The Effectiveness of High Fidelity Simulation on Clinical Success for Senior Maternity Nursing Students in a Baccalaureate Program

Monday, 31 October 2011

Susan L. Hall, MSN, RNC
Maternity Child Health Nursing, Winston Salem State University, Winston-Salem, NC

Learning Objective 1: The learner will be able to apply theoretical knowledge to clinical practice, shown through test scores at the end of the course rotation.

Learning Objective 2: To be more confident in the clinical area,and make sound decisions regarding the care of their client in a hospital setting.

Nursing programs are exposed to a variety of barriers in the provision of new strategies to aid students to integrate classroom knowledge to clinical practice. This causal comparative study will be addressed on the effectiveness of high fidelity simulation on clinical success. There is a problem in the lack of research data on the effects of simulation on the student’s self-efficacy, confident level, and making sound decisions in the clinical setting at a baccalaureate nursing education program, in the triad region of North Carolina. The theoretical framework will be based on the work done by Bandura’s self efficacy theory along with cooperative learning. The research question focuses on the cause and effect relationship on clinical success when exposed to two instructional methods, hospital clinical instruction or high fidelity simulation as measured by the content mastery component of Advanced Technology Institute (ATI) standardized test. The sample will consist of 167 senior maternity nursing students enrolled in the traditional baccalaureate nursing program which will include control and treatment groups. The quantitative retrospective design will be used for this study, referring to a clinical outcome that has already occurred. Data will be obtained from the ATI content mastery test at the end of the maternity rotation. The analysis of variance (ANCOVA) will be used to test the difference in scores between the two clinical groups. This research study will facilitate positive change by enhancing practical skills, so that the student nurse can apply this knowledge to gain clinical success. This has an implication to promote social change by providing documentation to accept in the nursing curriculum and prepare the student to be safe and competent practitioner in the community setting.