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Using Deliberate Practice and Simulation for Psychomotor Skill Competency Acquisition and Retention: A Mixed-Methods
Cynthia E Johnson1, Laura P Kimble, Susan Sweat Gunby
1Author Affiliations: Clinical Assistant Professor of Nursing (Dr Johnson), Division of Nursing, Berry College, Mount Berry, Georgia; Assistant Dean for Clinical Advancement and Clinical Professor (Dr Kimble), Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia; and Professor (Dr Gunby), Georgia Baptist College of Nursing, Mercer University, Atlanta; and Assistant Professor of Nursing and Director Nursing Skills and Technology Center (Dr Davis), Sister Henrietta Guyot Endowed Professorship in Nursing, LSU Health-New Orleans School of Nursing, New Orleans, Louisiana.
Deliberate practice before and during high-fidelity simulation (HFS) improves nursing students' urinary catheter insertion skills. This method enhances skill competency and retention, reducing errors for safer patient care.
Area of Science:
- Nursing Education
- Medical Simulation
- Patient Safety
Background:
- Proficiency in psychomotor nursing skills is crucial for quality, safe patient care.
- Effective skill acquisition and retention are vital for minimizing errors and adverse events.
Purpose of the Study:
- To investigate the impact of deliberate practice combined with skill practice during high-fidelity simulation (HFS) on urinary catheter insertion competency.
- To assess the effect of this combined approach on skill retention in prelicensure nursing students.
Main Methods:
- Convergent, parallel mixed-methods research design.
- Utilized high-fidelity simulation (HFS) scenarios for skill practice.
Main Results:
- Students practicing skills before and during HFS showed fewer errors in urinary catheter insertion.
- Improved retention of skill competency was observed in the intervention group.
Conclusions:
- Combining deliberate skill practice with HFS scenarios enhances nursing students' skill acquisition.
- This integrated approach shows potential for improving skill retention and overall competency.
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