Lessons Learned and Pearls of Wisdom: Utilizing High and Medium Fidelity Simulation on Transitioning Graduate Nurses from Student to Staff Nurse Role

Varied, repeated, and sequential experiences can be provided through simulation models. Based on the ability to provide a variety of experiences, pilots, military strategists, and anesthesiologist have used simulation models to increase their skills and competence (Jefferies, 2007). In nursing, simulation models primarily have been used as a teaching learning strategy and not as a method to evaluate or assess the performance of individual nurses (Waldner & Oslon, 2007; Cason et al., 2009).  Research to support simulation as an effective strategy remains sparse. With the lack of evidence, limitations emerged as the study evolved. This presentation will detail the limitations of the research study and recommendations based on the lessons learned. Limitations include small sample size, lack of control group, previous exposure of participants to simulation and the impact of work environment such as the use of Concept Mapping, the quality of preceptors and contents of classroom teaching. Recommendations on how to conduct a more rigorous study include having a heterogeneous and bigger sample size, establishing inter-rater reliability, developing standardized instructions when administering pre and post tests, and including a control group.