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Overcoming COVID-19 Challenges: Using Remote and Hybrid Simulation Designs in DNP Programs
Janet E O'Brien1, Charlotte A Thrall2, Danielle Sebbens3
1J.E. O'Brien is clinical professor, Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona.
Summary
Nursing education rapidly shifted simulation activities online due to COVID-19. This transition enabled students to meet clinical assessment objectives, offering new flexible educational options.
Area of Science:
- Medical Education
- Nursing Simulation
- Online Learning
Background:
- Simulation is vital for nursing and medical education.
- COVID-19 necessitated rapid changes in educational delivery.
- Maintaining clinical assessment objectives was a priority.
Purpose of the Study:
- To detail the transition of nursing simulations to an online format.
- To describe the implementation of online objective structured clinical exams (OSCEs) for Doctor of Nursing Practice (DNP) programs.
- To share innovative methods for maintaining simulation integrity in a virtual environment.
Main Methods:
- Transitioned predominantly in-person nursing simulations to fully online within days.
- Implemented a two-phase plan for online Doctor of Nursing Practice (DNP) nurse practitioner objective structured clinical exams (OSCEs).
- Adapted simulation designs for family nurse practitioner and acute care pediatric nurse practitioner programs.
Main Results:
- Successfully maintained simulation activities throughout the initial months of the pandemic.
- Enabled students to meet essential clinical assessment objectives despite the shift to online.
- Developed innovative strategies that enhanced curricular flexibility.
Conclusions:
- The rapid transition to online simulation was feasible and effective.
- The implemented methods provide valuable options for current and future nursing education.
- Maintaining the integrity of simulation and OSCEs is achievable in a virtual setting.

