A Joint Adventure using Simulation in the Pediatric Nurse Residency Program

Thursday, 15 July 2010: 3:45 PM

Rhonda L. Conner-Warren, PhD, RN, CPNP-PC
College of Nursing, Wayne State University, Detroit, MI
Lynne Hillman, BScN, MEd, RN
Nursing Administration, Children's Hospital of Michigan, Detroit, MI

Learning Objective 1: Describe the collaboration between a hospital RN residency program and a university simulation lab.

Learning Objective 2: Describe the incorporation of simulation within a graduate nurse residency program.

Purpose:

The purpose of this study was to further enhance our nurse residency program utilizing clinical simulation in partnership with a university simulation lab.

Background: One goal of our Nurse Residency Program is to develop effective decision-making abilities related to clinical judgment and performance. To achieve this goal, simulation experiences have been incorporated at various times throughout the residency by partnering with a university simulation lab for a modest user fee and the hiring of a nurse faculty member for these specially-tailored experiences. Educational research identifies simulation as an educational technique that allows interactive and immersive activity by recreating all or part of a clinical experience without exposing patients to the associated risks. The purpose was to establish a collaborative relationship to examine the feasibility and effectiveness of using simulation in the program.

Methods:

Hospital nurse educators developed the simulation scenarios to reflect important experiences in the institution.  Three cohorts of Nurse Residents participated from June 2008 through October 2009. In a cooperative agreement with the University, the residents were transported to the University for the preparatory lecture content and clinical simulation experiences. Data were collected after the program ended using self-administered surveys to the residents.

Results:

Outcomes: Residents’ ratings of the simulation experience were very high.  Comments included:  “…rather make the mistake here… ” and  “… helps our critical thinking skills in a ‘real life’ situation.” Conclusion:

As a result of this collaboration the next step has been the development of a Collaborative task force whose mandate is to develop scenarios using leveling for academic and practice areas with the support of unit educators, graduate residents and university faculty. Implications: Academic and professional institutions can effectively develop partnerships to promote continued learning experiences to support workforce development and enhance quality of care.