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Innovative Use of Cadavers in Perioperative Nursing Orientation
AORN Journal
|March 27, 2023
Summary
This study introduced a new perioperative nurse orientation using human cadavers for realistic skill practice. This innovative approach enhanced clinical judgment and learner satisfaction in a safe simulation environment.
Area of Science:
- Medical Education
- Surgical Nursing
- Simulation-Based Training
Background:
- Traditional perioperative nurse orientation often relies on manikins, which may limit the fidelity of skill acquisition.
- There is a need for innovative methods to improve the training of new perioperative nurses in a safe and effective manner.
Purpose of the Study:
- To develop and evaluate an innovative perioperative nurse orientation curriculum utilizing human cadavers for enhanced simulation.
- To assess the impact of cadaver-based simulation on clinical judgment skills and learner satisfaction among new perioperative nurses.
Main Methods:
- The Periop 101 program incorporated human cadavers into simulation activities for practicing skills like surgical skin antisepsis.
- Participants underwent a two-phase, six-month orientation, with clinical judgment assessed using the Lasater Clinical Judgment Rubric at six weeks and 12 weeks.
- Skills were practiced in a dedicated simulation and bioskills laboratory setting.
Main Results:
- Mean clinical judgment scores increased significantly for all participants between the two evaluation periods.
- The use of human cadavers enhanced simulation fidelity and contributed to higher learner satisfaction.
- Participants reported practicing skills in a safe environment, reducing fear of patient harm.
Conclusions:
- Cadaver-based simulation is an effective and innovative method for perioperative nurse orientation.
- This approach improves clinical judgment, enhances skill acquisition fidelity, and increases learner satisfaction.
- Safe simulation environments are crucial for developing confident and competent new nursing staff.

