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Screen-Based Patient Simulation: An Exemplar for Developing and Assessing Competency.

Gerry Altmiller¹, Francisco A Jimenez, Cheryl Wilson

¹Author Affiliations: Professor (Dr Altmiller), School of Nursing and Health Sciences, The College of New Jersey, Ewing Township, New Jersey; Psychometrician (Dr Jimenez), Elsevier, Snellville, Georgia; and Director Education, Research and Design (Dr Wilson), Elsevier Shadow Health, Gainsville, Florida.

|November 23, 2023

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Screen-based virtual patient simulation effectively enhances nursing students' competence in patient care and reduces biases. This strategy supports the shift towards competency-based nursing education and assessment.

Area of Science:

Nursing Education
Healthcare Simulation
Competency-Based Education

Background:

Nursing education is transitioning to competency-based models.
Nurse educators require effective strategies for competence development and assessment.

Purpose of the Study:

To evaluate screen-based virtual patient simulation as a strategy for developing nursing competencies.
To assess the impact of simulation on essential nursing skills and attitudes.

Main Methods:

A pre-/posttest design was employed with senior nursing students (n=52).
Thirteen assessment questions evaluated competency development, focusing on clinical reasoning, judgment, and professional socialization.
The study aligned with American Association of Colleges of Nursing Essentials competencies.

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Main Results:

Twelve of thirteen assessment items showed statistically significant improvement from pretest to posttest.
Posttest scores consistently exceeded pretest scores, indicating enhanced learning.

Conclusions:

Screen-based virtual patient simulation is an effective strategy for improving nursing students' competence.
Simulation positively impacts learners' ability to address patient comfort and decrease caregiver biases.