Unit-Based Research Summary

Inadequate nurse staffing has become a major issue when it comes to patient safety. Having a unit function with not enough staff not only puts patients at risk for adverse events, it also puts the nurse at risk for potential errors. In the following paragraphs, information will be provided on how changing the number of nurses on the unit, will improve patient care. Literature will be discussed and will provide evidence that changing nurse-patient ratios not only improves the quality of care the patient receives, it also decreases the chances of errors. A change theory will also be discussed and will explain how it helps implement change in a hospital setting and how it will be used to implement change. Finally information on how the inter-professional

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

During this time period the child tends to have a lot of energy so they star to jump around and run, and they also discover new things they can do such as standing on one leg and hopping. From the ages 2-3 they also start t develop the thought of picking up a pencil and doodling. From the ages between the ages of 3-5 they develop the abilities of movement and balance which they learn how to throw and catch a ball and often start to ride a bike/tricycle.

I was waved down by a female at the entrance to the Edge Apt. Alize Rivera advised that she had been involved in a motor vehicle accident on Elm St. she stated that the other driver involved had her boyfriend the stated driver of Unit 2, move from the scene of the crash to the Edge Apt, and then he drove off. Rivera advised that the driver of Unit 2 ,was stopped waiting to turn into the Troy Softball parking lot when a black Chevy Silverado struck her vehicle from behind. She stated that the Driver of unit 1 was a white male, around his mid 20, and had a blue hat on. Officer were unable to locate unit 1. Unit 2 had major damage to the rear of the vehicle ,but was not disabled. I advised on how to obtain this

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

Simulation has been recognized as one of the standard teaching strategies in nursing education and it also enables learning and evaluation of patient care (NLN, 2015). Simulation not only promotes active learning but also

Nursing is a profession of compassion and healing. Nurses are subjected to compassion fatigue, burnout, high stress, and moral distress. Many nurses work 12-hour shifts within a facility with staffing shortages and are determined to balance work with multiple aspects of life outside of work. Under stress, over worked, and minimally assisted, nurses are vulnerable to making mistakes that could lead to death. “The Institute of Medicine reported that communication failures account for most adverse outcomes in hospitals” (Margo, 2013). This paper will discuss increasing patient safety and closing the gap in communication by adding RN staff huddle to bedside shift report. For patients in an ICU, how does RN staff huddle plus bedside shift report compare to bedside shift report alone, in relation to staff knowledge of all patients on the unit to result in increased patient safety during a 12-hour shift?

patient trust. One way to develop such skills is through the use of simulation. Throughout history

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.

Buckley, T., & Gordon, C. (2011). The effectiveness of high fidelity simulation on medical–surgical registered nurses' ability to recognize and respond to clinical emergencies. Nurse Education Today, 31(7), 716-721. Retrieved from:

The instrument of the Coates CES scale was also explained in relationship as to why it was an appropriate measurement of students and the measurement of establishing caring in relations to nursing simulations. The method for data collection was thoroughly explained through describing the exact simulation being tested, the simulation participants, and the participants that provided the evaluations.

Two research questions were established during the study “The Effect of Unit-Based Simulation on Nurses’ Identification of Deteriorating Patients” (Disher, et al 2014). The first addressed the “

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