Application of High Fidelity Simulation for the Acquisition of Nursing Skills: Nursing Students' Perspective

Tuesday, 14 July 2009

Kimberly Kim, PhD, RN
Nursing and Health Science, California State University, East Bay, Hayward, CA

Learning Objective 1: describe the high fidelity simulation experience of nursing students enrolled in fundamentals of nursing and senior preceptorship courses in a baccalaureate nursing program.

Learning Objective 2: examine the acquisition factors of the nursing skills related to the simulation experience of nursing students.

Purpose:

This presentation aims to describe the high fidelity simulation experience of nursing students enrolled in fundamentals of nursing and senior preceptorship courses as well as to examine the nursing skills acquisition factors related to their simulation experience.

Methods:

A descriptive repeated measures study assessed the acquisition of nursing skills, problem solving and critical thinking skills of 186 culturally diverse nursing students enrolled in fundamentals of nursing and senior preceptorship courses in a Baccalaureate nursing program in a northern California university. Data were collected using questionnaires and open-ended qualitative questions in two simulation labs at the end of each simulation session during the fall, winter and spring quarters.

Results:

The preliminary data indicated that more than 82% of the participants strongly or moderately agreed that the simulation experience helped them increase their knowledge in problem solving and critical thinking during the simulation scenario; 87% reported that they were comfortable with their knowledge of the clinical content covered during the simulation scenario; 95% of the students were able to reflect on their own simulation experience; 98% reported that they would be better prepared for their clinical practice as a result of their simulation experience. In addition, 74% of the participants felt comfortable using the simulation equipment. The clear learning objectives and preparation were significantly related to the problem solving and critical thinking of nursing students during scenario (r = .61, p = 0.002). Students also reported that the simulation helped them learn how to address the patient through effective communication, assessment, reducing anxiety, and prioritizing the needs of the patients.

Conclusion:

Findings suggest that the students valued the simulation as an effective medium, improving their clinical skills acquisitions. Problem solving, critical thinking, communication, and priority settings were all improved after the simulation.