Pediatric Team Based Participatory Simulation in Undergraduate Nursing Education

Saturday, 16 November 2013

Asma A Taha, RN, PhD, CPNP, CNS
School of Nursing, California State University San Bernardino, San Bernardino, CA
Ellen D'Errico, PhD NEA-BC
School of Nursing, Loma Linda University, Loma Linda, CA
D. Anthony (Tony) Forrester, PhD, RN
University of Medicine and Dentistry of New Jersey (UMDNJ) -- School of Nursing and Morristown Memorial Hospital, Newark, NJ

Learning Objective 1: identify how to use pilot project to advance nursing education

Learning Objective 2: Illustrate how an educational project becomes a personal journey in nursing leadership.

Background: Leading change is necessary to help nursing faculty revise curriculum strategies to meet new health care workplace demands.  A pilot project incorporating simulation into an undergraduate pediatric course was initiated by the faculty scholar to strengthen leadership capability in a well established nursing program at a state university with multiple campuses.

Method: Three scenarios (child with respiratory distress, gastroenteritis, and post orthopedic procedure) were integrated into the pediatric course at one campus.  Students participated as a team (4-5) while caring for a simulated sick child. Student performance during scenarios was taped and used for debriefing sessions. Students evaluated each session at the end of the debriefing exercise.

Innovation: Educators led by the Nurse Faculty Scholar planned a systematic method of integrating simulation into core courses.  The aim was to identify the effect of simulation on the performance of two student groups (group one had simulation and group two did not).  Student end-of-course evaluations and ATI scores were compared between groups. For group one, faculty selected scenario topics discussed in the lecture where theoretical principles were established, and used the last 1.5 hours of class for clinical application through simulation. Group one students (4-5) signed up to participate in each scenario and another 4-5 students signed up to evaluate those performing the scenario. The lead faculty, a physician and the simulation lab coordinator conducted debriefings. Group two received traditional methods of instruction (lecture & case studies).

Implication for Nursing Leadership: The scholar was able to model the way and inspire a shared vision by championing use of educational innovation, challenged the process by taking the risk of trying a new educational strategy in the classroom, enabled others to act through training and encouraged the heart by sharing the positive student feedback with all faculty stakeholders.