The purpose was to improve high acuity/low frequency skill competency for staff nurses caring for complex populations through scenario based simulation. The adaptation of our educational process was also designed to engage multi-generational learners. The use of simulation provides a safe environment for front line nurses to hone critical skills thereby decreasing patient risk. In situ simulation engages learners and promotes safe patient outcomes. Translating the evidence into practice opportunities enhances knowledge retention, confidence and competence. There are four generational cohorts in our workplace. There are staff members who identify with characteristics of Baby Boomers, Generation X, Millennials (Generation Y) and Generation Z. Sixty-five percent of the total staff are of the millennial generation. By keeping a low stress, safe environment, we were able to work within Kolb’s theory of experiential learning. Kolb’s theory of learning exposes the learners’ comfort level in certain situations, promotes communication and collaboration skills.
Methods:
The education team created two patient-based scenarios incorporating 12 skills using a low fidelity mannequin. Fourteen sessions were presented over a six-month period. Each two-hour class was limited to ten nurses. The use of a simulation design, presented the opportunity to blend generational learning styles. A blended version of National League for Nursing (NLN) simulation surveys were utilized as an evaluation tool after each session. The evaluations consisted of ten questions with a 5-point Likert scale of 1 (strongly disagree), to 5 (strongly agree). The evaluation tool focused on confidence, competence and future learning needs.
Results:
All staff members completed the evaluation tool. Staff comments were overwhelmingly positive (100%) with requests for similar education to be offered more frequently throughout the year. Greater than 90% strongly agree responses were noted on all questions. The evaluation tool also provided for staff contribution and input for the next year’s educational content.
Conclusion:
Our new approach to education revealed that scenario-based simulation was effective for all learners, but particularly engaging for our millennial staff. Millennial learners prefer to work in teams, utilize technology, and acquire new information through active hands on participation. Evidence-based practice simulation is now the foundation our unit based staff education.