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Haddeland K, Slettebø Å, Fossum M. Enablers of the successful implementation of simulation exercises: a qualitative study among nurse teachers in undergraduate nursing education. BMC Nurs 2021; 20:234. [PMID: 34802428 PMCID: PMC8607751 DOI: 10.1186/s12912-021-00756-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Accepted: 11/01/2021] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Simulation exercises are increasingly being used as a teaching method in the field of undergraduate nursing education. Thus, the present study sought to identify, describe and discuss enablers of the successful implementation of simulation exercises in undergraduate nursing education. METHODS This study had a qualitative descriptive design and involved individual interviews conducted between November and December 2018 with six nurse teachers from three different university campuses in Norway. The transcribed interviews were analysed by means of a qualitative thematic analysis. RESULTS The majority of the interviewees wanted to offer more simulation exercises as part of their respective undergraduate nursing education programmes. Moreover, creating a safe environment, facilitating student-centred learning and promoting reflection were all identified by the interviewees as enablers of the successful implementation of simulation exercises. CONCLUSIONS The findings of this study indicate that nurse teachers consider simulation to be a valuable teaching method for improving students' learning outcomes. In addition, the findings could guide the future implementation of simulation exercises in undergraduate nursing education. TRIAL REGISTRATION ClinicalTrials.gov ID: NCT04063319 . Protocol ID: 52110 Nursing Students' Recognition of and Response to Deteriorating Patients.
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Affiliation(s)
- Kristine Haddeland
- Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Postbox 422, 4604 Kristiansand, Norway
| | - Åshild Slettebø
- Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Postbox 422, 4604 Kristiansand, Norway
| | - Mariann Fossum
- Centre for Caring Research – Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Postbox 422, 4604 Kristiansand, Norway
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Franklin AE, Sideras S, Dodd C, Hutson J. A Randomized Trial of Multiple-Patient Simulation Preparation to Improve Novice Nurses' Competence and Self-Efficacy. Nurs Educ Perspect 2020; 41:146-151. [PMID: 31804285 DOI: 10.1097/01.nep.0000000000000593] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM The purpose of the study was to determine best practices for multiple-patient simulation (MPS) preparation and frequency to improve behavioral performance in nursing students. BACKGROUND MPS provides a safe environment for novice nurses to practice priority setting, delegation, and multitasking, but evidence for best practices is needed. METHOD A multisite, blinded, randomized trial was conducted to evaluate the effect of three simulation preparation methods (expert modeling, voice-over PowerPoint, and reading assignments) on students' competence and self-efficacy for providing care to multiple patients in the simulation lab. Participants (n = 73) were enrolled in capstone clinical courses at two schools of nursing. RESULTS Though there was no difference in raw change in competence score among the study groups, there was a statistically significant difference in pretest and posttest scores. The change in self-efficacy did not correlate with the change in competence. CONCLUSION These findings will help educators understand how novice nurses benefit from repeated MPS activities.
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Affiliation(s)
- Ashley E Franklin
- About the Authors Ashley E. Franklin, PhD, RN, CNE, CHSE, is an assistant professor, Texas Christian University, Fort Worth, Texas. Stephanie Sideras, PhD, RN, is an assistant professor, Oregon Health & Science University, Portland, Oregon. Caitlin Dodd, MSN, RN, is an assistant professor of professional practice, Texas Christian University. Jeremy Hutson, MSN, RN, is an instructor, Clackamas Community College, Portland, Oregon. This research was made possible by funding from the National League for Nursing Foundation for Nursing Joyce Griffin-Sobel Research Award and from Texas Christian University (Alma and Robert D. Moreton Research Award). For more information, contact Dr. Franklin at
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McKenzie CT, Tilashalski K, Abou-Arraj R, Peterson DT, White ML. Students' Evaluations of Simulations in Dentistry: A Multiple Cohort Study at a U.S. Dental School. J Dent Educ 2019; 83:1142-1150. [PMID: 31235505 DOI: 10.21815/jde.019.121] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 04/18/2019] [Indexed: 12/21/2022]
Abstract
Simulation may help translate didactic learning to patient care in areas such as communication skills and medical emergency management. The aims of this study were to investigate how multiple cohorts of dental students evaluated simulations utilizing standardized patients and manikins and to explore evaluations of a simulation that combined social determinants of health with oral health education. All approximately 600 second- and fourth-year dental students at one U.S. dental school participated in simulation activities for five years (2014-18). The activities involved clinical communication skills with an urgent care patient, medical emergency management, and communication skills with a parent with low income. After the simulations, students were invited to complete an evaluation of the experience. Questionnaire items addressed perceived applicability to patient care, value of the experience, and fulfillment of objectives; and open-ended questions asked for comments specific to the parent with low income simulation. A total of 497 responses from D2 and D4 students were collected over the five-year period, as well as from all 12 periodontics residents in 2017, for an overall 91.7% response rate. The vast majority (>90.6%) positively evaluated all items for each simulation. The positive ratings ranged from a mean of 99.3% for the urgent care simulation to 93.8% for the parent with low income simulation. Positive student comments often related to learning from/with others and effective practice of teach back and patient education tactics. Students' most frequent suggestions for improvement called for better preparation. In this study, simulations with both standardized patients and manikins led to positive evaluations as well as anticipated improvement of clinical performance. These results suggest that incorporating simulation into an already-crowded curriculum is worth it from the student perspective, especially for reinforcement of clinical skills not easily amenable to classroom instruction.
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Affiliation(s)
- Carly T McKenzie
- Carly T. McKenzie, PhD, is Assistant Professor, Department of Clinical and Community Sciences, Behavioral and Population Sciences Division, School of Dentistry, The University of Alabama at Birmingham; Ken Tilashalski, DMD, is Professor, Department of Restorative Sciences and Associate Dean for Academic Affairs, School of Dentistry, The University of Alabama at Birmingham; Ramzi Abou-Arraj, DDS, MS, is Associate Professor, Department of Periodontology, School of Dentistry, The University of Alabama at Birmingham; Dawn Taylor Peterson, PhD, is Assistant Professor, Department of Medical Education, School of Medicine and Department of Health Services Administration, School of Health Professions, as well as Director of Faculty Development and Training, Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham; and Marjorie Lee White, MD, MA, MPPM, is Professor, Departments of Pediatric Emergency Medicine and Medical Education, School of Medicine and School of Health Professions, Assistant Dean for Clinical Simulation, and Director of Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham.
| | - Ken Tilashalski
- Carly T. McKenzie, PhD, is Assistant Professor, Department of Clinical and Community Sciences, Behavioral and Population Sciences Division, School of Dentistry, The University of Alabama at Birmingham; Ken Tilashalski, DMD, is Professor, Department of Restorative Sciences and Associate Dean for Academic Affairs, School of Dentistry, The University of Alabama at Birmingham; Ramzi Abou-Arraj, DDS, MS, is Associate Professor, Department of Periodontology, School of Dentistry, The University of Alabama at Birmingham; Dawn Taylor Peterson, PhD, is Assistant Professor, Department of Medical Education, School of Medicine and Department of Health Services Administration, School of Health Professions, as well as Director of Faculty Development and Training, Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham; and Marjorie Lee White, MD, MA, MPPM, is Professor, Departments of Pediatric Emergency Medicine and Medical Education, School of Medicine and School of Health Professions, Assistant Dean for Clinical Simulation, and Director of Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham
| | - Ramzi Abou-Arraj
- Carly T. McKenzie, PhD, is Assistant Professor, Department of Clinical and Community Sciences, Behavioral and Population Sciences Division, School of Dentistry, The University of Alabama at Birmingham; Ken Tilashalski, DMD, is Professor, Department of Restorative Sciences and Associate Dean for Academic Affairs, School of Dentistry, The University of Alabama at Birmingham; Ramzi Abou-Arraj, DDS, MS, is Associate Professor, Department of Periodontology, School of Dentistry, The University of Alabama at Birmingham; Dawn Taylor Peterson, PhD, is Assistant Professor, Department of Medical Education, School of Medicine and Department of Health Services Administration, School of Health Professions, as well as Director of Faculty Development and Training, Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham; and Marjorie Lee White, MD, MA, MPPM, is Professor, Departments of Pediatric Emergency Medicine and Medical Education, School of Medicine and School of Health Professions, Assistant Dean for Clinical Simulation, and Director of Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham
| | - Dawn Taylor Peterson
- Carly T. McKenzie, PhD, is Assistant Professor, Department of Clinical and Community Sciences, Behavioral and Population Sciences Division, School of Dentistry, The University of Alabama at Birmingham; Ken Tilashalski, DMD, is Professor, Department of Restorative Sciences and Associate Dean for Academic Affairs, School of Dentistry, The University of Alabama at Birmingham; Ramzi Abou-Arraj, DDS, MS, is Associate Professor, Department of Periodontology, School of Dentistry, The University of Alabama at Birmingham; Dawn Taylor Peterson, PhD, is Assistant Professor, Department of Medical Education, School of Medicine and Department of Health Services Administration, School of Health Professions, as well as Director of Faculty Development and Training, Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham; and Marjorie Lee White, MD, MA, MPPM, is Professor, Departments of Pediatric Emergency Medicine and Medical Education, School of Medicine and School of Health Professions, Assistant Dean for Clinical Simulation, and Director of Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham
| | - Marjorie Lee White
- Carly T. McKenzie, PhD, is Assistant Professor, Department of Clinical and Community Sciences, Behavioral and Population Sciences Division, School of Dentistry, The University of Alabama at Birmingham; Ken Tilashalski, DMD, is Professor, Department of Restorative Sciences and Associate Dean for Academic Affairs, School of Dentistry, The University of Alabama at Birmingham; Ramzi Abou-Arraj, DDS, MS, is Associate Professor, Department of Periodontology, School of Dentistry, The University of Alabama at Birmingham; Dawn Taylor Peterson, PhD, is Assistant Professor, Department of Medical Education, School of Medicine and Department of Health Services Administration, School of Health Professions, as well as Director of Faculty Development and Training, Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham; and Marjorie Lee White, MD, MA, MPPM, is Professor, Departments of Pediatric Emergency Medicine and Medical Education, School of Medicine and School of Health Professions, Assistant Dean for Clinical Simulation, and Director of Office of Interprofessional Simulation for Innovative Clinical Practice, The University of Alabama at Birmingham
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