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Simulation reflection on nursing student
Experimental learning nursing simulation research
Simulation reflection on nursing student
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Nursing simulation is a progressive method of education which nursing programs are utilizing to improve patient outcomes through giving students opportunities to practice and learn new nursing skills in non-threatening environments. Simulation experiences were first developed and utilized in the military and airline industries. However, many academic interest groups including medical and nursing education are adopting this technique. It is with hope that simulation experiences will allow students the opportunities they need to practice skill sets that will lead to the improvement of patient’s conditions. Evaluation of the nursing simulation also serves an important role in determining the effectiveness of the activity in meeting the objectives
Five levels of competence are identified in this theory: novice, advanced beginner, competent, proficient, and expert (Benner, 1982). According to Brykczynski (2010), as the nurse matures professionally from various experiences, clinical knowledge grows deeper from both practical and theoretical knowledge gained through experience. A wealth of knowledge is gained through trial, error, and modification of tests and evidence-based practices in the actual situation while maintaining patient safety and the highest quality of patient care (Brykczynski, 2010). Coupled, these provide a solid foundation for the theoretical framework for nursing HPS. Through the learning process, the learner transitions from novice to expert. The student evolves from simply gathering individual pieces of patient health data to collectively reviewing the separate pieces to make decisions based on the overall situation. HPS provide experiences to allow students to improve assessment skills and see the consequences of decisions (Waldner & Olson, 2007). It is evident, how each theory relies on an experience or situation and skill set to be able to be accomplished. These are things that HPS requires as
The use of HPS within the nursing curriculum provides this opportunity for nursing faculty. According to literature, simulation improves the confidence of newly qualified nurses communication skills, clinical decision-making skills, and teamwork skills (Stirling, Smith, & Hogg, 2012). While these improvements in the care of patients are important, the evaluation piece is most critical. Nursing faculty need to have awareness of how the designed HPS contributes or does not contribute to the learning outcomes. According to Robinson & Dearmon (2013), the evaluation process framework supports the process based on preformed standards and offers the occasion for testing and duplication of the HPS activity. Nurses must be able to provide care in a competent and safety-focused manner. Mistakes, especially if no method of correction exists, can be costly to the patient, nurses, and the medical realm as a whole. If students can be provided an opportunity to apply the knowledge they possess, receive evaluation on their demonstrated actions, and review these evaluations for improvement, it is with hope that they will be better prepared to provide high quality care to
Bachelor of Science in Nursing (BSN) programs strive to prepare student nurses for the National Council Licensure Examination (NCLEX) that tests not only pure knowledge, but the reasoning and application of that knowledge. These programs provide student nurses with the necessary knowledge base and ability to apply knowledge in practice; especially since the introduction of Evidence-Based Practice (EBP) has been integrated into didactics. EBP, along with hours of clinical placement, benefits student nurses by arming them with the clinical judgment skills called for in the workplace. However, if student nurses accrue more focused clinical hours in their areas of specialty, they will be better prepared for the situations they will face in their careers in which simulation labs or nonspecific clinical settings fail to adequately prepare them. With more hours spent in specialty areas, student nurses will be able to establish higher degrees of mental preparedness and hands-on experience as well as understanding of the difficulties and demands of working as a nurse in a specific field as opposed to shifting between various focuses of nursing.
Senior nursing students will complete a QSEN weekly clinical journal requirement learn how to self-assess their progress toward demonstrating these nationally-based competencies. The students will select a different competency each week to address and discuss how they applied that competency to patient care or how they hope to better achieve that competency as a graduate nurse. By the end of the clinical rotation each student will have had a chance to focus on each of the six QSEN competencies: patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics. The students’ reflection on their clinical experiences each week will teach them how to integrate the core competencies required before graduation. According to Use of self-evaluative practices puts the power back upon the student to direct and think critically about their learning (Dickensen, 2015). Demonstrating these competencies supports safety and excellence in clinical practice (QSEN,
... simulations, which range from computer run screen simulations to physical simulations, are helping the medical trainees acquire high edge experiences from repetitive exercises of complex medical procedures. The skills and understanding derived from this kind of training is hopefully expected to improve the actual medical service delivery once the students graduate.
As a nurse we are responsible for the safety and overall health promotion of our patients. Competency in the nursing field is what ensures patient safety and decreased hospital acquired injury. Continued competence ensures that the nurse is able to perform efficiently and safely in a constantly changing environment. Nurses must continuously evaluate their level of skill and find where improvement needs to be made in order to keep up to date with the expected skill level set by their
The human body is the most complex organism in the world. A vast majority of society never gives it real thought, but our body is a well oiled machine composed of several systems with separate functions yet they all work together. No man can recreate an exact working replica of a human; even with all of our technology we still do not fully understand it. Each day anatomists and physiologists are getting closer, by making medical breakthroughs. Therefore, since the study of the human body constantly is evolving, so is the study of medicine. These changes pertain to every position held in the medical field, including nurses. As doctors’ duty is to become well informed of the constant changes, it is just as important for nursing staff to evolve as well. Most people do not realize the very valuable role a nurse plays in the process of treating a patient. Actually, some would say that nurses are more valuable than the doctors’. It is the nurse that gives the direct patient care by working with patients to monitor, evaluate, and implement their best judgment regarding the patients care. This is a very large responsibility for any person, let alone someone who has not attended medical school. Granted, nurses generally operate within certain perimeters set by the doctors’ orders, but there are times where nurses have to implement their own skills. A good nurse must be a good communicator, must be well educated and willing to evolve with the industry, and most importantly must be able to implement last minute critical thinking skills.
On the 1st of November 2013, I performed my first simulation on the module, Foundation Skills for Nursing. This simulation was on checking for vital signs in patients particularly, measuring the blood pressure (BP) which is the force of blood vessels against the walls of the vessels (Marieb and Hoehn, 2010). We also measured the temperature, pulse and respiratory (TPR) rates of a patient. This simulation’s objective was to engage us in practising some basic observation techniques taken on patients in and out of hospitals and to familiarise us on some of the tasks we will be performing when in practise. I will be applying the “What”, “So what”, and “Now what” model of reflection in nursing by Driscoll (2000).
Education is imperative in improving quality and safety in patient care. Nurse educators must now implement a curriculum that is designed to teach pre and post-license nursing students the skills, knowledge, and attitude that is necessary to ensure the safety of the patients. Obtaining knowledge in how to
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Nursing students at State University need better clinical experiences and better clinical sites. Clinical sites that have nothing to do or preceptors who don’t want to educate should be cut out and replaced with better sites. Ideally each clinical should allow nursing students to gain experience in critical skills and patient ca...
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
This essay is going to reflect upon the nursing skills I developed during a period of placement simulations, placing emphasis on oral care, communication with a non-engaging patient and bed bath. It will outline the fundamental aspects of clinical nursing skills that I have begun to acquire. This will also highlight the learning processes which took place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using a variety of sources from current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as identifying areas with scope for learning.
Simulated based education is a method that can be used within the field of nursing to accomplish this goal. Forms of Simulated Nursing Education Simulated based education is training and an educational method that can use many different types of simulators. Dr. Broussard said, “A wide range of simulators are available to nurse educators. Models range from equipment that is used to teach a simple, single skill such as intravenous access to very advanced, realistic equipment that can be used to simulate reality-based scenarios in a clinical setting such as an intensive care unit.” (Broussard, L. 2009)
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Student nurses depend on the knowledge proficiency of the nurse to be able to consolidate and apply knowledge in a real life setting. Such roles of the nurse mandates him/her to have a good scientific basis for his/her practice.