Using Simulation to Evaluate Nurse Competencies

Abstract

A multimodal nursing pedagogy utilizing simulation was incorporated into annual nurse competencies at a 465-bed academic medical center to translate into practice the required surveillance of a potentially septic patient and the necessary clinical decision-making. Pretest/posttest was used to determine knowledge retention from simulation. Nurses’ sepsis knowledge following simulation was improved. Simulation can provide long-term knowledge retention of sepsis for application into clinical practice and be a viable option for competency assessment for professional nurses.

Impact of sepsis education for healthcare professionals and students on learning and patient outcomes: a systematic review

“…These insights can inform the design and development of future sepsis education for healthcare professionals and students, with the ultimate aim of improving care of patients with sepsis and contributing to reducing sepsis burden to health systems. [66] N/A 0 + Bolger et al [ 35] Y 0 Breuer & Hassinger [36] Y + + Bridges et al [37] 0 + + Bryant [38] N/A + + Chung et al [39] + + Cory et al [65] Y + + Delaney et al [40] + + Dugan et al [41] 0 0 ± Evans et al [42] N/A 0 + + Ferrer et al [43] Y ± + Gallagher et al [44] Y + Girardis et al [45] Y + + Jenkins et al [46] N/A 0 ± Lighthall et al [47] + Luna et al [48] Y ± -MacRedmond et al [49] Y + + Marwick et al [50] Y ± Nguyen et al [51] Y ± + Noritomi et al [52] Y + + O'Shaughnessy et al [54] Y 0 0 Olvera & Dutra [53] Y + Palleschi et al [55] Y ± Qian et al [56] Y + Raines et al [57] Y ± Raj et al [62] Y + + Schilinski et al [58] 0 ± Serrano-Smith et al [64] Y ± Vanderzwan et al [59] ± Vattanavanit et al [63] N/A 0 + + Woods et al [60] Y + Yousefi et al [61] + + Y indicates presence of hospital sepsis support tool in the setting, + indicates statistical significant improvement of outcome p<0.05, 0 indicates improvement with unknown or no statistical significance observed, -indicates worsening of outcome, ± indicates multiple outcomes with both statistical and insignificant observations, N/A -not applicable.…”

Sepsis assessment and management in critically Ill adults: A systematic review

“…Simulation. Only two studies examined the effect of using simulation in improving the early recognition and prompt treatment of sepsis by critical care nurses (Table 6) [30,31]. Vanderzwan et al [30] assessed the effect of a medium-fidelity simulation incorporated into a multimodel nursing pedagogy on nurses' knowledge of sepsis and showed significant improvements in six of the nine questionnaire items.…”

“…Only two studies examined the effect of using simulation in improving the early recognition and prompt treatment of sepsis by critical care nurses (Table 6) [30,31]. Vanderzwan et al [30] assessed the effect of a medium-fidelity simulation incorporated into a multimodel nursing pedagogy on nurses' knowledge of sepsis and showed significant improvements in six of the nine questionnaire items. While Giuliano et al examined the difference in mean times required for sepsis recognition and treatment initiation between nurses exposed to two different monitor displays in response to simulated case scenarios of sepsis and showed PLOS ONE a significant reduction in the mean times required for sepsis recognition and treatment initiation by those nurses who were exposed to enhanced bedside monitor (EBM) display [31].…”

Lessons Learned in Providing Just-in-Time Simulation Education on Manual Pronation to Medical-Surgical/Telemetry Registered Nurses

“…Simulation use has increased in nursing education and the evaluation of nurse competencies as it provides a safe environment that decreases the cognitive load. This allows nurses to focus on learning and reinforcing teamwork (Dieckmann et al, 2020; Paige et al, 2018; Vanderzwan et al, 2020; Weaver et al, 2014).…”