Survey of Simulation Use in Prelicensure Nursing Programs: Changes and Advancements 2010-2017

Survey of Simulation Use in Prelicensure Nursing Programs: Changes and Advancements 2010-2017
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DOI:
10.1016/s2155-8256(19)30016-x
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发表时间:
2019-01-01
影响因子:
2.4
通讯作者:
Smiley, Richard A.
Smiley, Richard A.
中科院分区:
医学4区
文献类型:
--
作者:
Smiley, Richard A.

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模拟护理教育课程的兴起是由于技术进步和学生临床实习数量的限制。在国家护理委员会全国模拟研究的国家理事会的基础上,这项评估性后续研究旨在更新目前的模拟景观,比较2017年和2010年之间的结果,并确定国家模拟研究和国家护理委员会全国模拟指南的国家理事会的影响。发送到所有prelicensure护理教育计划在美国的一项调查结果表明,高保真模拟在本科课程的使用大幅增加,在7年期间,和基于计算机的模拟使用下降的所有课程,除了精神病/心理健康护理。大多数护理课程使用模拟与临床时间的1:1比例替代模拟临床时间。《国家模拟研究》和《模拟指南》对如何使用模拟有着明确的影响。这项研究和指导方针的知识似乎很普遍,一半的程序表示他们至少采用了一些模拟指导方针。护理委员会应保持警惕,并确保进行汇报,并确保教师接受正式培训,在编程的人体模型和运行的情况。
The rise of simulation in nursing education programs is due to technological advancements and limitations in the number of clinical placements available for students. Building off the National Council of State Boards of Nursing's National Simulation Study, this evaluative follow-up study sought to update the current simulation landscape in prelicensure programs, compare results between 2017 and 2010, and determine the impact of the National Simulation Study and and National Council of State Boards of Nursing's National Simulation Guidelines. Results of a survey sent to all prelicensure nursing education programs in the U.S. indicate high-fidelity simulation use in undergraduate courses increased substantially during the 7-year period, and computer-based simulation use decreased for all courses except for psychiatric/mental health nursing. Most nursing programs substitute simulation for clinical hours using a 1:1 ratio of simulation to clinical hours. The National Simulation Study and the Simulation Guidelines have a definite impact on how simulation is being employed. Knowledge of the study and guidelines seem widespread, and half of the programs indicated they adopted at least some of the simulation guidelines. Boards of nursing should remain vigilant and ensure that debriefing is occurring and that faculty receive formal training in programming the mannequins and running the scenarios.