The Evolution of Simulation and Its Contribution to Competency

Abstract

Nurse educators are challenged to implement teaching strategies that promote learners' clinical competency and critical-thinking skills. Additionally, these educators are asked to base their curriculum decisions, teaching practices, and evaluation methods on current research findings. Simulation offers a unique mode for experiential learning and evaluation, but the appropriate use of the spectrum of simulation typology requires strategic planning. Although simulation provides educators with new educational opportunities, the potential use of simulation in competency testing cannot be achieved until educators and researchers acquire the knowledge and skills needed to use this education strategy, develop realistic case scenarios, and design and validate standardized and reliable testing methods. Numerous pressures exist for clinical settings to document the competencies of their employees. Simulation could be used in the practice environment to promote and validate the clinical judgment and competency of nurses.

Development of Crisis Resource Management Skills: A Literature Review

“…The goal is to use experiential learning to provide learners the opportunity to practice clinical episodes that alter one's way of understanding and perceiving future clinical situations. The experience is meant to guide the participant to develop skills by mirroring the true contextual environment and situation (Decker et al, 2008). In nursing, practice is a key component to skill-based learning.…”

The Impact of a Simulation-based Education Program for Emergency Airway Management on Self-efficacy and Clinical Performance among Nurses

“…이러한 교육적 요구에 따라 간호학 에서는 이론과 실무를 통합할 수 있는 시뮬레이션 교육이 대 두되고 있다 (Decker, Sportsman, Puetz, & Billings, 2008). 본 연구에서는 유의수준을 p <.05로 두었다.…”

Validating the Use of High-Fidelity Simulation as a Clinical Adjunct in Undergraduate Nursing Education

“…They frequently verbalized appreciation for the opportunity to develop skills and make mistakes while learning to care for simulated labor, postpartum and newborn patients prior to attending hospital clinical. Neither educators nor students are endorsing the replacement of clinical patient care with simulation but the combination of the two should potentiate the learning effect [1][2][3]10].…”

“…As a result, nursing students are getting limited opportunities in clinical practice sites to become proficient at basic nursing skills, communication techniques and critical thinking. Nurse educators and educational programs are seeking alternative clinical experiences to supplement the standard clinical experience now being utilized [1]. High fidelity simulation offers a safe alternative to allow students to expand their knowledge and abilities without putting patients or students at risk [2].…”

“…These experiences are not client dependent, which can facilitate wider breadth of experience for all students. Researchers have identified high-fidelity simulation as an alternative clinical experience to enhance student development while in a safe atmosphere for both the student and patient [1,2]. High-fidelity simulation allows students to obtain physical input, environmental responses and patient management experience in situations that are usually observational experiences in traditional hospital clinical rotations [4].…”