comparable simulation experience to the Field Drill. Its simplicity and affordability may make it especially useful for lower-resource organizations.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396735","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}