Simulation in the undergraduate education of many nursing schools is gaining more and more steam. There are many needs of nursing students and their various styles of learning. Nursing educators must adapt and find ways to help students to be able to critically think. “The ability to think critically is an essential attribute for today’s nurses” (Kostovich, Poradzisz, Wood, and O’Brien, 2007, p. 225). “Simulation provides a unique modality for experiential learning and environment” (Decker, Sportsman, Puetz and Billings, 2008, p. 75). Simulation is a way to facilitate learning which meets one of the American Association of Colleges of Nursing (AACN) The Essentials of Baccalaureate Education for Professional Nursing Practice. This Doctor of Nursing Practice (DNP) roles practicum will provide insight and understanding of simulation in nursing education. The ways in which clinical nursing educators and leaders contribute to effective education of nursing students will also be evident. Furthermore, this experience will provide this graduate student nurse an opportunity to apply nursing theory and integrate all eight of The Essentials of Doctoral Education for Advanced Nursing Practice (2006) as outlined by the AACN.
Practicum Project In order to meet The Essentials of Doctoral Education for Advanced Nursing Practice (2006) as outlined by the AACN this graduate student nurse will meet with nursing leaders throughout the state of Texas to learn more about simulation design
This simulation experience allowed me to practice my focused assessment skills, delegation of tasks, prioritization on of tasks, interdisciplinary communication skills, and skills that I have not been able to participate in such as blood administration. I learned that my strengths are patient education, delegation, noticing changes in patient condition, and working as a member of a team. I need to improve my speed of completing tasks, my confidence, and my process of working through new skills.
Overall, the simulation lab at Rutgers was a very eye-opening experience for me. It was the first time that I was able to collaborate with other health professionals in a healthcare setting. Not only that, it was my first time doing a simulation in a hospital setting and with realistic factors that I did not encounter while at PCP. At PCP we were counseling in an ideal world where all the patients were compliant and followed through with our counseling. However, in the simulation lab, the patient was quite difficult to talk to and was not knowledgeable in any of his medications. In hindsight, this represented more of what problems healthcare professionals face in the real world. Because of this, I felt my team was not prepared for all these barriers when we
The intent of clinical simulations is to provide a safe environment for students to practice and implement skills. This is a way in which to help prepare the student for the hospital setting. Enhanced confidence, clinical judgment, knowledge, and competence are factors that come from these situations. I gained further knowledge, but I did not experience the other skills during simulation. During the postpartum-hemorrhage and birthing simulation, I purposefully picked the scenarios that I felt most comfortable with. That entailed being the spouse of the woman in labor, the nursing assistant, and the patient’s family member. When embodying those roles, I felt at ease, because I was not the fixation; I was not the one in charge of the situation. During the preeclampsia simulation, I was “dubbed” the staff nurse. I was definitely out of my comfort zone. I was in the second group, and this allowed me to observe the first group. I learned and made alterations from the first group’s performance. Observing the first group helped, but my performance was poor. I made several mistakes and was embarrassed by the end result. I did not do well with the assessments, answering the patient’s questions appropriately, and when calling the doctor, I was not fully prepared. Despite all the mistakes and feelings of embarrassment, I learned. I am very thankful for the awareness of what things went wrong. With further practice and
My chosen practicum will be teaching in the skills/simulation lab at NCMC. This paper will outline how the experience will enhance my knowledge and develop skills necessary to fulfill the role of nurse educator. The goals, objectives, and timeline will be discussed in this paper. The project that will be developed during the practicum experience will be a debriefing philosophy and evaluation tool to assess student learning with emphasis on critical thinking skills.
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
Simulation is one kind of reflective tool that widely use in nursing education. National League for Nursing (NLN) described that simulation was a teaching technique that encouraged students to use and apply their theoretical knowledge in clinical scenarios (2015). NLN (2015) also mentioned that “simulation engages learners with diverse perspectives to reflect and reframe the understanding of practice, bringing thinking and doing together” (p. 4). Jones (2009) showed the similar view that reflective simulation was a critical learning process via practiced-based scenario activity that enhanced students to learn and to practice skills before they faced real situations. However, not all processes of simulation use reflection, it is just debriefing process.
In other words, implications are recommendations derived from the findings of an EBP project or study for future research and for advancement of nursing practice. To meet the challenges of health care, patient safety issues, health professions education, and leadership for nursing practice, the American Association of Colleges of Nursing (AACN) established the Doctor of Nursing Practice (DNP) as the terminal degree (AACN, 2006). In addition, the AACN recognized that nurses at the DNP level were adept in leadership, clinical practice, information technology and healthcare policy; the challenge was synthesizing nurses’ current expertise with new knowledge gained from DNP programs (Chism, 2016). As a result, the AACN presented the Essentials of Doctoral Education for Advanced Nursing Practice, which, are the “foundational competencies that are core to all advanced nursing practice roles” and required for all graduates of a DNP program regardless of the specialty or area of focus (AACN, 2016, p.8; Chism, 2016). To that end, the PI discussed the eight DNP essentials to make evident its relationship to the EBP change project as well as practice implications for future
We were four in our group and we were given a scenario of a patient who was having an anaphylactic reaction from bee sting venom. The group agreed that I will be the primary nurse. As the primary nurse, I knew that I had to lead and supervised our group in responding to the emergency situation at hand. Having played the role of a primary nurse in this simulation, I have gained meaningful experience, which I can use in my future nursing practice.
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
A peer-reviewed journal article by Harris and Moore (2014) investigated the effects of a simulation-based educational program for 158 nursing students in their junior year of college. The groups of four nursing students practiced at three different simulation based medication administration stations one week prior to taking the medication administration exam (MAE). The study suggests that those who engaged in the simulation practice session before the exam scored significantly higher than those who did not participate. Early education on subjects of medication error will prepare healthcare students in their future occupations in hospitals and other medical settings. The findings in the study suggests that if contextual learning is implemented
For years nurses have gained experience in the medical field through clinical rounds at hospitals and doctors offices. Learning has always taken place first through textbooks and then through personal experience during required clinical time. These methods have proven effective but include limitations to the amount of exposure a student can gain before entering the workforce. A new way of learning is on the rise with the use of High Fidelity Simulations (HFS) or the Sim Man. HFS is a computerized life size manikin that simulates real human responses to treatment. This new technology allows students to practice rare procedures or treat common diagnoses.
First, to illustrate the excellence and vigilance of nursing care one must apprehend components necessary in an education of individual promoting grow into a professional healthcare provider. Baid and Hargreaves (2015) explain that " Safe and high quality nursing care requires nurses to have a thorough understanding of the rationales for why nursing interventions are carried out in addition to being able to correctly perform the psychomotor aspects of clinical practice " (p.175). Therefore, the introduction of simulation allows students to learn in a safe environment to develop assessment skills and to integrate quality and safety of the practice. Moreover, fidelity, validity, and reliability are the main components of simulation education
Research shows that novice nurses find it difficult to handle patient situation properly in the event that their condition rapidly deteriorate. Barbara Aronson (PhD, RN, and CNE) and her colleague Barbara Glynn (DNP, RN-BC) conducted the research. The title of the article was clearly stated and it focused on the effectiveness of a role- modeling intervention on student nurse simulation competency. The researchers used quasi -experimental studies to conduct a pre-test and post-test study to evaluate whether student been exposed to the role- modeling intervention simulation competency will be able to handle patient conditions better than student not exposed to that intervention. The study was been