Clinical Simulation in Nursing最新文献_第9页

Pioneering the Australian Academic Electronic Medical Records (AAeMR) Program Prototype to Enhance Nursing Students' Readiness for Practice: A Cohort Study 开拓澳大利亚学术电子病历 (AAeMR) 计划原型，提高护理专业学生的实践准备水平：队列研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-06 DOI: 10.1016/j.ecns.2024.101566

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":"93 ","pages":"Article 101566"},"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}

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Implementation of a Multiple Patient Scenario to Enhance Nurse Practitioner Student Role Transition 实施多重患者情景模拟，加强实习护师学生的角色转换

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-04 DOI: 10.1016/j.ecns.2024.101575

Theresa Motley DNP, MPH, CPNP-AC/PC , Ann-Marie Brown PhD, CPNP-AC/PC, CCRN, CNE, FCCM, FAANP, FASPEN

{"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":"93 ","pages":"Article 101575"},"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}

引用次数: 0

The Impact of Virtual Simulation on Empathy in Undergraduate Nursing Students 虚拟仿真对护理专业本科生移情能力的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-03 DOI: 10.1016/j.ecns.2024.101570

Samantha Juan EdD, RN, CCRN-A, CHSE, CNE , Kathleen A. O'Connell PhD, RN, FAAN

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Development and Application During Clinical Simulation of MEDISIM, A Checklist for Assessing Nursing Students’ Competence in Safe Medication Administration 开发并在临床模拟中应用 MEDISIM--评估护理专业学生安全用药能力的核对表

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-03 DOI: 10.1016/j.ecns.2024.101568

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

{"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":"93 ","pages":"Article 101568"},"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}

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Effectiveness of an Interdisciplinary Pediatric and Neonatal Palliative Care Simulation Program in India 印度跨学科儿科和新生儿姑息治疗模拟项目的成效

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-02 DOI: 10.1016/j.ecns.2024.101569

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":"93 ","pages":"Article 101569"},"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}

引用次数: 0

The Sukkah Drill: A Novel Approach to Incident Command Training 苏卡演习：事故指挥培训的新方法

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.ecns.2024.101565

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":"92 ","pages":"Article 101565"},"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}

引用次数: 0

Congratulations to Our Article of the Year Winners for 2023 祝贺 2023 年度文章获奖者

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.ecns.2024.101581

Lisa McKenna RN, PhD

引用次数: 0

Impact of EHR on Realism, Skills, and Workload in Sepsis Simulation 电子病历对败血症模拟的真实性、技能和工作量的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-06-29 DOI: 10.1016/j.ecns.2024.101560

Lauren M. Hess MD, ABPM-CI , Shailendra Das DO , Rathi Asaithambi MD, MPH, EdM , Erica Delbecq MD , Carolina Molleda Castro MD , Wallis Molchen DO , Daniel Lemke MD

{"title":"Impact of EHR on Realism, Skills, and Workload in Sepsis Simulation","authors":"Lauren M. Hess MD, ABPM-CI , Shailendra Das DO , Rathi Asaithambi MD, MPH, EdM , Erica Delbecq MD , Carolina Molleda Castro MD , Wallis Molchen DO , Daniel Lemke MD","doi":"10.1016/j.ecns.2024.101560","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101560","url":null,"abstract":"<div><h3>Introduction</h3><p>Sepsis is one of the leading causes of death for children. Simulation provides a framework for improvement in teamwork and communication, which are essential skills in conditions such as sepsis, where early recognition is crucial.</p><p>The purpose of this mixed methods project was to understand the effects of adding sandbox Electronic Health Record (EHR) on realism and team dynamics. This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.</p></div><div><h3>Methods</h3><p>This study was conducted during multidisciplinary (pediatric residents and nurses) in-situ sepsis simulations.</p><p>Groups were randomized to receive EHR or paper. Team clinical times were recorded. After completion, participants completed a survey about attitudes and workload, and some completed qualitative interviews.</p></div><div><h3>Results</h3><p>Participants in both groups wanted to have EHR in future simulations. Differences in workload and clinical times were not significantly different. Themes that emerged were: EHR improved realism allowing for skills practice but could be a distraction. Key elements for the simulated EHR design were identified and aligned with prior literature.</p></div><div><h3>Conclusions</h3><p>Acute care simulations that utilized EHR were perceived by learners to improve realism and can allow for skills practice.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101560"},"PeriodicalIF":3.4,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing high fidelity simulator versus wearable simulator on team communication, clinical judgment, and patient safety in an interprofessional team 比较高仿真模拟器和可穿戴模拟器对跨专业团队的团队沟通、临床判断和患者安全的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-06-25 DOI: 10.1016/j.ecns.2024.101564

Rebecca Lyon MS, PA-C , Jennifer McAdams MSN, RNC-OB, C-EFM , Alaina Tellson PhD, RN, NPD-BC, NEA-BC , Marlene T. Porter PhD, RN, NPD-BC, CCRN, CEN

{"title":"Comparing high fidelity simulator versus wearable simulator on team communication, clinical judgment, and patient safety in an interprofessional team","authors":"Rebecca Lyon MS, PA-C , Jennifer McAdams MSN, RNC-OB, C-EFM , Alaina Tellson PhD, RN, NPD-BC, NEA-BC , Marlene T. Porter PhD, RN, NPD-BC, CCRN, CEN","doi":"10.1016/j.ecns.2024.101564","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101564","url":null,"abstract":"<div><h3>Background</h3><p>Escalating maternal morbidity and mortality rates in the United States demand effective healthcare provider training. This study examined an interprofessional team's communication, clinical judgment, and patient safety using a high-fidelity simulator versus a wearable simulator by a standard patient.</p></div><div><h3>Methods</h3><p>The study employed a two-group comparative, quasi-experimental design. The intervention group used a wearable simulator, while the control group used a high-fidelity mannequin.</p></div><div><h3>Results</h3><p>The final sample consisted of 85 individuals (49 intervention, 33 control group). No significant differences in simulation effectiveness were observed between groups.</p></div><div><h3>Conclusion</h3><p>Equivalent performance outcomes suggest institutions can choose simulation modalities based on cost, availability, and logistical considerations without compromising training quality.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101564"},"PeriodicalIF":3.4,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multi-Modal Simulation to Prepare Final Year Nursing Students for Transition to Clinical Practice: A Mixed Methods Study 多模式模拟为护理专业毕业班学生过渡到临床实践做好准备：混合方法研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-06-21 DOI: 10.1016/j.ecns.2024.101559

Sok Ying Liaw PhD, RN , Khairul Dzakirin Bin Rusli BSc (Hons), RN , Laura Tham Schmidt M Geront, RN , Chiew Jiat Rosalind Siah PhD, RN , Lisa McKenna PhD, RN , Yan Hui Celestine Wee M Geront, RN , Nicholas Wee Siong Neo BSc (Hons), RN , Siew Tiang Lau PhD, RN , Betsy Seah PhD, RN

{"title":"Multi-Modal Simulation to Prepare Final Year Nursing Students for Transition to Clinical Practice: A Mixed Methods Study","authors":"Sok Ying Liaw PhD, RN , Khairul Dzakirin Bin Rusli BSc (Hons), RN , Laura Tham Schmidt M Geront, RN , Chiew Jiat Rosalind Siah PhD, RN , Lisa McKenna PhD, RN , Yan Hui Celestine Wee M Geront, RN , Nicholas Wee Siong Neo BSc (Hons), RN , Siew Tiang Lau PhD, RN , Betsy Seah PhD, RN","doi":"10.1016/j.ecns.2024.101559","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101559","url":null,"abstract":"<div><h3>Background</h3><p>With the wide spectrum of simulation modalities, combining different modalities may support the development of complex clinical skills that can prepare nursing students for making the transition to graduate nurse practice.</p></div><div><h3>Aim</h3><p>To describe the design and evaluation of a multi-modal simulation to facilitate final-year nursing students’ transition to clinical practice.</p></div><div><h3>Methods</h3><p>A mixed methods study design was employed to evaluate the multi-modal simulation. Pre and post-tests were conducted to evaluate final-year nursing students’ readiness for clinical practice. Individual interviews were conducted to evaluate long-term impact on clinical practice.</p></div><div><h3>Result</h3><p>The students reported significant improvement (<em>p</em> < .001) in their readiness for their clinical practice. Three themes emerged for the impact on their clinical practice: self-efficacy in clinical procedures; metacognitive awareness for transfer of learning; and beyond communication to building relationships.</p></div><div><h3>Conclusion</h3><p>The multi-modal simulation has an immediate effect on improving nursing students’ readiness for clinical practice. It also has a significant clinical impact on enhancing their self-efficacy in performing clinical procedures and metacognitive awareness as they migrate into the real clinical world.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101559"},"PeriodicalIF":3.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141438788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0