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Neonatal Fragile Skin: Novel Use of Simulation to Improve Knowledge and Confidence for Neonatal Nurse Practitioner
1Assistant Professor and Director, Neonatal Nurse Practitioner Specialty, Vanderbilt University School of Nursing, Nashville; and Neonatal Nurse Practitioner, Monroe Carell Jr Children's Hospital, Vanderbilt, Nashville.
Background:
Infants with fragile skin pose challenges to neonatal providers, including the difficult nature of securing lifesaving devices. A paucity of information exists supporting best simulation practices in educating neonatal nurse practitioner (NNP) students on how to care for infants with fragile skin.
Purpose:
To evaluate whether simulation improved student knowledge and self-confidence related to caring for infants with fragile skin.
Methods:
This quality improvement project included a pre/posttest survey with a sample of 14 NNP students. Participants practiced application of a multilayered dressing to secure a catheter to a neonatal manikin. Knowledge and self-confidence were measured before and after simulation.
Results:
Correct responses on posttest survey knowledge items increased along with students' confidence ratings following simulation. Students reported high levels of satisfaction with the simulation experience.
Conclusions:
Simulation of caring for fragile skin allows NNP students the opportunity to improve self-confidence, knowledge, and performance of a necessary skill for NNPs.
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