Clinical Simulation in Nursing最新文献

{"title":"Immersive simulation training on nursing health assessment among undergraduate nursing students and facilitators: A mixed methods study","authors":"Jackie Hoi Man Chan ,&nbsp;Sui Yu Yau,&nbsp;Suet Lai Wong,&nbsp;Rosenna Wai Ming Chung,&nbsp;Venus Hiu Ying Ngai","doi":"10.1016/j.ecns.2024.101673","DOIUrl":"10.1016/j.ecns.2024.101673","url":null,"abstract":"<div><h3>Background</h3><div>Immersion is an important indicator of successful learning in immersive simulation; however, its hindrances, including jumps in time or space and insufficient problem-solving opportunities, have been reported. This study aimed to comprehensively understand nursing students’ and facilitators’ experiences in immersive simulation on nursing health assessment.</div></div><div><h3>Methods</h3><div>A mixed methods design was employed comprising questionnaires post-simulation to ascertain nursing students’ immersion and learning satisfaction and semi-structured interviews with nursing students and facilitators to explore experiences in immersive simulation. Quantitative descriptive statistics and Pearson correlation test, and qualitative content analysis were used for analysis.</div></div><div><h3>Results</h3><div>A total of 208 second-year undergraduate nursing students completed the questionnaire, yielding a high level of immersion (4.97 out of 7) and learning satisfaction (4.29 out of 5). Interest, emotional attachment and time investment were aspects of immersion that were significantly correlated with learning satisfaction (<em>p</em> &lt; .001). Interviews were conducted with four facilitators and 25 nursing students with similar themes emerged: Interest and emotional attachment, learning satisfaction, and areas of improvement.</div></div><div><h3>Conclusions</h3><div>The simulation provided an immersive experience and satisfied learning on nursing health assessment among the nursing students. Their interest and emotional attachment are important elements to be considered in designing immersive simulation. Both facilitators and nursing students advocated for additional time for deliberate practice and a clearer explanation of learning objectives.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101673"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139949","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":"Malignant hyperthermia: How the lack of regular simulation training threatens patient safety","authors":"Alyssa Sicat DNP, CRNA ,&nbsp;Caitlin Bennett DNP, CRNA ,&nbsp;Kendra Homer DNP, CRNA ,&nbsp;Sawsan Shimi DNP, CRNA ,&nbsp;Robert Spafford DNP, CRNA ,&nbsp;Gordon Han DNP, CRNA ,&nbsp;Sarah Rollison DNP, CRNA, CNE, CHSE","doi":"10.1016/j.ecns.2024.101651","DOIUrl":"10.1016/j.ecns.2024.101651","url":null,"abstract":"<div><h3>Background</h3><div>Malignant Hyperthermia (MH) is a life-threatening pathology which must be accurately managed by Certified Registered Nurse Anesthetists (CRNAs) (Bin et al., 2022). This pilot project proposes simulation for CRNAs to mitigate skill decay.</div></div><div><h3>Sample</h3><div>Eight CRNAs employed at a large, mid-Atlantic medical center participated in the project.</div></div><div><h3>Methods</h3><div>CRNAs underwent a blind MH crisis simulation and were evaluated using a Key Action Checklist of MH management guidelines. This was followed by a debrief, MH education, and a postsimulation action-ordering exercise. The exercise was repeated at three months.</div></div><div><h3>Results</h3><div>The mean Key Action Checklist score (out of 20) was 13.81. The postsimulation action-ordering exercise had an average score of 6.86 out of 10. At three months, the average score was 6 out of 10.</div></div><div><h3>Conclusion</h3><div>Data comparison shows trends of skill decay. A larger sample size is needed, however this pilot project identified strengths and challenges for simulation implementation.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101651"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139951","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":"Learning the maneuvers to manage shoulder dystocia: A pilot study comparing the effects of dynamic 3D animation and static 2D images in training materials","authors":"Kirsty L. McLeod MPsychOrg, PhD ,&nbsp;Susan E. Hampton RN/RM ,&nbsp;Raden C. Sucalit BSc(IT) ,&nbsp;Chiara M. Santomauro PhD ,&nbsp;Mia L. McLanders PhD","doi":"10.1016/j.ecns.2024.101659","DOIUrl":"10.1016/j.ecns.2024.101659","url":null,"abstract":"<div><h3>Background</h3><div>Shoulder dystocia is a maternity emergency that requires complex maneuvers to navigate the baby safely through the pelvis. Course materials traditionally demonstrate these maneuvers using two-dimensional (2D) images. However, research shows that learning anatomically-complex procedures with three-dimensional (3D) models may reduce workload and improve performance.</div></div><div><h3>Design</h3><div>A between-participants pilot study.</div></div><div><h3>Participants</h3><div>Twenty student and graduate midwives.</div></div><div><h3>Methods</h3><div>Participants were randomly assigned to training with dynamic 3D animation (experimental group) or static 2D images (control group) to demonstrate core shoulder dystocia maneuvers. Participants performed the observed maneuvers on a manikin, with performance assessed using predetermined criteria. Participants’ cognitive workload and visuospatial ability were also measured.</div></div><div><h3>Results</h3><div>Mediation analysis revealed that participants in the 3D condition experienced lower workload, and lower workload predicted better performance on the manikin.</div></div><div><h3>Conclusions</h3><div>Teaching maneuvers to manage shoulder dystocia with dynamic 3D animation may reduce workload, and in turn, improve performance compared to static 2D materials. The findings provide support for a full trial, with further research needed to explore how interactive features of 3D animation affects learning and performance.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101659"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139952","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":"Evaluating effective communication in clinical and simulation","authors":"Christine Brockway PhD","doi":"10.1016/j.ecns.2024.101669","DOIUrl":"10.1016/j.ecns.2024.101669","url":null,"abstract":"<div><h3>Background</h3><div>Communication is an integral part of safe patient care and there is an education gap between how well nursing graduates perform and what is expected in the workplace. There is a need for objective evaluation of communication skills in nursing programs, especially in practical settings.</div></div><div><h3>Aim</h3><div>This study examined the use of a tool to evaluate communication in the practical settings of clinical and simulation with nursing students.</div></div><div><h3>Methods</h3><div>Fifty (50) BSN students from three different schools of nursing were scored using the ISBAR Nurse to Physician Rubric (Foronda et al., 2020) in clinical and simulation settings. Scoring for each student occurred in both settings during one semester.</div></div><div><h3>Results</h3><div>Comparison of student scores from both settings yielded statistically identical data, implying that a rubric used in a simulation setting could also be used in a clinical setting.</div></div><div><h3>Conclusion</h3><div>Use of the ISBAR Nurse to Physician Rubric is appropriate for the clinical setting with BSN nursing students.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101669"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139938","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":"Leveraging virtual reality for advanced scrub nurse education: A non-randomized comparative study of training effectiveness","authors":"Kodai Ichihara RN, BSN ,&nbsp;Mai Kitagawa RN, BSN ,&nbsp;Takahiro Uemura RN, BSN ,&nbsp;Reika Tachibana RN, BSN ,&nbsp;Ryosuke Kumashiro RN, BSN ,&nbsp;Kentaro Hara RN, PHN, PhD","doi":"10.1016/j.ecns.2024.101662","DOIUrl":"10.1016/j.ecns.2024.101662","url":null,"abstract":"<div><h3>Background</h3><div>Proximal femur fractures are common among the elderly, often leading to various complications if the waiting period for surgery is prolonged. Traditional manual-based training for scrub nurses poses challenges in visualizing and understanding surgical procedures. Virtual Reality (VR) offers a potential solution by providing an immersive and interactive learning environment.</div></div><div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of VR-based training compared to traditional manual-based training for scrub nurses involved in orthopedic trauma surgeries.</div></div><div><h3>Methods</h3><div>A single-center non-randomized comparative study was conducted with 10 scrub nurses at a tertiary emergency medical facility in eastern Asia. Participants were divided into a manual-based learning group and a VR-based learning group. The effectiveness of each training method was assessed using self-assessment and peer assessment questionnaires, as well as by measuring surgery time, anesthesia time, and the number of instrument errors.</div></div><div><h3>Findings</h3><div>The VR group reported significantly higher self-assessment scores in terms of realism, understanding of surgical procedures, and instrument preparation (<em>p</em> &lt; .05). Peer assessments indicated no significant differences between the groups in practical performance (<em>p</em> &gt; .05). The Steps for Coding and Theorization (SCAT) analysis revealed that VR enhanced the learning experience by providing a dynamic and immersive environment, although some limitations, such as difficulties in fine hand movements and potential for motion sickness, were noted.</div></div><div><h3>Conclusions</h3><div>VR-based learning offers significant advantages over traditional manual-based learning for scrub nurses by enhancing understanding of surgical procedures and improving instrument preparation. Integrating VR into nursing education can enhance training outcomes, but further research is needed to address its limitations and optimize its use.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101662"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139858","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":"Clinical Simulation in Nursing celebrates 20 years!","authors":"Ashley Franklin PhD, RN, CNE, CHSE-A, ANEF ,&nbsp;Lisa McKenna PhD, RN, RM, FACN, FANZAHPE","doi":"10.1016/j.ecns.2024.101675","DOIUrl":"10.1016/j.ecns.2024.101675","url":null,"abstract":"","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101675"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129735","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":"Psychometric validation of the Korean version of the debriefing experience scale","authors":"Jeong-Ah Ahn ,&nbsp;Kyoung-A Kim ,&nbsp;Shelly J. Reed","doi":"10.1016/j.ecns.2024.101664","DOIUrl":"10.1016/j.ecns.2024.101664","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based nursing education is an essential pedagogical approach. The debriefing process is a key component of this type of education. The Debriefing Experience Scale (DES) is widely used to measure students' postsimulation debriefing experience, but its applicability in Korea has not been validated.</div></div><div><h3>Methods</h3><div>This study translated the DES into Korean and validated it with 205 students from five nursing schools in South Korea. Reliability was assessed using Cronbach's alpha, and content validity was evaluated by a panel of experts. Convergent validity was assessed by correlating DES scores with the Satisfaction with Simulation Experience (SSE) scale, and construct validity was examined through confirmatory factor analysis.</div></div><div><h3>Results</h3><div>The Korean version of the DES demonstrated high internal consistency and satisfactory content validity. The DES correlated strongly with the SSE scale, confirming convergent validity. Confirmatory factor analysis supported the construct validity of the scale, showing a well-defined factor structure and acceptable model fit indices.</div></div><div><h3>Conclusion</h3><div>The Korean version of the DES is a reliable and valid tool for evaluating students’ debriefing experiences in simulation-based education. Its strong psychometric properties make it a valuable tool for educators and researchers to evaluate and enhance the effectiveness of simulation programs in diverse cultural contexts.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101664"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139953","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":"Evaluation of a quality CPR Coach simulation-based competency training: From learning outcomes to patient outcomes","authors":"Katie L. McDermott MSN, MEHP, RN, CPNP-AC ,&nbsp;Kari L. Rajzer-Wakeham MSN, RN, CPNP-AC ,&nbsp;Jennifer M. Andres MBA, BSN, RN ,&nbsp;Christine A. Schindler PhD, CPNP-AC/PC","doi":"10.1016/j.ecns.2024.101572","DOIUrl":"10.1016/j.ecns.2024.101572","url":null,"abstract":"<div><h3>Background</h3><div>Variability in cardiopulmonary resuscitation (CPR) quality and skill decay result in suboptimal application of CPR, which impacts patient outcomes following an arrest. Quality CPR Coach is a supplementary code team role that provides real time, verbal feedback directly to chest compressors to cognitively offload the team leader and ensure high-quality, goal-directed CPR delivery.</div></div><div><h3>Methods</h3><div>Design, implementation, and evaluation of a simulation-based Quality CPR Coach competency curriculum. Multi-modal assessment and evaluation methods were used.</div></div><div><h3>Results</h3><div>Statistically significant increase in confidence, perceived ability to verbalize Coach responsibilities, and knowledge. Participants demonstrated accurate Coach role performance across progressively scaffolded simulated compression event scenarios. Statistically significant increase in CPR Coaches on resuscitation teams during in-unit compression events, reflecting translation of education to the bedside.</div></div><div><h3>Conclusion</h3><div>Integrating resuscitation science, evidence-based education principles, and application at the local level are key features in the chain of survival following an arrest. This curriculum design, implementation, and evaluation serves as an exemplar process for other hospitals.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101572"},"PeriodicalIF":3.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139950","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":"Competency-based education: Simulation educators, don't be Afraid!","authors":"Marie Gilbert DNP, RN, CHSE-A ,&nbsp;Penni Watts PhD, RN, CHSE-A, FNAP, ANEF, FSSH, FAAN ,&nbsp;Kristen M. Brown DNP, CRNP, CPNP-AC, CHSE-A, FAAN","doi":"10.1016/j.ecns.2024.101668","DOIUrl":"10.1016/j.ecns.2024.101668","url":null,"abstract":"","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"97 ","pages":"Article 101668"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745696","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":"These sims are different! Thematic analysis of interdisciplinary faculty experiences designing virtual simulations","authors":"Colleen Ryan PhD, RN ,&nbsp;Patricia Johnson PhD, RN, Intensive Care Cert., BA, MN (Hons 1) ,&nbsp;Lydia Mainey PhD, RN, MPH ,&nbsp;Darryl Clare OAM, Dip Paramedical Sc, Dip TAE, Dip Management, Dip Leadership ,&nbsp;Gitte Galea BIT Hons, ,&nbsp;Chanchal Kurup RN, MClinEd ,&nbsp;Myles Shipton BDigital Media ,&nbsp;Lisa Wirihana PhD, RN, RM","doi":"10.1016/j.ecns.2024.101658","DOIUrl":"10.1016/j.ecns.2024.101658","url":null,"abstract":"<div><h3>Background</h3><div>Simulation design teams may lack understanding of effective teamwork processes. For interprofessional teams, the skills needed to work together may not be easy to learn or apply. There is a need to explore the experiences of multidisciplinary members of simulation design teams to advance their practice. A study was designed to explore a multidisciplinary team of nurses, paramedics, business and information technology staff and learning designers’ experiences designing a virtual simulation prototype.</div></div><div><h3>Method</h3><div>Participants contributed their reflections which were analysed thematically. Simulation best practices, design-based methods and constructivism informed the study design and the prototype build.</div></div><div><h3>Results</h3><div>Two themes, facing the reality of task complexities and Learning and adapting to advance the project describe team member experiences and serve to enhance interprofessional teams’ skills for designing virtual simulations.</div></div><div><h3>Conclusion</h3><div>The results illuminate key strategies to benefit interprofessional teams such as encouraging shared meaning and language, being solution-focused and being mindful of teams where one discipline is the majority.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"98 ","pages":"Article 101658"},"PeriodicalIF":3.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142723831","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}