Enhancing Mental Health Nursing Practicum with Clinical Simulation: A Comparison of Student Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/603109
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Enhancing Mental Health Nursing Practicum with Clinical Simulation: A Comparison of Student Outcomes
Other Titles:
Psychiatric Clinical Education: Enhancing Mental Health Knowledge [Session]
Author(s):
Mouser, April L.; Atkin, Lizann; Atkin, Lizann
Lead Author STTI Affiliation:
Non-member
Author Details:
April L. Mouser, RN, almouser@iuk.edu; Lizann Atkin, RN
Abstract:
Session presented on Monday, November 9, 2015: Background:  Opportunities for experiential mental health experiences in acute care settings are decreasing. In addition, acute care settings are restricting student practice opportunities thus, limiting the quality of learning experiences.  An excellent experiential alternative is the use of clinical simulation. Simulations can be used to supplement and enhance mental health nursing practicums by providing students with opportunities to interact, assess, and manage common mental health nursing challenges. Objectives: The learner will be able to articulate the steps used to create an enhanced, comprehensive mental health simulation program, including topic selection and scenario development. The learner will be able to compare and contrast student learning outcomes between a traditional mental health nursing practicum and the practicum enhanced with 31% clinical simulation. Purpose:    The purpose of the study was to compare student learning outcomes between two groups of students in the mental health nursing practicum, traditional practicum versus a practicum enhanced with 31% simulation. Methods:  The control group is a traditional clinical group, in which 8.8% (8 hours) of clinical hours are spent in simulation. The experimental group received 31% (28 hours) in simulation. Students were selected based on self-enrollment into practicum courses. The study was conducted over three semesters involving six clinical groups. The study assessed the students’ didactic course performance such as exam scores and ATI standardized test performance as student learning outcomes.  The students in the experimental group experienced a series of seven simulations, progressing from an orientation to mental health nursing and assessment of common mental health disorders to a simulation depicting common adverse medication effects of antipsychotic and antidepressant medications. The students in the control group experienced two simulations, an orientation to mental health nursing and a simulation that could depict adverse medication effects or suicidal ideation. Student learning outcomes were analyzed using matched pair t-tests and aggregate group data. Students were matched based on nursing grade point average (GPA) within and across semesters. Results:    Initial data reveals significant differences in both didactic course grades and standardized test performance of students in the experimental group with average nursing GPAs of 3.25 or lower and in students who had previously repeated nursing coursework, particularly on topics presented in the simulation scenarios found on the standardized test. No significant difference was noted among students with nursing GPAs of 3.26 or higher on the didactic course grade or standardized testing performance. Conclusions: Increased clinical simulation, focused on common mental health nursing topics, improves student learning outcomes and performance in higher risk student populations, those with nursing GPAs of 3.25 or lower or who have previously repeated nursing coursework.
Keywords:
Mental Health Nursing; Clinical Simulation
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15E01
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEnhancing Mental Health Nursing Practicum with Clinical Simulation: A Comparison of Student Outcomesen
dc.title.alternativePsychiatric Clinical Education: Enhancing Mental Health Knowledge [Session]en
dc.contributor.authorMouser, April L.en
dc.contributor.authorAtkin, Lizannen
dc.contributor.authorAtkin, Lizannen
dc.contributor.departmentNon-memberen
dc.author.detailsApril L. Mouser, RN, almouser@iuk.edu; Lizann Atkin, RNen
dc.identifier.urihttp://hdl.handle.net/10755/603109en
dc.description.abstractSession presented on Monday, November 9, 2015: Background:  Opportunities for experiential mental health experiences in acute care settings are decreasing. In addition, acute care settings are restricting student practice opportunities thus, limiting the quality of learning experiences.  An excellent experiential alternative is the use of clinical simulation. Simulations can be used to supplement and enhance mental health nursing practicums by providing students with opportunities to interact, assess, and manage common mental health nursing challenges. Objectives: The learner will be able to articulate the steps used to create an enhanced, comprehensive mental health simulation program, including topic selection and scenario development. The learner will be able to compare and contrast student learning outcomes between a traditional mental health nursing practicum and the practicum enhanced with 31% clinical simulation. Purpose:    The purpose of the study was to compare student learning outcomes between two groups of students in the mental health nursing practicum, traditional practicum versus a practicum enhanced with 31% simulation. Methods:  The control group is a traditional clinical group, in which 8.8% (8 hours) of clinical hours are spent in simulation. The experimental group received 31% (28 hours) in simulation. Students were selected based on self-enrollment into practicum courses. The study was conducted over three semesters involving six clinical groups. The study assessed the students’ didactic course performance such as exam scores and ATI standardized test performance as student learning outcomes.  The students in the experimental group experienced a series of seven simulations, progressing from an orientation to mental health nursing and assessment of common mental health disorders to a simulation depicting common adverse medication effects of antipsychotic and antidepressant medications. The students in the control group experienced two simulations, an orientation to mental health nursing and a simulation that could depict adverse medication effects or suicidal ideation. Student learning outcomes were analyzed using matched pair t-tests and aggregate group data. Students were matched based on nursing grade point average (GPA) within and across semesters. Results:    Initial data reveals significant differences in both didactic course grades and standardized test performance of students in the experimental group with average nursing GPAs of 3.25 or lower and in students who had previously repeated nursing coursework, particularly on topics presented in the simulation scenarios found on the standardized test. No significant difference was noted among students with nursing GPAs of 3.26 or higher on the didactic course grade or standardized testing performance. Conclusions: Increased clinical simulation, focused on common mental health nursing topics, improves student learning outcomes and performance in higher risk student populations, those with nursing GPAs of 3.25 or lower or who have previously repeated nursing coursework.en
dc.subjectMental Health Nursingen
dc.subjectClinical Simulationen
dc.date.available2016-03-21T16:43:29Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:43:29Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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