A Clinical Micro-Systems Approach to Implementing a Respiratory Simulation Education Program (R-SEP)

2.50
Hdl Handle:
http://hdl.handle.net/10755/601739
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
A Clinical Micro-Systems Approach to Implementing a Respiratory Simulation Education Program (R-SEP)
Other Titles:
Disease Specific Simulation Education [Session]
Author(s):
Boyle-Duke, Betty; Sureau, Kim
Lead Author STTI Affiliation:
Upsilon
Author Details:
Betty Boyle-Duke, RN, CPNP, bbd3@nyu.edu; Kim Sureau, RN, ACNP, CCRN
Abstract:
Session presented on Saturday, July 25, 2015: Purpose: There are an estimated 44,000-98,000 medical errors annually, and approximately 200,000 cardio-pulmonary arrests of these occur in the hospital setting (IOM, 2008). A review of the literature showed that simulation improved skills and confidence among health care providers, which can lead to improved patient outcomes. The purpose of this quality improvement (QI) project was to implement a respiratory simulation education program (R-SEP) for nurse practitioners (NPs) and evaluate improvements in the respiratory assessment skills of practicing nurse practitioners. Methods: 'The Clinical Microsystems was the framework used to guide this QI project. Evaluation of participants was conducted using a modified respiratory Objective Structured Clinical Examination (OSCE) checklist. The OSCE checklist is a validated and reliable tool that measures performance and skills during simulation. Inter-rater reliability of the OSCE checklist was achieved prior to implementation with greater than 90% consistency among raters. 'Practicing nurse practitioners volunteered to participate in this project. The program consisted of two respiratory related clinical scenarios. Participants took part in a simulated experience followed by a debriefing session to review their performance and clinical management. A second scenario was conducted immediately after to incorporate feedback or improvements gathered from first scenario. Results: Scores of the seven NPs who participated were compared between scenario one (pneumonia) and scenario two (COPD). Six of the seven (71%) improved scores (2.3-25.8%). Results were obtained by comparing mean scores from participants' first OSCE scores to the second OSCE checklist. Conclusion: The results of this project add to the body of evidence that simulation programs like the R-SEP can help practicing nurse practitioners maintain skills and necessary competencies.
Keywords:
simulation; nurse practitioners; nursing education
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15E06
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleA Clinical Micro-Systems Approach to Implementing a Respiratory Simulation Education Program (R-SEP)en
dc.title.alternativeDisease Specific Simulation Education [Session]en
dc.contributor.authorBoyle-Duke, Bettyen
dc.contributor.authorSureau, Kimen
dc.contributor.departmentUpsilonen
dc.author.detailsBetty Boyle-Duke, RN, CPNP, bbd3@nyu.edu; Kim Sureau, RN, ACNP, CCRNen
dc.identifier.urihttp://hdl.handle.net/10755/601739-
dc.description.abstractSession presented on Saturday, July 25, 2015: Purpose: There are an estimated 44,000-98,000 medical errors annually, and approximately 200,000 cardio-pulmonary arrests of these occur in the hospital setting (IOM, 2008). A review of the literature showed that simulation improved skills and confidence among health care providers, which can lead to improved patient outcomes. The purpose of this quality improvement (QI) project was to implement a respiratory simulation education program (R-SEP) for nurse practitioners (NPs) and evaluate improvements in the respiratory assessment skills of practicing nurse practitioners. Methods: 'The Clinical Microsystems was the framework used to guide this QI project. Evaluation of participants was conducted using a modified respiratory Objective Structured Clinical Examination (OSCE) checklist. The OSCE checklist is a validated and reliable tool that measures performance and skills during simulation. Inter-rater reliability of the OSCE checklist was achieved prior to implementation with greater than 90% consistency among raters. 'Practicing nurse practitioners volunteered to participate in this project. The program consisted of two respiratory related clinical scenarios. Participants took part in a simulated experience followed by a debriefing session to review their performance and clinical management. A second scenario was conducted immediately after to incorporate feedback or improvements gathered from first scenario. Results: Scores of the seven NPs who participated were compared between scenario one (pneumonia) and scenario two (COPD). Six of the seven (71%) improved scores (2.3-25.8%). Results were obtained by comparing mean scores from participants' first OSCE scores to the second OSCE checklist. Conclusion: The results of this project add to the body of evidence that simulation programs like the R-SEP can help practicing nurse practitioners maintain skills and necessary competencies.en
dc.subjectsimulationen
dc.subjectnurse practitionersen
dc.subjectnursing educationen
dc.date.available2016-03-17T12:54:15Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:54:15Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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