Student-created scenarios in the high-fidelity simulation laboratory

As an assignment in a pediatric theory class, small groups of nursing students created and implemented scenarios in the high-fidelity simulation (HFS) laboratory. The project's purpose was to determine whether senior nursing students could create HFS scenarios that increased their knowledge base of pediatric nursing and supported the use of evidence in identifying problems and planning nursing care. After completing the project, students wrote individual reflective papers. Qualitative analysis of these papers revealed the common themes of expanded understanding of pediatric nursing care and professional growth. Data supported achievement of the project objectives; however, this was attributed to the scenario-creation process rather than to the scenarios themselves. Challenges identified included lack of a mechanism to involve each student in every scenario and logistical issues, such as faculty time and laboratory scheduling. With attention to such issues, this project can be implemented successfully in a variety of clinical areas.