Use of simulation within nursing education to assist students to meet standardized test plan components
Christina Liebrecht, DNP, RN
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Medication errors within the United States healthcare system have been identified as a persistent issue contributing to extended hospital stays, increased healthcare costs, poorer patient outcomes including death, and lack of trust in the healthcare system. Medication errors can occur at any point in the medication process with nurses playing a crucial role in protecting patient safety during the steps of medication administration and monitoring for drug effects. Study findings indicate that less experienced nurses and student nurses are more likely to make mistakes, citing insufficient or ineffective preparation to administer medications safely. Evidence supports the use of simulation in nursing education to strengthen critical skills, confidence, and competence in nursing students and graduate nurses through the provision of a safe learning environment that protects patient safety, promotes active learning, presents specific and comparable patient situations, and supports error detection and response. The six step Model for Evidence-Based Practice Change was used to guide this evidence-based practice change project. In order to identify potential areas of change within existing simulation curriculum within a Bachelor of Science in Nursing (BSN) program at a mid-size, public university in Northwest Ohio, current simulation objectives and components were mapped against NCLEX test plan categories and content sub-categories. Based on this analysis which identified several sub-categories that were not addressed or only partially addressed, a simulation scenario focused specifically on safe medication administration principles and practices was developed and implemented. Results of this pilot study identified improved student satisfaction and self-confidence in learning following participation in a simulation experience which incorporated key principles of safe medication administration. The impact of participation in a safe medication administration simulation experience on standardized testing performance warrants further testing.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Evidence Level||Quasi-Experimental Study, Other|
|Research Approach||Pilot/Exploratory Study|
Students, Nursing, Baccalaureate;
Medication Errors--Prevention and Control;
Student Performance Appraisal;
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