Post-Simulation Evaluation

2 weeks after
fall clinical:
The summer
simulation
practice
increased my
confidence
level when
caring for my
patients in the
first weeks of
fall semester.

Immediately post scenario:
The summer simulation practice will decrease my
anxiety when returning to clinical this fall semester

2 weeks after
fall clinical:
The summer
simulation
practice
decreased
my anxiety
level when
returning to
clinical this
fall
semester.

Students comments:
! “ I enjoyed the mixed levels, it helped
me to understand more about what I
am going to be learning in the near
future”
! “Mixed levels is a great idea! Would
even help during the semester”
! “ I think they were very helpful; my
only wish is that we could’ve had
more simulations during break”

Extra Scenarios Offered:
! Basic Assessment – Cardiac Patient
6 students from Nursing II, III and IV attended.
1) Demonstrate how to obtain a focused history of
the cardiovascular (CV) system.
2) Identify modifiable & non-modifiable risk factors.
3) Demonstrates assessment findings in a patient
with CV disease.
4) Describe the nursing interventions for this
patient.
5) Describe the treatments and medications for this
patient.

Basic Cardiac Assessment
! Pre-Scenario Evaluation
History 3.6
Risk Factors 4.0
Assessment 4.0
Nursing Interventions 3.2
Treatments & Meds 3.0
! Post-Scenario Evaluation
4.4
4.8
4.2
4.4
4.2
Likert Scale of 1-5
1= No confidence
5=Feel very confident
N =6

Fluid & Electrolytes / Dehydration
! Pre-Scenario Evaluation
Pathology 3.6
Lab Values 3.3
Assessment 3.6
Nursing Interventions 3.7
Treatments & Fluids 3.4
! Post-Scenario Evaluation
4.3
4.5
4.6
4.6
4.4
N=10

Foreign Body Airway
Obstruction
! Pre-Scenario Evaluation
Define FAO 3.3
Identify methods and diagnosis of
FAO 2.5
Discuss teaching & discharge
instructions 3.3
Describe nursing interventions
3.3
Evaluate the patient’s response
to nursing interventions and
treatments 3.3
! Post-Scenario Evaluation
4.5
4.5
4.3
4.5
4.5
N=4

Post Op Ileus
! Pre-Simulation Evaluation
Assessment 3.7
! Post-Simulation Evaluation
4.0
Nursing & Medical Management
3.4
4.0
Pathology 3.4
Nursing Interventions 3.7
Response to interventions 3.4
Lab Values 3.4
4.0
4.0
5.0
5.0
N = 3

Chemotherapy Patient
! Pre-Scenario Evaluation
Physical assessment/
complications 1.0
Pathology 1.5
Assessment Findings 1.5
Nursing Interventions 1.0
Treatments 1.0
Lab Values 1.0
! Post-Scenario Evaluation
3.5
3.5
4.0
4.0
4.0
4.0
N=2

All Scenario’s Post – Evaluation
! Included these questions:
5 point Likert scale utilized for analysis.
1=Strongly disagree 5= Agree strongly
I feel this simulation was beneficial.
I feel the scenarios were realistic and applicable to
my learning needs.
I felt anxious during the simulation.
I feel that my anxiety interfered with my learning.

Results
! Fluid & Electrolytes/Dehydration
All students identified that their anxiety was
not an issue in this simulation 3.1/5.0 with 3
being neither agree or disagree.
They ranked scenario realism at 4.8/5.0
They ranked the benefit that this scenario
had on their learning at 4.8/5.0
They ranked their anxiety as interfering with
their learning as 2.3/5.0 with 2 = disagree
with the statement and 5 = strongly agree .

Results

Results

Plans for the Future
! Continue offering extra simulation
scenarios during school year
! Start a “Summer Simulation Camps”
! NCLEX review with simulation for
graduates prior to NCLEX exam
! Reviewer camps as a refresher course for
Alumni who are returning to nursing
! Continue to collect data and publish
research on effectiveness of simulation for
student learning.

What do you think
! What are your thoughts
! Has anyone tried extra simulation
scenarios
! How is simulation being used in your
curriculum
! How can we evaluate the
effectiveness of simulation in the
learning process

References
! National League for Nursing. (2004).
Innovation in nursing education: A call
to reform. New York: National League
for Nursing.
! Del Bueno, D. J. (2004). A crisis in
critical thinking. Nursing Education
Perspectives, 26 (5). 278-283.

References
! Clarke, S.P., & Aiken, L.H. (2003).
Failure to rescue: Needless deaths
are prime examples of the need for
nurses at the bedside. American
Journal of Nursing. 103(1), 42-47.
! Linden L.L., (2008) The Effect of
Clinical Simulation and Traditional
Teaching Versus Traditional Teaching
Alone on Critical Thinking of Nursing
Students. EdD thesis, College of
Saint Mary, Omaha, NE.

References Continued
! Kolb, D. A., (1984). Experiential
learning: Experience as the source of
learning and development. NJ:
Prentice-Hall
! Benner, P. (1984). From Novice to
Expert Excellence and Power in
Clinical Nursing Practice. Don Mills,
Ontario: Addison-Wesley Publishing
Company

References Continued
! Jeffries, P.R. (Ed.) (2007). Simulation
in Nursing Education From
Conceptualization to Evaluation. New
York, New York. National League for
Nursing
! Cant R.P. & Cooper S.J. (2010)
Simulation-based learning in nurse
education: systematic review. Journal
of Advanced Nursing 66(1), 3-15.