scholarly journals Simulation-Based Learning: No Longer a Novelty in Undergraduate Education

Author(s):  
Michelle Aebersold

Simulation, once the domain of those faculty who enjoyed the technical aspects of using computerized mannequins, has now moved to center stage in nursing education. Nursing programs realize that they can no longer afford to consider simulation as merely an 'add-on.’ Simulation today includes role play, standardized patients, virtual simulation, and computerized mannequins. It is now imperative to integrate simulation throughout the entire curriculum. Today, simulation allows students to learn skills; develop clinical reasoning abilities; and to become competent in caring for patients/families in a safe environment. The variety of simulation-based learning options can offer a way to replace traditional, and often hard to find, clinical experiences. In this article, the author describes the background, theoretical basis, and current uses of simulation; reports on simulation effectiveness in nursing; shares educational strategies to enhance effectiveness; and considers simulation methods and feedback and debriefing strategies. The conclusion addresses simulation evaluation, and the future of simulation in nursing education.

2019 ◽  
Author(s):  
Aiza Soares

The contemporary American Health Care System created a demand for skilled advanced practice registered nurses (APRNs) to meet the health care needs of the U.S. population. It is imperative that graduate nursing programs adequately educate APRN students with the competencies to address these demands. Graduate nursing programs have adopted simulation-based learning to provide safe, cost-effective learning opportunities without the potential for real-world negative outcomes that can arise during hospital-based education. The purpose of this quality improvement project was to provide a tailored, APRN-focused prebriefing activity before simulation-based learning and measure its effects on self-reported student self-confidence scores. This project was conducted using a quantitative post-intervention survey design with a convenience sample of 17 APRN students. The participants were provided a prebriefing intervention by email prior to their interprofessional education (IPE). After the prebriefing intervention, the APRN students participated in four pre-established IPE simulation scenarios. The participants were then asked to complete the National League for Nursing (NLN) Satisfaction and Self-confidence in Learning Scale, a thirteen-statement survey with a 5-point Likert scale measuring self-reported, student satisfaction and self confidence related to their simulation-based learning experiences. Overall, high scores resulted on the post-intervention survey for the two subscales. This project supported the implementation of a structured prebriefing activity before IPE simulation-based learning in graduate nursing education.


2022 ◽  
Vol 7 (1) ◽  
pp. 44-54
Author(s):  
Mitsumi Masuda ◽  
Machiko Saeki Yagi ◽  
Fumino Sugiyama

Introduction: Simulation-based learning (SBL) is a practical and efficient learning method that involves the replacement of a portion of clinical education with quality simulation experiences. It has been utilised in various countries, such as the United States, Canada, and South Korea. However, based on current regulations in Japan, clinical education cannot be replaced with simulation experience. For future curriculum integration, it is necessary to clarify the current use of SBL and tackle systematic educational strategies of SBL. Therefore, this national survey aimed to clarify the prevalence and practices of SBL in undergraduate nursing education programs in Japan. Methods: This article presents the results of our national survey in Japan. It presents the questionnaire based on the International Nursing Association for Clinical Simulation and Learning Standards of Best Practice and demonstrates the use of simulation-based learning in Japanese undergraduate nursing programs. Results: Overall, the schools using simulation-based education (SBE) comprised 346 schools (82.4%) of the sample. Those equipped with high-fidelity simulators were 146 schools (27.6%); the rest owned medium-fidelity simulators. Almost all undergraduate nursing education systems were equipped with simulators, however, the frequency of use was low. SBL was incorporated into the curriculum at many undergraduate nursing education institutions, and awareness of the INACSL Standard of Best Practice: SimulationSM was extremely low. Conclusion: This study shows that SBL is not properly utilised in undergraduate nursing programs, even though many schools are equipped with simulators. Thus, further study on barriers to simulator use is needed.


2011 ◽  
Vol 5 (2) ◽  
pp. 472 ◽  
Author(s):  
Manuel Matos Fernandes ◽  
João Barradas Durão ◽  
Ana maria Leitão Fonseca

ABSTRACTObjectives: to characterize the scientific production of models and educational strategies for nursing education based on competencies; Identify results of model implementation/education strategies; discuss the commonalities and divergences on the use of models / educational strategies. Methodology: literature review in November 2010, on the bases of the Virtual Health Library (VHL) using the following keywords: Competency-based Education, Nursing Education and Higher Education, being selected one. In EBSCO, using the same descriptors in English (Competency-Based Education, Education, Nursing, Education, Higher), same time period, are found on 36 articles and 9 were selected. The inclusion criteria were research papers published between 2005 to 2010, available online as full text, to be in Portuguese, English or Spanish and focus further study. Also excluded were review articles, editorials and theses. Results: we characterized studies of educational models and strategies for a competency-based learning experiences in which emphasize teaching methods, curriculum design or evaluation. Conclusion: It was evident advantage in competency-based education, especially with the use of predefined models and use of educational strategies and models of interactive nature. Descriptors: competency-based education; education, nursing; education higher.RESUMOObjetivos: caracterizar produção científica sobre modelos e estratégias educacionais para educação em enfermagem  baseada em competências; Identificar resultados da implementação de modelo/estratégias educacionais; Discutir aspectos convergentes e divergentes sobre uso dos modelos/estratégias educacionais. Metodologia: revisão de literatura em Novembro de 2010, nas bases da Biblioteca Virtual em Saúde (BVS) utilizando os seguintes descritores: Educação baseada em competências, Educação em enfermagem e Ensino Superior, sendo selecionado um. Na EBSCO, utilizando os mesmos descritores em língua inglesa (Competency-Based Education; Education, Nursing;  Education, Higher), igual período de tempo, encontaram-se 36 artigos e foram seleccionados 9. Os critérios de inclusão foram: artigos de pesquisas publicados   no   período  2005 a 2010, estar  disponível on-line como texto completo, estar nos idiomas português, inglês ou espanhol e focalizar objecto de estudo. Excluíram-se artigos de opinião, editoriais e teses. Resultados: Foram caracterizados estudos sobre modelos e estratégias educacionais para uma aprendizagem baseada em competências nos quais as experiências enfatizam os métodos de ensino, o desenho curricular ou a avaliação. Conclusão: Ficou evidenciada vantagem na educação baseada em competências, sobretudo com a utilização de modelos prédefinidos e uso de estratégias e modelos educacionais de carácter interativo. Descritores: educação baseada em competências; educação em enfermagem; ensino superior.RESUMENObjetivos: caracterizar la producción científica de los modelos y estrategias educativas para la educación de enfermería basada en competencias; Identificar los resultados de la implementación del modelo y estrategias en la educación, discutir los puntos comunes y divergencias sobre el uso de modelos y estrategias educativas. Metodologia: revisión de la literatura en noviembre de 2010, sobre las bases de la Biblioteca Virtual en Salud (BVS) con las siguientes palabras: Educación Basada en Competencias, Educación en Enfermería y Educación Superior, siendo seleccionada uno. En EBSCO, utilizando los mismos descriptores en Inglés (Competency-Based Education; Education, Nursing; Education, Higher), mismo período de tiempo, se encuentran en 36 artículos y 9 fueron seleccionadas. Los criterios de inclusión fueron artículos de investigación publicados entre 2005 y 2010, disponible en línea en texto completo, para estar en Portugués, Inglés o Español y el foco mayor estudio. También se excluyeron los artículos de revisión, editoriales y tesis. Resultados: Se han caracterizado los estudios de los modelos educativos y estrategias de experiencias basadas en las competencias de aprendizaje que hacen hincapié en los métodos de enseñanza, diseño curricular o la evaluación. Conclusión: Es evidente ventaja en la educación basada en la competencia, especialmente con el uso de modelos predifinidos y el uso de estrategias educativas y modelos de carácter interactivo. Descriptores: educación basada en competencias; educación en enfermería; educación superior.


2016 ◽  
Vol 27 (1) ◽  
pp. 86-95 ◽  
Author(s):  
Teresa Gore ◽  
Wendy Thomson

Simulation is not just technology but a teaching method used to allow students to practice in a safe environment. The focus of simulation is to improve patient safety, communication, and the ability of the student to think and act as a nurse or advanced practice nurse. As use of simulation in nursing education increases, more regulations, guidelines, and standards are being developed to assist nursing programs to obtain best outcomes. This article provides readers with an overview of simulation use in undergraduate and graduate nursing education.


2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Viola Janse van Vuuren ◽  
Eunice Seekoe ◽  
Daniel Ter Goon

Although nurse educators are aware of the advantages of simulation-based training, some still feel uncomfortable to use technology or lack the motivation to learn how to use the technology. The aging population of nurse educators causes frustration and anxiety. They struggle with how to include these tools particularly in the light of faculty shortages. Nursing education programmes are increasingly adopting simulation in both undergraduate and graduate curricula. The aim of this study was to determine the perceptions of nurse educators regarding the use of high fidelity simulation (HFS) in nursing education at a South African private nursing college. A national survey of nurse educators and clinical training specialists was completed with 118 participants; however, only 79 completed the survey. The findings indicate that everyone is at the same level as far as technology readiness is concerned, however, it does not play a significant role in the use of HFS. These findings support the educators’ need for training to adequately prepare them to use simulation equipment. There is a need for further research to determine what other factors play a role in the use of HFS; and if the benefits of HFS are superior to other teaching strategies warranting the time and financial commitment. The findings of this study can be used as guidelines for other institutions to prepare their teaching staff in the use of HFS.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 546-546
Author(s):  
Christine Brewer

Abstract Few nursing students show preference in working with older adults. The purpose of this study was to review the U.S. nursing education evidence-based literature to determine curricula innovation to positively influence preference for working with older adults. CINAHL, Medline, Ovid Emcare, PsychInfo, and PubMed databases were searched for relevant U.S studies published between 2009 and 2020 using the search terms “nursing students”, “geriatrics OR gerontology OR older adults OR elderly OR aging”, “career OR work”, and “choice OR preference OR attitude”. Nine studies were eligible for inclusion. Nursing education may play a role in influencing how students perceive and prefer to work with older adults. Promising interventions include stand-alone gerontology courses, intergenerational service-learning experiences, and clinical experiences with community dwelling older adults. More evidence-based research with larger sample sizes are needed to determine effective nursing education interventions to improve nursing students’ attitude and preference for working with older adults.


2003 ◽  
Vol 99 (6) ◽  
pp. 1270-1280 ◽  
Author(s):  
John R. Boulet ◽  
David Murray ◽  
Joe Kras ◽  
Julie Woodhouse ◽  
John McAllister ◽  
...  

Background Medical students and residents are expected to be able to manage a variety of critical events after training, but many of these individuals have limited clinical experiences in the diagnosis and treatment of these conditions. Life-sized mannequins that model critical events can be used to evaluate the skills required to manage and treat acute medical conditions. The purpose of this study was to develop and test simulation exercises and associated scoring methods that could be used to evaluate the acute care skills of final-year medical students and first-year residents. Methods The authors developed and tested 10 simulated acute care situations that clinical faculty at a major medical school expects graduating physicians to be able to recognize and treat at the conclusion of training. Forty medical students and residents participated in the evaluation of the exercises. Four faculty members scored the students/residents. Results The reliability of the simulation scores was moderate and was most strongly influenced by the choice and number of simulated encounters. The validity of the simulation scores was supported through comparisons of students'/residents' performances in relation to their clinical backgrounds and experience. Conclusion Acute care skills can be validly and reliably measured using a simulation technology. However, multiple simulated encounters, covering a broad domain, are needed to effectively and accurately estimate student/resident abilities in acute care settings.


Author(s):  
Ujin Lee ◽  
Heeseung Choi ◽  
Yeseul Jeon

Simulation-based communication education has improved nursing students’ communication knowledge and skills. However, communication patterns that students commonly exhibit in simulated situations and students’ responses to specific clinical situations have not been systematically examined. The specific aims of the present study were (1) to identify non-therapeutic communication patterns that nursing students exhibit in simulated situations in the computer simulation-based education (ComEd) program, and (2) explore students’ responses to challenging clinical situations. This study used a mixed-method research design and a convenience sampling method to recruit participants. Frequency analysis and a conventional content analysis method were used to analyze answers provided by participants. A total of 66 students from four Korean nursing schools participated in the study. “False reassurance” was found to be the most common non-therapeutic communication pattern used by nursing students. Nursing students had difficulty in clinical situations such as reporting a patient’s condition to a doctor, communicating with a patient and perform basic nursing skills at the same time, and managing conflicts between patients. Technology-based communication simulation programs, which reflect various clinical situations, are considered a new alternative that can supplement the limitations of clinical practicum and improve the quality of nursing education.


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