The Use of High-Fidelity Simulation to Teach Home Care Nursing

Abstract

The use of high-fidelity human patient simulation (HPS) is increasing in nursing education, yet little is known about its use in community health. This study examined an HPS home care experience to determine effects on three outcomes (student satisfaction, self-confidence, and learning). In addition, design characteristics of the simulation and demographic characteristics of students were examined for correlation with these outcomes. Senior baccalaureate students took part in the experience. Results indicated that students were very satisfied with the experience and felt it increased their confidence in providing care in the home, although learning outcomes were not high. Although no demographic characteristics were found to be correlated with outcomes, five design characteristics of a simulation were moderately correlated with the outcomes of satisfaction and self-confidence, especially support. It is recommended that nurse educators design HPS home care simulation experiences that provide student support prior to their first home care visit.

Evaluating a simulation-based telecare training program for home healthcare professionals: A trainee perspective

“…In line with previous research findings, [19] the home healthcare professionals in this study expressed enthusiasm for and satisfaction with simulation as a teaching method. Trainees noted that simulation gave them realistic insight into a new way of working and improved their confidence in providing remote nursing care.…”

“…[24] These include longer-term effects such as retention of learning outcomes over time, and the circumstances under which acquired knowledge and competencies are applied in real clinical practice. [19,27] Research should also look into whether and how different forms of training can be said to affect organizational procedures and the quality of telecare services provided, as well as the extent to which staff training impacts patient outcomes.…”

“…Simulation has for example been noted to contribute to the development and promotion of essential nursing competencies such as clinical assessment and diagnostic skills, comprehensive interpersonal and communication skills, self-esteem, self-efficacy and confidence, ethical insight and empathy, and critical thinking abilities. [18] Furthermore, research consistently shows that home healthcare trainees report high satisfaction with simulation as a teaching method, [19] independent of the type of simulation modality used. In particular, participation in simulated home visits is extensively linked to an increased understanding of, preparedness for, and confidence in providing healthcare services in the home environment.…”

Homecare user needs from the perspective of the patient and carers: a review

“…The program enables studies to increase nurses' confidence in dealing with the homecare environment. 179 simulation technology was used for teaching medication management for homecare nurses, with a significant increase in nurse self-confidence and improved knowledge of medication management. 180 A particular advantage of this approach was that students made mistakes in the simulations, which they may have made in the real setting.…”

High-Fidelity Simulation and Clinical Judgment of Nursing Students in a Maternal–Newborn Course

“…The availability of clinical experiences and faculty to teach in specialty areas such as pediatrics, maternal–newborn (obstetrics), and mental health is particularly scarce (Aebersold, 2018; Barra & Hernandez, 2019; Benner et al, 2010; IOM, 2011; National Council of State Boards of Nursing [NCSBN], 2016a; Shorten & Ruppel, 2017; Vermeulen et al, 2016). High-fidelity simulation may provide nursing students with alternative clinical experiences that are effective in promoting clinical judgment, offering a potential solution to the problem of limited opportunities in traditional clinical settings (Aebersold, 2018; Doolen et al, 2016; Harder, 2010; Jørgensen et al, 2018; Kim & Shin, 2016; NCSBN, 2016a; Smith & Barry, 2013).…”