Problem and Purpose
Powell-Laney clearly identified the purpose of the study along with identifying the reason for the study. According to Powell-Laney (2010) there is a lack of evidence to support the use of simulation technology to teach clinical decision-making in nursing students thus Powell-Laney designed a study to ascertain whether the use of simulation technology in nursing education can increase the clinical decision making ability of nursing students (p. 6). Furthermore, Powell-Laney (2010) states that simulation technology is expensive and labor intensive thus adding to the need for current research to be done on the effectiveness of simulation technology in nursing education.
Review of the Literature
Simulation technology is a widely used educational resource in nursing education. It allows students to gain knowledge and experience in critical scenarios without having the risk that is involved with live patients. Powell-Laney (2010) reviewed several studies that attempted to prove the effectiveness of simulation experience but found that most of the studies were qualitative in nature and focused on the students’ perceptions of their simulation experience and did not focus on outcomes that the patient scenario may have. The literature that Powell-Laney reviewed was current at the time she wrote the article adding to the validity and reliability of her study. She also reviewed numerous articles and research related to her study checking for previously done research in this area and gaps that may be present. Powell-Laney (2010) found mixed results in previous studies indicating a need for more research allowing her to design a study that is both relevant and warranted. The research report was presented in a logical mann...
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...tates that further research should be replicated with nursing students of differing educational levels and other healthcare providers. She also adds additional research should be done that evaluates patient outcomes by following nursing students through their careers to evaluate if simulation technology aided in their patient outcome of critical situations (Powell-Laney, 2010).
References
LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: methods and critical appraisal for evidence-based practice (8th ed.). St, Louis: Elsevier.
Powell-Laney, S. K. (2010). The use of human patient simulators to enhance the clinical decision making of nursing students (Doctoral dissertation, Walden University).
Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: qualitative research. British Journal of Nursing, 16(12), 738-745.
Conflict often arises between new graduate nurses and experienced staff over the ideal patient care. The realities of practice often turn out to be contrary to what graduates were taught in university (Phillips, Kenny, Esterman, & Smith, 2014). These discrepancies in practices have been shown to create distress and reality shock for new RNs (Gardiner & Sheen, 2016). Reality shock is experienced when the considerate effort is put into preparing for a specific employment and new employee finds the candidate not prepared at all (Harwood, 2011). This often stems as a result of the gap between a theoretical and practical component of an education (Whitehead, 2011). Ortiz discussed that university education does not prepare graduate nurses to deal with the irritated physicians and family members (2016). All these experiences presented together to the newly qualified nurse 's results in reality
...l frameworks to simulation nursing education. International Journal of Nursing Education Scholarship, 4(1), 1-14. Retrieved from http://web.ebscohost.com.lib.kaplan.edu/ehost/pdfviewer/pdfviewer?vid=15&sid=e3dda041-daf0-4885-8661-cc2063933b4a%40sessionmgr4001&hid=4112
... simulations, which range from computer run screen simulations to physical simulations, are helping the medical trainees acquire high edge experiences from repetitive exercises of complex medical procedures. The skills and understanding derived from this kind of training is hopefully expected to improve the actual medical service delivery once the students graduate.
On the 1st of November 2013, I performed my first simulation on the module, Foundation Skills for Nursing. This simulation was on checking for vital signs in patients particularly, measuring the blood pressure (BP) which is the force of blood vessels against the walls of the vessels (Marieb and Hoehn, 2010). We also measured the temperature, pulse and respiratory (TPR) rates of a patient. This simulation’s objective was to engage us in practising some basic observation techniques taken on patients in and out of hospitals and to familiarise us on some of the tasks we will be performing when in practise. I will be applying the “What”, “So what”, and “Now what” model of reflection in nursing by Driscoll (2000).
Across the nation many nursing programs are facing clinical site shortages for their students. The hardest hit population is the license vocational nursing (LVN) students. Many hospitals are trending toward achieving “Magnet Status” for their institutions. Therefore, LVN students are no longer allowed to complete their clinical training in several hospitals. This action forces many nursing programs to seek alternative methods of clinical instruction. In years past simulation training was used as an aid to facilitate learning. Today, for many nursing programs scenario based simulation is the only option for learning patient care.
A key technique current and nurses in learning can use is reflection based on past experiences. This method of critical thinking enables the user to have an approach of systematic analysis for present and future scenarios with the intent of improvement. In terms of knowing, reflection has appeared to be a crucial part of learning and understanding. (Bonis, 2009).
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
That scientific advances in technology and the advancement of healthcare practices and techniques are inexorably coupled is an undeniable fact. While this tightly knit and dynamic relationship is certainly an exciting prospect, it is also a somewhat intimidating one in that it raises a multitude of questions about how medical professionals can be expected to keep up with a field so dynamic that it changes daily (Taylor, 2008, p. 611). Scientific discoveries may provide the inspiration for creating new, more effective medical practices, but until these advances can be consistently and appropriately applied in a clinical setting, the knowledge gleaned from them is of little use to the progression of medicine as a field. This discrepancy between discovery and actuality demands that nurses, as medical professionals, not only possess the scientific background required to adequately understand and apply the advances that contribute to their field, but also the critical thinking and leadership skills that such a challenging profession requires in order for them to grow and excel in their vocation. It is thus evident that if nurses are to adapt to the changing healthcare climate, they must enter the field equipped with a Bachelor’s Degree of Science in Nursing (BSN) if they are to provide exemplary care and evolve as professionals.
Working with new graduate nurses has instilled in me the goal to share my knowledge and expertise with others and to teach others the art of nursing. My short-term goals are to complete the Master’s program by the summer of 2014. My second goal is to secure a job as a nurse educator at a hospital and work with my nurse manager to provide program like in-service to the hospital staff and students. I would like to incorporate my education from State University’s master’s program to assist hospital staff and patients in their learning process, with the use of new technology to facilitate the learning and understanding.
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
Nursing students at State University need better clinical experiences and better clinical sites. Clinical sites that have nothing to do or preceptors who don’t want to educate should be cut out and replaced with better sites. Ideally each clinical should allow nursing students to gain experience in critical skills and patient ca...
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using a variety of sources from 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 identifying areas with scope for learning.
Simulated based education is a method that can be used within the field of nursing to accomplish this goal. Forms of Simulated Nursing Education Simulated based education is training and an educational method that can use many different types of simulators. Dr. Broussard said, “A wide range of simulators are available to nurse educators. Models range from equipment that is used to teach a simple, single skill such as intravenous access to very advanced, realistic equipment that can be used to simulate reality-based scenarios in a clinical setting such as an intensive care unit.” (Broussard, L. 2009)
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.