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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

� Patient becomes agitated and confused<br />

� Physician orders an inappropriate dose <strong>of</strong><br />

medication<br />

If students become overwhelmed or confused, the student or faculty<br />

member stops the action and discusses any unclear or unfamiliar<br />

content. During this teaching moment, faculty members facilitate<br />

group discussion until clarification regarding nursing assessment,<br />

nursing intervention or necessary nursing action is achieved. The<br />

time frame for Phase 2 is approximately 45 – 60 minutes.<br />

Phase 3:<br />

The third phase begins with an intermission that allows students to<br />

take a short break and continues with role exchange and “change <strong>of</strong><br />

shift” report. Students who played the role <strong>of</strong> care providers then<br />

assume patient roles and previous patients become care providers.<br />

The time frame for Phase 3 is approximately 30 minutes.<br />

Phase 4:<br />

The final phase <strong>of</strong> the simulation is a continuation <strong>of</strong> the nursing<br />

care that was initiated in the first two phases. The new care<br />

providers must consider issues <strong>of</strong> continuity <strong>of</strong> care, reassess<br />

patient status, and respond to unexpected events. This phase lasts<br />

for approximately 90 minutes.<br />

Debriefing session:<br />

At the conclusion <strong>of</strong> the simulation, faculty and students<br />

participated in a debriefing session. The purpose <strong>of</strong> this session is<br />

to review any content that remains unclear to students and to<br />

provide faculty and students with an opportunity to evaluate the<br />

experience. Interdisciplinary team members, including physicians<br />

and pharmacists, were welcome to attend the debriefing session<br />

and <strong>of</strong>ten <strong>of</strong>fered valuable feedback to the student nurses.<br />

Debriefing sessions typically ran for 30 – 45 minutes.<br />

Outcomes<br />

Student responses to the Student Satisfaction and Self-Confidence<br />

in Learning, Educational Practices Questionnaire (Student Version),<br />

and<br />

Simulation Design Scale (Student Version) surveys is summarized in<br />

Appendix 2. In general students agreed that the simulation<br />

provided them with a positive active learning experience and<br />

allowed them to collaborate with one another (77 - 82%). The<br />

majority <strong>of</strong> students (73 – 85%) reported that the simulation design<br />

allowed them to problem solve while being supported and given<br />

- 164 -

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