The impact of virtual simulation on the recognition and response to the rapidly deteriorating patient among undergraduate nursing students.

A major patient safety challenge is recognition and response to deteriorating patients since early warning signs are often not detected in a timely manner. Nursing students typically learn the skills for early identification through clinical placement, but clinical placements are not guaranteed to provide exposure to deteriorating patients. Nursing students require practice with emergency scenarios to develop their competency and confidence to act in this area. This study aimed to explore the impact of a virtual simulation intervention on the recognition and response to the rapidly deteriorating patient among undergraduate nursing students. A mixed methods study involving a quasi-experimental pre/post design and focus groups. The participants were third or final year undergraduate nursing students from five university sites across four countries (Canada, England, Scotland and Australia, n = 88). Students were randomly assigned to a treatment or control group. The treatment group received a virtual simulation intervention and participated in a focus group. The virtual simulation intervention had a significant effect on improving nursing student knowledge and clinical self-efficacy in the recognition and response to the rapidly deteriorating patient. Students reported that the virtual simulations decreased anxiety, helped them prioritize, filled gaps in their learning, and encouraged autonomous learning within a safe 'low risk' environment. Virtual simulation is an effective strategy for improving knowledge and confidence in recognizing and responding to the rapidly deteriorating patient among undergraduate nursing students.

Scottish healthcare student's perceptions of an interprofessional ward simulation: An exploratory, descriptive study.

The most memorable learning occurs during placement. Simulated interprofessional learning is a logical learning opportunity to help healthcare professionals work beyond their professional silos. In this qualitative study, we investigated the perceived learning of students from six health professions (adult nursing, diagnostic radiography, occupational therapy, physiotherapy, dietetics, and pharmacy) from their participation in a 45 min interprofessional ward simulation. Semistructured focus groups were undertaken, and data were analyzed using framework analysis. Two overarching themes were evident, each of which had subthemes: (i) the ward simulation as an interprofessional education opportunity (subthemes: reality of situations and interactions); and (ii) the perceived learning achieved (subthemes: professional roles, priorities, respect, communication, teamwork, and quality of care). The results indicated that a short interprofessional ward simulation, unsupported by additional learning opportunities or directed study, is a useful and engaging interprofessional learning opportunity. Students appear to have learnt important key messages central to the interprofessional education curricula to help develop practitioners who can effectively work together as an interprofessional team, and that this learning is partly due to simulation allowing things to go wrong.

The development of service users in the provision of verbal feedback to student nurses in a clinical simulation environment.

The School of Nursing and Midwifery at Robert Gordon University, Aberdeen, has a sustained history of working in partnership with service users in their role as patient volunteers. The patient volunteers make a pivotal contribution towards the delivery of clinical skills as "real" patients. They work within a scenario context, overseen and facilitated by academic staff. Evaluations have identified that the patient volunteers find this experience rewarding, worthwhile and a way of contributing to the education of student nurses. Whilst this is already a successful element of the student's learning, staff were cognisant of the need to develop this aspect further. A case study approach was adopted to review the experience of the patient volunteers in their provision of feedback to students. In accordance with the evidence base, it was proposed to enhance the volunteer patient's role in providing verbal face to face feedback to students. An educational package for the patient volunteers was developed and a current simulation event within the curriculum was identified that would allow the volunteers to practice giving feedback. This was then evaluated and following ethical approval, a series of focus groups were undertaken with the patient volunteers. The data collected identified the strengths and limitations of this experience and as a result of this an implementation plan was identified aimed at enhancing the patient volunteer's and the student's experience.