Other Titles

Rapid Presentation Round

Abstract

Background: Nurses working in the home health setting often work alone in isolated and uncontrolled environments, which increases their risk of experiencing violence or unsafe situations. Recent home health nurse experiences suggest that the severity of safety events has increased in violence and in some cases, led to death. In a recent survey by National Nurses United (2023), eight out of ten nurses reported experiencing workplace violence, including verbal abuse, physical threats, and being pinched or scratched.4 Nursing curriculum does not consistently focus on education for the home health setting or overall nurse safety, calling for a re-examination of curricula to bridge this gap.1,3

Purpose: This project aims to enhance the preparedness and safety in the home health setting for nursing students through simulation scenarios.

Methods: A literature review was performed to understand current educational practices for home health in undergraduate nursing programs. Twenty-two articles were examined and summarized, with preference given to articles utilizing simulation to enhance safety for home health nursing. Based on literature recommendations and content experts, a simulation activity was created. This included the creation of a pre-simulation activity, where students listen to two podcast episodes that focus on home health clinician safety and field experience from a nurse.5,6 Following completion of the pre-simulation activity, participants will reflect on these episodes by responding to guided discussion questions to deepen learning. Students will complete three simulation scenarios, which include environmental hazard identification, an aggressive patient, and aggressive family member.

Results: Pending.

Conclusion/Implications: Simulation is a pedagogical innovation and a vital element that needs to be integrated into community health nursing education that can be used in bridging the gap between service and education.2 We plan to pilot the developed simulation scenarios at local universities. We plan to obtain feedback to measure effectiveness. Additional research may inform faculty of the impact these scenarios have on the preparation and safety of nursing students as they transition to practice. Incorporating simulations around home health nurse safety within nursing programs will provide students with an understanding of their role in their own safety while caring for patients in this setting.

Notes

Reference list included in attached slide deck.

Description

This presentation will describe the development of home health simulation scenarios focused on enhancing nursing students’ preparedness and safety. Using an experiential learning strategy such as simulation, provides nursing students the opportunity to learn and enhance their skillset in providing care in the home health setting while maintaining their protection and safety.

Author Details

D’Ana Brooks, DNP, RN, CNL; Christina Matousek, DNP, RN, OCN; and Kelli-Ann Mancini, MSN, RN, OCN

Sigma Membership

Mu

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Simulation, Public/Community Health, Teaching/Learning Strategies, Nursing Education, Nursing Students, Simulation Methods in Education, Simulation Methods & Models, Home Care Services, Medical Simulation, Teaching, Learning Strategies

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-04-22

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Enhancing Nurse Preparedness and Safety in Home Health Through Simulation for Nursing Students

Washington, DC, USA

Background: Nurses working in the home health setting often work alone in isolated and uncontrolled environments, which increases their risk of experiencing violence or unsafe situations. Recent home health nurse experiences suggest that the severity of safety events has increased in violence and in some cases, led to death. In a recent survey by National Nurses United (2023), eight out of ten nurses reported experiencing workplace violence, including verbal abuse, physical threats, and being pinched or scratched.4 Nursing curriculum does not consistently focus on education for the home health setting or overall nurse safety, calling for a re-examination of curricula to bridge this gap.1,3

Purpose: This project aims to enhance the preparedness and safety in the home health setting for nursing students through simulation scenarios.

Methods: A literature review was performed to understand current educational practices for home health in undergraduate nursing programs. Twenty-two articles were examined and summarized, with preference given to articles utilizing simulation to enhance safety for home health nursing. Based on literature recommendations and content experts, a simulation activity was created. This included the creation of a pre-simulation activity, where students listen to two podcast episodes that focus on home health clinician safety and field experience from a nurse.5,6 Following completion of the pre-simulation activity, participants will reflect on these episodes by responding to guided discussion questions to deepen learning. Students will complete three simulation scenarios, which include environmental hazard identification, an aggressive patient, and aggressive family member.

Results: Pending.

Conclusion/Implications: Simulation is a pedagogical innovation and a vital element that needs to be integrated into community health nursing education that can be used in bridging the gap between service and education.2 We plan to pilot the developed simulation scenarios at local universities. We plan to obtain feedback to measure effectiveness. Additional research may inform faculty of the impact these scenarios have on the preparation and safety of nursing students as they transition to practice. Incorporating simulations around home health nurse safety within nursing programs will provide students with an understanding of their role in their own safety while caring for patients in this setting.