A Phenomenological Inquiry of the Experiences and Perceptions of Simulation Among ADN Students With Prior Health Care Practice

While the development of simulation learning for nursing students has gained national attention among nurse educators, there is a lack of literature to support specific planning for simulation activities that take into account students’ educational and work practice experiences. The purpose of this study was to explore the experiences and perceptions of students with prior health care practice as paramedics or licensed practical nurses (LPNs) about their engagement in simulation experiences within their ADN program. Specifically, the study examined perceptions of perceived learning benefits, how the experience compared to live patient interactions, and whether simulation experiences could be enhanced for students with prior health care practice. A purposive sample of 19 students was recruited from a nursing school in the Southeastern United States.  Data were collected in person or by telephone, audiorecorded, and transcribed verbatim.  Demographic data were obtained using an investigator developed tool and descriptive statistics provided data for the sample description. Data revealed seven primary themes:  Safe learning environment; Brings it all together –the ‘why’; Lacks components of realism; Simulation is how we learn; Need increased complexity; Want tailored experiences; and, Incorporate transition to nursing role. When nursing educators’ strategies for developing simulation activities for prelicensure nursing students do not take into account the background and prior health care experiences of their students, they may not be providing the best experience for many non-traditional students.  Other than the present study, research findings about ADN students with prior health care practice and their perceptions of simulation experiences were not found.  Continued scholarly endeavors by nursing researchers will be necessary to adequately tailor simulation activities for students with prior health care practice.