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26th World Nursing Education Conference(10Plenary Forums - 1Event)

Prague, Czech Republic

Max Bishop

Max Bishop

Director of Clinical Simulation, USA

Title: Simulation learning tool in Nursing Education


Biography: Max Bishop


Statement of the problem:  For decades, simulation has been used as a learning tool in a multitude of industries including healthcare. Human patient simulators allow varying levels of fidelity to mimic authentic patient care. The simulated clinical environment supports demonstration of procedures and ongoing construction of critical thinking. In the clinical area, it progressed to clinical reasoning. There is a shortage of clinical placement sites for teaching nursing students.  The result is multiple nursing programs have had limits placed on their enrollments or have cancelled expansion plans.  The shortage of clinical sites is compounded by the shortage of qualified nursing faculty.  Clinical sites have decreased numbers of students permitted in each clinical group, also. Nursing administrators have found an alternative solution using simulation whereby a group of students can participate in patient care in a simulated patient care arena. 

Methodology: A quantitative, quasi-experimental, cross sectional, four-group design was designed to examine the impact on using Human Patient Simulations on students’ critical thinking skills.  A sample of 100 students were enrolled in one of two campuses of the same program in the U.S. using the same curriculum.  One program had 25% of their clinical hours performed in a simulation lab, whereas, the other campus had the previous traditional clinical hours performed in acute care or long term care settings without simulation.  All students completed the California Critical Thinking Skills Test at the beginning and end of their nursing program.  

Findings and Conclusion: The results supported previous studies that demonstrated a correlation between six variables and improved critical thinking scores when simulation was integrated into a curriculum rather than using clinical sites alone for learning care of patients. The clinical education experience to gain critical thinking skills and move toward clinical reasoning was enhanced through the use of human patient simulators in a nursing lab experience