New Nursing Graduates' Self-Efficacy Ratings and Urinary Catheterization Skills in a High-Fidelity Simulation Scenario

2017 ◽  
Vol 13 (2) ◽  
pp. 71-77 ◽  
Author(s):  
Melanie Cason ◽  
Teresa Atz ◽  
Linda F. Horton
Keyword(s):  
Self Efficacy ◽  
Urinary Catheterization ◽  
High Fidelity ◽  
Nursing Graduates ◽  
High Fidelity Simulation ◽  
Simulation Scenario

scholarly journals A High-Fidelity Simulation Is Effective in Improving Athletic Training Students' Self-Efficacy with Emergency Cardiovascular Care Skills

2019 ◽  
Vol 14 (2) ◽  
pp. 108-116 ◽  
Author(s):  
Kristin A. Paloncy ◽  
Leah Georges ◽  
Allan J. Liggett
Keyword(s):  
Athletic Training ◽  
Self Efficacy ◽  
Repeated Measures ◽  
National Collegiate Athletic Association ◽  
The United States ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Athletic Training Students ◽  
Convenience Sample ◽  
Simulation Center

Context High-fidelity simulation can provide an ideal adjunct to clinical or real-world experience by providing a realistic and safe learning environment for the practice of low-incident encounters. Objective Given that levels of perceived self-efficacy are malleable and high-fidelity simulation can provide many positive outcomes, the purpose of this study was to determine whether participation in a high-fidelity simulated cardiovascular emergency scenario using the Laerdal SimMan in a university simulation center in the United States increased undergraduate athletic training students' self-efficacy scores. Design Cohort design with repeated measures. Patients or Other Participants Convenience sample of undergraduate athletic training students (n = 46) enrolled in a professional program at a National Collegiate Athletic Association Division I university in the Midwest. Intervention(s) Participation in or observation of a high-fidelity cardiopulmonary resuscitation (CPR) simulation. Main Outcome Measure(s) Self-efficacy scores before, immediately after, and 6 months after simulation. Results There was a significant main effect for the 3 repeated measures, with the scores steadily increasing significantly from pretest (mean = 7.60, SD = 1.13) to posttest (mean = 8.04, SD = 1.22, P = .001), then again from immediate posttest to the 6-month posttest (mean = 8.38, SD = 1.04, P = .04). Scores among the participants (mean = 8.21, SD = 1.03) were not significantly higher than scores among the observers (mean = 7.85, SD = 1.40). Scores at the 6-month follow-up posttest (mean = 8.38, SD = 1.04) significantly increased from the posttest immediately after the simulation (P = .04). Conclusions Participating in or observing high-fidelity CPR simulation is an effective method of providing deliberate practice opportunities for athletic training students to increase self-efficacy related to CPR techniques.

Role Assignment in High Fidelity Patient Simulation and the Effects on Nursing Students’ Self-Efficacy Development

2017 ◽  
Vol 61 (1) ◽  
pp. 671-675 ◽  
Author(s):  
Dustin T. Weiler ◽  
Jason J. Saleem
Keyword(s):  
Nursing Students ◽  
Self Efficacy ◽  
Patient Simulation ◽  
High Fidelity ◽  
Role Assignment ◽  
Patient Simulators ◽  
Simulation Scenario ◽  
Efficacy Development ◽  
Nursing Training ◽  
The Impact

Previous studies have evaluated the effectiveness of high fidelity patient simulators (HFPS) on nursing training. However, a gap exists on the effects of role assignment in multiple-student simulation scenarios. This study explored the effects of role assignment on self-efficacy development in baccalaureate-level nursing students. Using a researcher-developed tool, based upon a previously developed and utilized tool to fit the simulation scenario, the effects of role assignment were determined. Role assignment was found to have a significant effect on self-efficacy development. Furthermore, roles that require the participant to be more involved with the simulation scenario yielded more confident scores than roles that did not require the participant to be as involved. With this study, future multi-student simulation scenarios can be adjusted knowing the impact different roles can have on self-efficacy development.

Repetitive simulation is an effective instructional design within a pediatric resident simulation curriculum

2018 ◽  
Vol 4 (4) ◽  
pp. 179-183
Author(s):  
Selin Tuysuzoglu Sagalowsky ◽  
Kimball A Prentiss ◽  
Robert J Vinci
Keyword(s):  
Instructional Design ◽  
Intraclass Correlation ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Pediatric Resident ◽  
Short Term ◽  
Simulation Scenario ◽  
And Performance ◽  
The Impact

IntroductionRepetitive paediatric simulation (scenario-debrief-scenario; RPS) is an instructional design that allows immediate application of learner-directed feedback, in contrast to standard simulation (scenario-debrief; STN). Our aim was to examine the impact of RPS embedded within a paediatric resident simulation curriculum, comparing it to STN.MethodsIn this prospective educational cohort study, paediatric residents were enrolled in STN (n=18) or RPS (n=15) groups from August 2012 through June 2013. Each group performed an initial high-fidelity simulation and another after 1–2 weeks. Attitudes, confidence and knowledge were assessed using anonymous surveys with each scenario and at 4–6 months. Skills were assessed in real time with a modified Tool for Resuscitation Assessment Using Computerised Simulation (TRACS). Two blinded reviewers assessed a subset of videotaped scenarios for TRACS inter-rater reliability.ResultsBoth STN and RPS designs were rated highly. The curriculum led to significant short-term and long-term improvements in confidence, knowledge and performance, with no significant differences between groups. All final respondents reported that they would prefer RPS to STN (n=6 STN, 4 RPS). TRACS intraclass correlation was 0.87 among all reviewers.ConclusionsPaediatric residents reported preference for RPS over STN, with comparable impacts on confidence, knowledge and performance. The modified TRACS was a reliable tool to assess individual resident performance. Further research is needed to determine whether RPS is a more effective instructional design for teaching resuscitation skills to paediatric residents.

scholarly journals Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings

2021 ◽  
Vol 11 (3) ◽  
pp. 31
Author(s):  
Issam Tanoubi ◽  
Mathieu Tourangeau ◽  
Komi Sodoké ◽  
Roger Perron ◽  
Pierre Drolet ◽  
...  
Keyword(s):  
Visual Perception ◽  
Eye Tracking ◽  
Clinical Performance ◽  
Vital Signs ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Convenience Sample ◽  
Total View ◽  
Simulation Scenario ◽  
Tracking Technology

Introduction: We used eye-tracking technology to explore the visual perception of clinicians during a high-fidelity simulation scenario. We hypothesized that physicians who were able to successfully manage a critical situation would have a different visual focus compared to those who failed. Methods: A convenience sample of 18 first-year emergency medicine residents were enrolled voluntarily to participate in a high-fidelity scenario involving a patient in shock with a 3rd degree atrioventricular block. Their performance was rated as pass or fail and depended on the proper use of the pacing unit. Participants were wearing pre-calibrated eye-tracking glasses throughout the 9-min scenario and infrared (IR) markers installed in the simulator were used to define various Areas of Interest (AOI). Total View Duration (TVD) and Time to First Fixation (TFF) by the participants were recorded for each AOI and the results were used to produce heat maps. Results: Twelve residents succeeded while six failed the scenario. The TVD for the AOI containing the pacing unit was significantly shorter (median [quartile]) for those who succeeded compared to the ones who failed (42 [31–52] sec vs. 70 [61–90] sec, p = 0.0097). The TFF for the AOI containing the ECG and vital signs monitor was also shorter for the participants who succeeded than for those who failed (22 [6–28] sec vs. 30 [27–77] sec, p = 0.0182). Discussion: There seemed to be a connection between the gaze pattern of residents in a high-fidelity bradycardia simulation and their performance. The participants who succeeded looked at the monitor earlier (diagnosis). They also spent less time fixating the pacing unit, using it promptly to address the bradycardia. This study suggests that eye-tracking technology could be used to explore how visual perception, a key information-gathering element, is tied to decision-making and clinical performance.

Using High-Fidelity Simulation Scenarios in the Classroom to Engage Learners

2017 ◽  
Vol 23 (1) ◽  
pp. 35-41
Author(s):  
Stephanie Turner ◽  
Leslie G. Cole
Keyword(s):  
Decision Making ◽  
Learning Outcomes ◽  
Student Learning Outcomes ◽  
Abstract Thinking ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Active Teaching ◽  
Simulation Scenario ◽  
Improve Student Learning

It is well known that active teaching strategies improve student learning outcomes. By using simulation scenarios as a tool to teach systematic decision making in the classroom, faculty allow a large group of students to develop abstract thinking and gain experience in a setting that has traditionally delivered information in a linear format. This article will describe the process of using a high-fidelity simulation scenario as an unfolding case study to teach students how to manage and care for a patient.

Enhancing nurses self-efficacy by high-fidelity resuscitation simulation training: a pre-post study

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
M Al Kalaldeh
Keyword(s):  
Self Efficacy ◽  
Simulation Training ◽  
Demographic Characteristic ◽  
Personal Characteristics ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Study Program ◽  
Professional Self ◽  
The Impact ◽  
Moderate Positive Correlation

Abstract Introduction Recent evidence support the use of High-fidelity simulation (HFS) among health care professional. Self-efficacy towards resuscitation competency is assumed to be influenced by HFS training that low fidelity simulation. Purpose This study aimed to examine the impact of the high-fidelity Resuscitation Simulation Training (RST) program on the nurse's self-efficacy. Methods A quasi-experiment, one-group pretest-posttest design was used. A total of 62 nurses enrolled the RST. Self-efficacy was assessed in both pretest and posttest phases using the Resuscitation Self-Efficacy Scale (RSES). Changes occurred in self-efficacy after conducting the study program and the potential influence of demographic characteristics were examined using descriptive and inferential statistics. Results Self-efficacy has significantly improved after the RST considering all self-efficacy dimensions; Recognition, Debriefing and recording, Responding and rescuing, and Reporting (P<0.05). This was also consistent with RSES assessment by the course instructors (t=−1.5, p=0.11). A moderate positive correlation was found between the RSES and the ACLS posttest written exam (r=0.303, p=0.017). While minimal influence of demographic characteristic was reported, nurses who had never been involved in resuscitation in the past had shown a significant improvement in their self-efficacy after the RSE. Conclusion The utilization of high-fidelity simulation training can improve nurse's self-efficacy regardless personal characteristics or experience. Funding Acknowledgement Type of funding source: None

scholarly journals Developing and Testing a High-Fidelity Simulation Scenario for an Uncommon Life-Threatening Disease: Severe Malaria

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Andrew Kestler ◽  
Mary Kestler ◽  
Ravi Morchi ◽  
Steven Lowenstein ◽  
Britney Anderson
Keyword(s):  
Medical Students ◽  
Severe Malaria ◽  
Learning Objectives ◽  
Teaching Tool ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Academic Center ◽  
Uncommon Disease ◽  
Simulation Scenario ◽  
Life Threatening

Background. Severe malaria is prevalent globally, yet it is an uncommon disease posing a challenge to education in nonendemic countries. High-fidelity simulation (sim) may be well suited to teaching its management.Objective. To develop and evaluate a teaching tool for severe malaria, using sim.Methods. A severe malaria sim scenario was developed based on 5 learning objectives. Sim sessions, conducted at an academic center, utilized METI ECS mannequin. After sim, participants received standardized debriefing and completed a test assessing learning and a survey assessing views on sim efficacy.Results. 29 participants included 3rd year medical students (65%), 3rd year EM residents (28%), and EM nurses (7%). Participants scored average 85% on questions related to learning objectives. 93% felt that sim was effective or very effective in teaching severe malaria, and 83% rated it most effective. All respondents felt that sim increased their knowledge on malaria.Conclusion. Sim is an effective tool for teaching severe malaria in and may be superior to other modalities.

Extended cardiopulmonary resuscitation: from high fidelity simulation scenario to the first clinical applications in Poznan out-of-hospital cardiac arrest program

Perfusion ◽  
2020 ◽  
pp. 026765912098181
Author(s):  
Maciej Sip ◽  
Mateusz Puslecki ◽  
Marek Dabrowski ◽  
Tomasz Klosiewicz ◽  
Radoslaw Zalewski ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
Sudden Cardiac Arrest ◽  
Real Life ◽  
Drug Eluting Stent ◽  
Medical Simulation ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Simulation Scenario ◽  
Hospital Cardiac Arrest

Background: The outcomes of out-of-hospital cardiac arrest (OHCA) patients are poor. In some OHCA cases, the reason is potentially reversible cardiac or aortic disease. It was suggested previously that high-quality cardiopulmonary resuscitation (CPR) followed by extracorporeal membrane oxygenation (ECMO) support may improve the grave prognosis of OHCA. However, extended CPR (ECPR) with ECMO application is an extremely invasive and cutting-edge procedure. The purpose of this article is to describe how high-fidelity medical simulation as a safe tool enabled implementation of the complex, multi-stage ECPR procedure. Method: A high fidelity simulation of OHCA in street conditions was prepared and carried out as part of a ECPR procedure implemented in an in-hospital area. The simulation tested communication and collaboration of several medical teams from the pre-hospital to in-hospital phases along with optimal use of equipment in management of a sudden cardiac arrest (SCA) patient. Results: The critical and weak points of an earlier created scenario were collected into a simulation scenario checklist of ECPR algorithm architecture. A few days later, two ECPR procedures followed by cardiologic interventions for OHCA patients (one pulmonary artery embolectomy for acute pulmonary thrombosis and one percutaneous coronary artery angioplasty with drug eluting stent implantation for acute occlusion of the left anterior descending artery), were performed for the first time in Poland. The protocol was activated five times in the first 2 months of the POHCA Program. Conclusion: High fidelity medical simulation in real-life conditions was confirmed to be a safe, useful tool to test and then implement the novel and complex medical procedures. It enabled to find, analyze and solve the weakest points of the earlier developed theoretical protocol and eventually succeed in clinical application of complete ECPR procedure.

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