Pilot Study: Oncology Nursing Annual Evaluation Assessment Performed Through High Fidelity Simulation

2.50
Hdl Handle:
http://hdl.handle.net/10755/164259
Category:
Abstract
Type:
Presentation
Title:
Pilot Study: Oncology Nursing Annual Evaluation Assessment Performed Through High Fidelity Simulation
Author(s):
Carpenter, Alesia; Wortham, Diana
Author Details:
Alesia Carpenter, MSN, APRN-BC, CS, CDE, Mission Hospitals, Asheville, North Carolina, USA, email: nacnsorg@nacns.org; Diana Wortham MSN, RN, OCN, CNS
Abstract:
Purpose: Based on the absence of literature, a southeast medical center explored the role of high fidelity human patient simulation (HPS) when conducting competency evaluations. Significance: HPS studies document success in skills acquisition and knowledge retention compared to traditional methods. Emphasizing psychomotor skills, HPS' allows the learner(s) to become proficient at targeted skills in a risk free environment. A component of certification/licensure for certain providers, HPS' life-sized mannequins with integrated computer software replicates a variety of infant/adult situations promoting intervention based critical thinking. Design: Educating nurses to provide clinically competent care in today's healthcare environment is increasingly difficult. Multi-diverse populations, disparities in training, knowledge and expertise present challenges to cost effective and evidence based interventions. Faced with rapidly changing technology, increasing patient acuity, and complex multisystem illnesses, one transformation to the newest teaching innovation is high fidelity human patient simulators (HPS). Methods: Using challenging scenarios, staff was evaluated for prioritized decision-making, performance, communication, and responses designed to optimize outcomes in three rapidly evolving oncological events. Quantitative pre-and post evaluations and interventional timeliness were measured. Qualitative information was provided through videotaped replays and debriefing sessions to bridge learning and performance gaps. Group debriefing encouraged reflective learning to link theory to practice and research. Findings: Pre evaluations indicated >50% were simulation naive and skeptical the experience could produce realistic patient outcomes. Post experience perceptions demonstrated > 90% environment fidelity and knowledge transference. Respondents cited debriefing (100%), direct learning (95%), and overall satisfaction (95%) contributed to critical thinking in highly complex situations (N=36). Conclusions: Pre-post tests revealed statistical significance in the measures of practice transference, experiential and environmental realism and training experience. Although beneficial, no statistical significance was quantified in either performance or decision. Implications for Practice: Individual and team collaboration among diverse workforces present a challenge for the CNS to optimize strategies that meet learner-centered knowledge and skills acquisition. Overall perceptions cite HPS possesses an innovative means to conduct nursing education and performance assessments. HPS concepts warrant further inquiry into scenario refinement, metrically sound performance measures, enhanced simulation environments and user sensitive surveys.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePilot Study: Oncology Nursing Annual Evaluation Assessment Performed Through High Fidelity Simulationen_GB
dc.contributor.authorCarpenter, Alesiaen_US
dc.contributor.authorWortham, Dianaen_US
dc.author.detailsAlesia Carpenter, MSN, APRN-BC, CS, CDE, Mission Hospitals, Asheville, North Carolina, USA, email: nacnsorg@nacns.org; Diana Wortham MSN, RN, OCN, CNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164259-
dc.description.abstractPurpose: Based on the absence of literature, a southeast medical center explored the role of high fidelity human patient simulation (HPS) when conducting competency evaluations. Significance: HPS studies document success in skills acquisition and knowledge retention compared to traditional methods. Emphasizing psychomotor skills, HPS' allows the learner(s) to become proficient at targeted skills in a risk free environment. A component of certification/licensure for certain providers, HPS' life-sized mannequins with integrated computer software replicates a variety of infant/adult situations promoting intervention based critical thinking. Design: Educating nurses to provide clinically competent care in today's healthcare environment is increasingly difficult. Multi-diverse populations, disparities in training, knowledge and expertise present challenges to cost effective and evidence based interventions. Faced with rapidly changing technology, increasing patient acuity, and complex multisystem illnesses, one transformation to the newest teaching innovation is high fidelity human patient simulators (HPS). Methods: Using challenging scenarios, staff was evaluated for prioritized decision-making, performance, communication, and responses designed to optimize outcomes in three rapidly evolving oncological events. Quantitative pre-and post evaluations and interventional timeliness were measured. Qualitative information was provided through videotaped replays and debriefing sessions to bridge learning and performance gaps. Group debriefing encouraged reflective learning to link theory to practice and research. Findings: Pre evaluations indicated >50% were simulation naive and skeptical the experience could produce realistic patient outcomes. Post experience perceptions demonstrated > 90% environment fidelity and knowledge transference. Respondents cited debriefing (100%), direct learning (95%), and overall satisfaction (95%) contributed to critical thinking in highly complex situations (N=36). Conclusions: Pre-post tests revealed statistical significance in the measures of practice transference, experiential and environmental realism and training experience. Although beneficial, no statistical significance was quantified in either performance or decision. Implications for Practice: Individual and team collaboration among diverse workforces present a challenge for the CNS to optimize strategies that meet learner-centered knowledge and skills acquisition. Overall perceptions cite HPS possesses an innovative means to conduct nursing education and performance assessments. HPS concepts warrant further inquiry into scenario refinement, metrically sound performance measures, enhanced simulation environments and user sensitive surveys.en_GB
dc.date.available2011-10-27T11:44:59Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:59Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.