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Strategies for implementing a multiple patient simulation scenario.

Tera Kirkman1, Clarissa Hall1, Rachel Winston1

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A simulated clinical experience (SCE) involving multiple patients significantly boosted senior nursing students

Keywords:
DelegationMultiple patientNursingPrioritizationSimulation

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Area of Science:

  • Nursing Education
  • Clinical Simulation
  • Healthcare Workforce Development

Background:

  • Traditional nursing clinical experiences offer limited opportunities for students to develop essential skills in clinical judgment, prioritization, and delegation due to caring for few patients.
  • Evidence highlights the necessity for nursing students to gain more experience managing multiple patients to prepare them for real-world practice.
  • Senior nursing students often face challenges transitioning to practice due to insufficient experience with complex patient loads.

Purpose of the Study:

  • To evaluate the impact of a multiple patient simulated clinical experience (SCE) on senior nursing students' perceived readiness for practice.
  • To assess the effectiveness of an innovative teaching strategy in preparing nursing students for complex patient care scenarios.
  • To measure changes in essential competencies, including decision-making, interprofessional communication, and preparedness, following the SCE.

Main Methods:

  • A mixed-methods embedded design study involving 214 senior nursing students.
  • Participants engaged in a multiple patient simulated clinical experience (SCE).
  • Post-simulation, students completed a self-report survey and provided qualitative feedback on essential competencies.

Main Results:

  • Quantitative and qualitative data revealed that students reported increased confidence in their readiness to transition to practice after the multiple patient SCE.
  • The simulation positively influenced students' perceptions of their decision-making skills, interprofessional communication, and overall preparedness.
  • The study identified the SCE as an effective method for enhancing clinical judgment and delegation skills in nursing education.

Conclusions:

  • A multiple patient simulated clinical experience (SCE) is an effective pedagogical tool for enhancing nursing students' confidence and readiness for professional practice.
  • This innovative teaching strategy addresses the gap in clinical experience related to managing multiple patients, crucial for safe and effective patient care.
  • Educators can utilize this SCE model to better prepare future nurses for the complexities of real-world clinical environments.