All through the night: An interprofessional simulation

Monday, 18 November 2013

Leslie L M Graham, RN BScN MN
Faculty of Health Sciences/School of Health and Community Services, Durham College-University of Ontario, Institute of Technology, Oshawa, ON, Canada
Arlene B. de la Rocha, RN, M.Ed., M.ScN.
Nursing, Durham College/UOIT, Oshawa, ON, Canada
Dana Chorney, RN BScN MN
Collaborative BScN program, Durham College/ University of Ontario Institute of Technology, Oshawa, ON, Canada

Learning Objective 1: Describe student perception of working the nightshift.

Learning Objective 2: Facilitate student discussion of healthy lifestyle strategies when the student works the nightshift.

Patient safety is potentially jeopardized when nurses are experiencing fatigue (CNA, 2010). Literature is emerging about the impact of fatigue on the  nurse’s cognitive and psychomotor functioning, especially during the nightshift (Geiger-Brown, 2012). In many educational experiences, the student is not exposed to the challenges encountered during the nightshift until the end of his/her program, if at all. Many supports the students would typically rely on during daytime hours are not available at night, as well there are fewer resources to support novice practitioners. This enrichment experience will provide the opportunity to experience the night shift including the physical and cognitive challenges encountered to provide safe patient care. During the debriefing (Neil & Wotton, 2011), students will be made aware of healthy lifestyle practices when working the nightshift. 

Mirroring the clinical environment, members of the interprofessional team will be invited to participate in a12 hour nightshift using high fidelity simulation. Students will be voluntarily recruited from multiple education programs (Bachelor of Science in Nursing, practical nursing, paramedic, kinesiology and medical laboratory students) to a maximum of 32 participants. The students will be provided a full orientation to the simulation lab and engage in a 12 hour patient care/hospital like simulation.  Using pretest/post test design, the student self efficacy will be evaluated during the nightshift simulation. The students will be invited to participate in a focus group to illuminate facilitators and barriers to working the nightshift.  It is the intent that the student will identify strategies that will enhance delivery of safe patient care and healthy self-care behaviours, while  working the nightshift. In this poster presentation the results of this interprofessional nightshift simulation will be discussed.