Nurse Simulation Report

Background and Purpose: Simulation is an education pedagogy integrating theoretical knowledge and applied learning allowing students to enhance their work-ready skills in real-world settings. Simulation allows students to participate in real time, while building their competence and confidence. Embedded in simulated learning modules are provisions for attempts and errors and reception of essential feedback. This aims of the multidisciplinary (Social Work, Nursing, and Theatre Departments) pilot simulation project was threefold: to assess social work student learning on Council on Social Work Education (CSWE), Educational Policies and Standards (EPAS); to assess nursing student learning of National Patient Safety Goals (NPSG) and Quality and

Three hours were allotted for two cycles of simulation. Simulation commenced with nursing students performing NPSG requirements, including a referral to social workers. Two types of patients were used: 1) High fidelity – programmable mannequins that exhibit medical conditions, and 2) Standardized patients – student actors performing the role of sick patients. Students were observed, by raters, through a one-way window. Raters were equipped with headphones in order to hear the dialogue. Students, faculty and raters participated in a forty-five minute debrief. Immediately following simulation, social work students completed a 22-item multidimensional assessment that centered on five CSWE EPAS standards: ethical and professional behavior, diversity and difference in practice, practice-informed research and research-informed practice, engagement and assessment. Bivariate analyses were conducted to test differences between student-self assessment and rater assessment. Nursing students were evaluated on NPSG performance which assessed the nursing students’ ability to identify patient correctly, communicate effectively, ensure medication safety, prevent infection, and assess safety risk. A measurement error was estimated for each individual category and all categories combined for the NPSG. QSEN assessed patient-centered care, work in inter/intra-disciplinary teams, evidence-based practice, and utilization of information from a variety of sources. Analyses also included dichotomous data evaluation using binomial-based