Nursing Simulation Applicability. Virginia League of Nursing Conference April 25, 2015 Dr. Kathryn Mauch

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1 Nursing Simulation Applicability Virginia League of Nursing Conference April 25, 2015 Dr. Kathryn Mauch S

2 Objectives S Discuss research related to a clinical approach that combines high-fidelity patient simulation and traditional, hands-on patient care. S Identify Virginia Board of Nursing s guidelines related to simulation use in clinical education. S Identify the uses for simulation in educating nursing students, especially as it relates to high-fidelity patient simulation. S Discuss the strengths and weaknesses of clinical education as it relates to traditional versus high-fidelity patient simulation.

3 Clinical Education in Nursing Live Hands-On Patient Care High Fidelity Patient Simulation

4 Significance

5 Current Research

6 Current Research

7 Virginia Board of Nursing S 20% Clinical Education can be spent in simulation settings high-fidelity simulation. S No more than 50% in any one course. S Authentic, purposeful

8 Research S The Lived Experience of Nursing Student Following a Clinical Rotation: A Phenomenological Inquiry S The purpose of the qualitative, phenomenological study was to understand how the combination of high-fidelity patient simulation and traditional clinical impacts a students clinical education experience.

9 Research Questions S What is the lived experience of nursing students who have completed a clinical rotation that combines high-fidelity patient simulation laboratory experiences and hands-on patient care? S How do nursing students clinical experiences impact their self-confidence in their ability to care for patients? S How do nursing students motivations to care for patients impact their responses to clinical education approaches?

10 Theoretical Framework

11 Methods Setting Participants School of Nursing/BSN Eastern U.S. 93% Female/7% Male Convenient/Purposive Medical Surgical Clinical Course 12 Female

12 Data Collection

13 Themes Themes Collaboration Team Approach Confidence Influence of Instructor Observation Realism Reflection RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Prep New Role Comm. Overcom. Stress Pos. Nurse HC Prov. Stress Conn. Sim/Trad. Pos.

14 Themes Themes Collaboration Team Approach RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Confidence Prep New Role Comm. Overcom. Stress Influence of Instructor Pos. Observation Realism Reflection Nurse HC Prov. Stress Conn. Sim/Trad. Pos.

15 Themes Themes Collaboration Team Approach RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Confidence Prep New Role Comm. Overcom. Stress Influence of Instructor Pos. Observation Realism Reflection Nurse HC Prov. Stress Conn. Sim/Trad. Pos.

16 Themes Themes Collaboration Team Approach RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Confidence Prep New Role Comm. Overcom. Stress Influence of Instructor Pos. Observation Nurse HC Prov. Realism Reflection Stress Conn. Sim/Trad. Pos.

17 Themes Themes Collaboration Team Approach RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Confidence Prep New Role Comm. Overcom. Stress Influence of Instructor Pos. Observation Nurse HC Prov. Realism Stress Conn. Sim/Trad. Reflection Pos.

18 Themes Themes Collaboration Team Approach RQ1 Lived Experience RQ2 Selfconfidence RQ3 Motivation Subthemes HC Prov. Stud. Confidence Prep New Role Comm. Overcom. Stress Influence of Instructor Pos. Observation Nurse HC Prov. Realism Stress Conn. Sim/Trad. Reflection Pos.

19 Implications Bandura & Kolb NCSBN Authentic Experiences Safe Environment Purposeful Learning Reflective Experiences

20 Limitations Small Sample Size, All Volunteers One School of Nrsg. Generalizability All Female Participants Various teaching methods Medical-Surgical Course Percentage of Sim (15%) Faculty Expertise

21 Future Research Recommendations Continued Research on Topic Other Patient Populations Simulation Percentage and Student Outcomes Faculty Perceptions & Preparedness Observational Learning Reflective Learning Collaborative Learning

22 Simulation

23 References S See Attached Reference List (Word Document) S Graphics S S FORM=HDRSC2#view=detail&id=72CFDE617753F084CC 7A294F48CA1173C4BA68AF&selectedIndex=14 %20clinical&qs=n&form=QBIRMH&pq=nursing%20hospital %20clinical&sc=0-0&sp=- 1&sk=#view=detail&id=0166F280705C61E61E7CAC81BCF AFBB &selectedIndex=32

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