Highlights
- •Almost universal use simulation as a pedagogy in APN education.
- •The INACSL Standards guide the development and implementation of APN simulations.
- •There is a strong desire for local and mentored simulation training.
- •A majority of respondents support replacement of some clinical hours with simulation.
Abstract
Simulation is an effective pedagogy and is used extensively in prelicensure nursing
education. Advanced practice nursing (APN) programs also use simulation as a component
of their curriculum even though APN accreditation and certification organizations
do not allow students to substitute simulation hours for the minimum 500 clinical
hours. There is a lack of rigorous research studies supporting the benefits or describing
the outcomes of using simulation in APN programs. This article presents the results
of a descriptive survey on the use of simulation in APN programs in the United States
and Canada. Data obtained from the survey provide a base for current simulation use,
so do data on the use of the International Nursing Association for Clinical Simulation
and Learning Standards of Best Practice as an organizing framework for the implementation
of simulations in APN programs. The results of the survey include courses in which
simulation is used, modalities of simulation used, purposes for simulation use, and
the number of hours of simulation. Data on barriers to simulation use and faculty
educational needs are provided. Key findings include the following: 98% of respondents
report using simulation in their APN programs, and 77% of respondents support the
replacement of a percentage of clinical hours with simulation. The results from this
study provide a base to build further rigorous research on how simulation can enhance
the education of APN students, improve knowledge transfer, impact behaviors, and improve
outcomes. In addition, the outcomes of this study may help educators develop training
and support systems that can enhance the quality of APN simulations.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical Simulation In NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A systematic review of the literature related to the NLN/Jeffries simulation framework.Nursing Education Perspectives. 2015; 36: 281-291https://doi.org/10.5480/15-1655
- NCSBN simulation guidelines for prelicensure nursing programs.Journal of Nursing Regulation. 2015; 6: 39-42https://doi.org/10.1016/S2155-8256(15)30783-3
- Nursing faculty shortage fact sheet, April, 2017.(Retrieved from)
- Interprofessional communication skills training for serious illness: Evaluation of a small-group, simulated patient intervention.Journal of Palliative Medicine. 2014; 17: 159-166
- A proposed model for simulation faculty workload determination.Clinical Simulation in Nursing. 2018; 18: 20-27
- The effect of high-fidelity simulation on knowledge and confidence in critical care training: An integrative review.Nurse Education in Practice. 2016; 16: 287-293https://doi.org/10.1016/j.nepr.2015.10.004
- Substitution of clinical experience with simulation in prelicensure nursing programs: A national survey in the United States.Clinical Simulation in Nursing. 2015; 11: 472-478https://doi.org/10.1016/j.ecns.2015.09.004
- Efficacy of teaching methods used to develop critical thinking in nursing and midwifery undergraduate students: A systematic review of the literature.Nurse Education Today. 2016; 40: 209-218https://doi.org/10.1016/j.nedt.2016.03.010
- Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness.Journal of American Medical Association. 2013; 310: 2271-2281https://doi.org/10.1001/jama.2013.282081
- Chapter 2. Framework for simulation learning in nursing education.in: Campbell S.H. Daley K. Simulation Scenarios for Nursing Educators: Making it real. 3rd ed. Springer Publishing Company, Inc, New York, NY2018: 13-18
- Building clinical education training capacity in nurse practitioner programs.Journal of Professional Nursing. 2017; 33: 422-428https://doi.org/10.1016/j.profnurs.2017.02.002
- Using debriefing for meaningful learning to Foster development of clinical reasoning in simulation.Journal of Nursing Education. 2012; 51: 326-333https://doi.org/10.3928/01484834-20120409-02
- End of life care simulation: A review of the literature.Nurse Education Today. 2014; 34: 766-774https://doi.org/10.1016/j.nedt.2013.10.005
- A national survey of the primary and acute care pediatric nurse practitioner educational preparation.Journal of Pediatric Health Care. 2011; 25: 5-15
- The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education.Journal of Nursing Regulation. 2014; 5: 1-66
- Standards of best practice: Simulation.Clinical Simulation in Nursing. 2016; 12: S48-S50https://doi.org/10.1016/j.ecns.2016.10.001
- Repository of Instruments Used in Simulation Research.(Retrieved from)
- Development and evaluation of simulation-based training for obstetrical nursing using human patient simulators.CIN: Computers, Informatics, Nursing. 2013; 31: 76-84https://doi.org/10.1097/NXN.0b013e3182701041
- Learning styles and learning spaces: Enhancing experiential learning in higher education.Academy of Management Learning and Education. 2005; 4: 193-212
- Developing standardized patient clinical simulations to apply concepts of Interdisciplinary collaboration.Journal of Nursing Education. 2013; 52: 705-708https://doi.org/10.3928/01484834-20131121-04
- Effects of the use of high-fidelity human simulation in nursing education: A meta-analysis.The Journal of Nursing Education. 2015; 54: 501-507
- Improving Teamwork and communication in Trauma care through in Situ simulations.Academic Emergency Medicine. 2012; 19: 608-612https://doi.org/10.1111/j.1553-2712.2012.01354.x
- What is the impact of multidisciplinary team simulation training on team performance and efficiency of patient care? An integrative review.Australasian emergency nursing journal. 2016; 19: 44https://doi.org/10.1016/j.aenj.2015.10.001
- NP education today, NP education tomorrow. Executive summary.(Retrieved from)
- Simulation in the context of clinical education (Paper no. 4).(Retrieved from Clinical education issues in preparing nurse practitioner students for independent practice: An ongoing series of papers)
- Criteria for evaluation of nurse practitioner programs.5th ed. National Organization of Nurse Practitioner Faculties, Washington, DC2016: 44 (Retrieved from)
- Use of simulation to integrate cultural humility into advanced health- assessment for nurse practitioner students.Journal of Nursing Education. 2017; 56: 567-571https://doi.org/10.3928/01484834-20170817-11
- Using integrated simulation in a nursing program to improve Medication Administration skills in the pediatric population.Nursing Education Perspectives. 2013; 34: 148-153
- Effective use of interpreters by family nurse practitioner students: Is didactic curriculum enough?.Journal of the American Academy of Nurse Practitioners. 2011; 23: 233-238
- The use of simulation with advanced practice nursing students.Journal of the American Academy of Nurse Practitioners. 2012; 24: 516-520https://doi.org/10.1111/j.1745-7599.2012.00760.x
- Using simulation for clinical practice hours in nurse practitioner education in the United States: A systematic review.Nurse Education Today. 2016; 37: 128-135https://doi.org/10.1016/j.nedt.2015.11.006
- Learning in simulated environments: Impact on learning transfer and clinical skill acquisition in nurse practitioner students.Journal of Nursing Education. 2012; 51: 403-406
- A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs.Nurse Education Today. 2016; 46: 99-108https://doi.org/10.1016/j.nedt.2016.08.023
- Interprofessional education: A multi-patient, team-based intensive care unit simulation.Clinical Simulation in Nursing. 2014; 10: 521-528https://doi.org/10.1016/j.ecns.2014.05.004
- “You’re being paged!” Outcomes of a nursing home on-call role-playing and longitudinal curriculum.Journal of the American Geriatrics Society. 2013; 61: 1976-1982
Article info
Publication history
Published online: November 13, 2018
Identification
Copyright
©?2018 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.
