Abstract

Hospital clinical experiences are important events in prelicensure nursing education. Benefits include the opportunity for students to experience actual nursing responsibilities, immersion into environment, and professional socialization. However, challenges in finding appropriate clinical experiences include competition over clinical sites, decreasing patient acuity, and high student-faculty ratios. Rural schools of nursing have these challenges and those inherent in rural environments such as limited health
care access, restricted critical access hospitals, and limited resources. The purpose of this evidence-based practice project was to plan, implement, and evaluate the use of a series of patient care simulations as an educational intervention to improve patient safety competencies while caring for multiple patients in prelicensure students at a remote rural two-year college in the Midwest. The project aimed to answer the PICOT question: In rural ASN prelicensure students, what is the effect of a series of multiple patient simulations as compared to baseline on patient safety competency? The Promoting Action on Research in Health Sciences (PARiHS) framework was used to guide project implementation and evaluation and the Nursing Education Simulation Framework (NESF) was used to guide the simulations. Participants were observed and the data statistically analyzed. There was a decrease in safety errors in observed competencies from 25 errors in 100 behaviors in the first to 12 errors in 100 behaviors in the fourth simulation. Findings support the use of a series of multiple patient simulations in prelicensure nursing education to improve patient safety competency. Incorporating this educational intervention into rural nursing curricula is recommended.

Janeen Berndt

Author Details

Janeen Berndt, DNP, RN, CNS-BC, CNE

Sigma Membership

Unknown

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Systematic Review

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Clinical Experiences, Nursing Students, Prelicensure Nursing Education, Safety Competency, Simulation

Advisor

Amy Cory

Degree

DNP

Degree Grantor

Valparaiso University

Degree Year

2012

Rights Holder

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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

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2017-09-12

Full Text of Presentation

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