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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Published on: January 15, 2017

Improving Rapid Response Recognition: A Simulation Collaborative.

Heather Kindl¹, Angela Martin, Kathy Spade

¹Heather Kindl, BSN, RN, CPEN, is Education Resource Specialist and Coordinator of the New Graduate Nurse Fellowship, WakeMed Health & Hospitals, Raleigh, North Carolina. Angela Martin, MSN, RN, CNE, CHSE, is Nursing Faculty Member and Simulation Educator, Wake Tech Community College, Raleigh, North Carolina. Kathy Spade, MSN, RN, CNE, CHSE, is Nursing Faculty Member and Simulation Educator, Wake Tech Community College, Raleigh, North Carolina. Felecia Williams, PhD, RN, CCRN, is Clinical Educator/Supervisor in the Heart Center Administration, WakeMed Health & Hospitals, Raleigh, North Carolina. Kim Clarke, MSN, RN, is Staff Nurse, Medical-Surgical Intermediate Care Unit, WakeMed Health & Hospitals, Cary, North Carolina.

Journal for Nurses in Professional Development

|July 7, 2017

Summary

This summary is machine-generated.

New graduate nurses often lack skills for deteriorating patients. A collaborative simulation improved their competence, prioritization, and communication, enhancing patient safety.

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Area of Science:

Nursing Education
Patient Safety
Clinical Skills Development

Background:

New graduate nurses (NGNs) frequently exhibit deficits in recognizing and responding to acute patient decline.
Current academic nursing curricula often omit essential training for rapid response events.
A gap exists in preparing NGNs for critical situations requiring immediate intervention.

Purpose of the Study:

To assess the efficacy of a collaborative simulation in enhancing NGNs' ability to recognize and manage rapidly deteriorating patients.
To evaluate improvements in knowledge and skills among senior nursing students and NGNs participating in the simulation.
To determine if simulation-based training positively impacts NGN competence and patient safety.

Main Methods:

A simulation-based educational intervention was designed and implemented.
The study involved a collaborative learning model pairing senior nursing students with NGNs.
Participant knowledge and skills were assessed before and after the simulation.

Main Results:

Participants demonstrated significant improvements in clinical competence.
Enhanced ability in prioritizing patient care actions was observed post-simulation.
Communication skills related to rapid response events showed notable gains.

Conclusions:

Collaborative simulation is an effective strategy for improving NGN readiness for deteriorating patients.
This educational model can be adopted for professional development to boost NGN confidence and safety.
Simulation enhances critical thinking and teamwork essential for acute care nursing.