Using 21ST Century Technology and Innovation to Increase Simulation Capacity

Abstract

PURPOSE: To accommodate the increased capacity of students while expanding their exposure to quality clinical encounters in a simulated environment. METHODS: This randomized-controlled study replaces 50% of clinical experience with either mannequin-based simulation or screen-based simulations. Comparison is made using validated standardized pediatric scenarios designed for mannequin-based and screen-based simulators. Participants include all on-line and on-campus pre-licensure nursing students during pediatric rotation. All on-line pre-licensure students are being exposed to the screen-based simulation, whereas the on-campus students are divided between screen-based simulation and mannequin-based simulation scenarios. The control group maintained current simulation schedule. Comparison of the pediatric HESI scores, clinical pass/fails and first-time NCLEX pass rates are the major outcomes. Demographics are included for all participants; satisfaction/usability of the technology is being collected for all those in the experimental groups. FINDINGS: Data collection is ongoing. Anecdotal information from faculty/students indicates students feel more confident when they go to clinicals and faculty believes the benefits of simulations are so noticeable, they intend to implement them every semester. Preliminary data analyses indicate an increase in the overall HESI score for the on-line students. VALUE: Exposing our students to screen-based and mannequin-based simulations, education and competency will be enhanced.