![[ Visit Client Website ]](images/banner.gif)
Learning Objective 1: implement a student learning simulation experience that emulates the community health nurse’s role in improving the health of individuals and families in the community.
Learning Objective 2: identify advantages of using simulation home visits for teaching-learning principles that promote client adaptation in the home health setting.
Home health nursing is an important component of community-based nursing, but not all beginning nurses or students have the opportunity to experience home visits. Therefore, a group of faculty with diverse backgrounds developed several home health simulations.
Method:
Three simulation rooms are moulaged to replicate several different home settings. The scenarios include: 1) a female Hispanic diabetic client; 2) an elderly male CHF client with a faculty member playing his domineering spouse; and 3) a premature infant with respiratory problems and a faculty member role-playing a young single mother with psychosocial and addictive issues. Upon arrival to the simulation center the learner/s is provided with home health care charts for each client to review, prepare a nursing bag, prepare for the visits and plan the order of their visits. Learner/s is provided with MapQuest Internet directions to the simulation homes. If more than one learner is present they are instructed to take turns being direct care providers and/or observers for each home visit. Upon arrival at the simulation homes the learner conducts assessments and implement interventions (dressing changes, glucose testing, assessment of fluid retention, setting up medication boxes, assessing environmental safety, injection of medications, and health teach for the client and their family). After completion of visits the learner returns to the “home health care agency” to develop a comprehensive teaching plan to be carried out on a later visit.
A final debriefing takes place with the learner and faculty members who observed or participated as family members in the simulations.
Analysis and Results:
The learners evaluate each simulation using the METI Simulation Effectiveness Scale. Content analysis of the data is compiled and analyzed for measurement of objectives and continuing improvement of the learning experience. Learner feedback of the experiences has been overwhelmingly positive.
See more of: World Academy of Nursing Science: Oral Paper & Posters