Evaluating The Preliminary Effectiveness Of Theory Based Role Modelling Intervention On Enhancing Students Competencies

Dyess and Sherman (2009) explains in their journal The First Year of Practice: New Graduate Nurses Transition and Learning Needs, even though newly graduated nurses have achieved licensure to perform their job duties, many lack the clinical skills and critical thinking needed to provide safe patient care (Dyess & Sherman, 2009). In order to prepare for the influx of new nurses, The National Council of State Boards of Nursing’s (NCSBN) ideas led to a grant-supported Novice Nurse Leadership Institute (NNLI), a transition program used for researching and improving the transition of new nurses into practice. This model includes several significant novice nursing skill topics such as self-knowledge, leadership, procedural skill and ease, effective communication, clinical judgment, professionalism, knowledge of the health care environment, cultural diversity and sensitivity, safe practice, business skills, caring for self, and many others (Dyess & Sherman, 2009).

Transitioning from nursing school to working in a hospital setting can be a challenging time for a new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no experience. This is overwhelming for new nurses, especially when they are not getting adequate support or training from the hospital. The amount of stress, pressure, and lack of training is leading to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and safe care to the patients.

Since the capstone project started early on beginning of the Doctor of Nursing Practice (DNP) program, I was able to discuss and work personally with Dr. Spicer as my practice mentor in selecting the appropriate topic for my project. Dr. Spicer was very involved in choosing my second option for new capstone project # 1 related to simulation lab and faculty teaching and learning. The patient simulation laboratory (SIM lab) uses state-of-the-art equipment that provides students and faculty with the opportunity to tackle real-life scenarios in a safe and supported environment. Further, I learned that active learning involves the faculty through participation and investment in exploring content knowledge in all phases of the learning process. It requires educational activities that provide faculty with the opportunity to engage actively in courses and respond to the learning situation.

Nursing simulation, a progressive method of education and utilized by nursing programs, improves patient outcomes by giving students opportunities to practice and learn new nursing skills in non-threatening environments. The use of simulation experiences origins hold root in the military and airline industries. Nevertheless, since that time, many academic interest groups, including medical and nursing education have adopted this educational method. Furthermore, anticipated is the idea that simulation experiences will allow students the opportunities they need to practice skill sets that will lead to the improvement of the patient’s condition. Additionally, an evaluation of the nursing simulation also serves an important role in determining the effectiveness of the activity in meeting the objectives of various nursing curricula. Completing, recording, and studying the outcomes of a methodical evaluation, such as a rubric, are foundational to the enhancement of both the procedure and results (Robinson & Dearmon, 2013). This capstone project specifically concentrates on the development, implementation, and evaluation of a rubric for nursing simulation scenarios conducted by baccalaureate level nursing students at WKU.

Simulation labs and clinical placements are effective for practicing skills and building hands-on dexterity, habits, rhythms, and confidence. Not every facet of nursing education prepares student nurses with this kind of learning; originally an, most commonly clinical hours spent in simulation labs were integrated strictly into BSN programs, eliciting the statement made by Taylor (2008) that ADN programs have had to expand their curricula and offer students more content (p.613). According to Go’s (2012) dissertation on High Fidelity Patient Simulation (HFPS), simulation labs are advantageous because they give student nurses a venue for instruction while working in a clinical setting (p. 34). HFPS promotes and validates the clinical judgment competency of nursing students; it offers opportunities for feedback, debriefing, and guided reflection; it increases the student's ability to synthesize knowledge and insight, forming the bridge between theory and practice (Go, 2012, p. 34). However, hours spent in standard clinical settings are often inadequate in preparing

For the next simulation, I am hoping that I have improved my critical thinking skills in nursing to effectively perform whatever role I will have. Moreover, since simulations are actual situations in real life clinical settings that are being played out by the students, I will research on applicable evidenced based nursing intervention and applied it during the simulation. Applying this type of intervention during the simulation will reinforce my knowledge of effective nursing intervention and will enable me to acquire a more meaningful experience that could be applied in actual clinical setting. I will also try my very best to find out what possible equipment will be used in carrying out nursing care for a given clinical

Advanced Beginner is the next stage in Patricia Benner’s model. Nurses considered to be in this stage have had enough real life experiences to note different aspects of a situation. They base their assessments of patients on previous experiences similar to the current patient they are providing care for (Benner, 1984). Nurses performing at this

The subject of delegation inevitably is discussed when considering the demands on Registered Nurses. Registered Nurses are the hub of communication regarding the patients’ condition, treatment, and well-being. The doctor, family, lab, radiology, respiratory, physical therapy, dietary, and even billing and housekeeping rely on the nurse for information and the transmission of information to others. The patient being the most important of all of these, but if the nurse is communicating with all of these parties and documenting properly how is she suppose to then care for the patient. Now throw a “student nurse” on her to add to her responsibility. This paper with discuss delegation related to nursing practice, its benefits and drawbacks.

the use of simulators in clinical research programs for nurses. The purpose of this paper is

Mowry, M. J., & Gabel, M. A. (2015). Revision of immediate post-open heart surgery education for critical care RNs. The Journal of Continuing Education in Nursing, 46(11), 508-514. doi:http://dx.doi.org/10.3928/00220124-20151020-03

This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as

In today’s world, it is essential to incorporate nursing theory into practice. Patricia Benner, through her work, “has provided essential understanding of how knowledge and skills are acquired and directly applied to nursing practice, education, research and administration” (Altmann, 2007, p. 114). According to Benner’s model of skill acquisition, “the nurse passes through five stages of career development, novice, advanced beginner, competent, proficient and expert” (English, 1993, p.387). Specific patterns of behavior, thinking, and performance is present in each stage. The most experience is associated with the expert nurse and the least experience is possessed by the novice nurse (Benjamin, 2007). This model is based on ascending level of proficiency and the key concepts of this model are: competence, skill attainment, experience, clinical knowledge and practical knowledge

Nurses today are becoming so much more than a doctor’s assistant or a mother figure as they have been in the past. The profession of nursing has grown tremendously in the past hundred years and continues to grow and change every day. The only thing constant in nursing is change. Registered nurses are often there for the pivotal parts of life from birth to death, and everything in between. Nurses can be men or women, can work in various different settings, have many different responsibilities depending on where they work, and often their hard work goes unnoticed. This paper will outline the specific roles of a registered nurse, the various settings in which registered nurses work, the different levels of nursing along with their scopes of practice, the educational requirements for the various levels of nursing, how registered nurses are held accountable for their actions, and the significance of safety to the delivery of patient care.

The demand for shorter hospital stays, quicker healing, and more advanced care highlights the need of highly skilled nurses. From the time of graduation, nurses begin work in the clinical setting and continually attain insight and knowledge to become a more seasoned nurse. Patricia Benner focuses on the career development of nurses through her novice to expert theory. Patricia Benner, R.N., Ph.D., FAAN, FRCN, has been published many times and is most famous for her book From Novice to Expert: Excellence and Power in Nursing Practice. She’s a professor in the Department of Physiological Nursing at the University of California in San Francisco and was inducted into the American Academy of Nursing in 1985. She has received many awards and honors including the National League for Nursing’s Linda Richards Award and many others. Her years of experience and work with the Dreyfus Model of Skill Acquisition led to the development of the novice to expert model (Raile Alligood, 2014).

Furthermore, it is also important to state here that students who enrol in different nursing associate degree programs and courses related to BSN related nursing courses or RN programs can from such scenarios and case studies can get a proper idea regarding nursing homes and the problems that patients usually face in situations when managerial flaws and incompetent people take charge of things adversely affecting the ways in which patient healthcare needs to be treated (Schmidt, 2012). It will also be a good learning activity for them in their learning phases since it will provide them with a practical exposure towards the seriousness of the situation that they face in their own experience after they pass a degree and ways through which they can tackle it in an effective manner.