1. EVEN THOUGH IT ISN’T A REAL PERSON, YOU HAVE TO TREAT IT LIKE IT IS: PERCEPTIONS OF HIGH-FIDELITY SIMULATION
Ashlee Fay Fettig, MSN, RN
Co-Author: Dr. Julie Klein

3. PROBLEM STATEMENT Innovative teaching strategy Substantial investment
Student-centered approach
Substantial investment
Little research conducted to assess perceptions of graduate nurses regarding the influence of high-fidelity simulation

4. RESEACH PURPOSE
Obtain perceptions of BSN graduate nurses regarding the influence of high-fidelity simulation experiences on their preparedness to enter clinical practice
Guide curricula planning for baccalaureate nursing programs
Assess teaching methodology

5. RESEARCH QUESTION
What were the perceptions of baccalaureate prepared nurses who graduated within the last two years, and had less than two years of experience as registered nurses, regarding the influence of high-fidelity simulation on their preparedness to enter clinical practice?

6. Organizing Framework
Bandura’s Social Cognitive Theory of Self Efficacy
Persons’ beliefs about their capabilities to perform at a certain level that has been influenced by events that have affected their lives (Bandura, 1994)

7. THEMATIC REVIEW OF LITERATURE
Clinical Replacement/Supplementation
Student Satisfaction
Clinical Application and Preparedness
A Non-traditional/Interactive Teaching Method
Self-Efficacy
Learning, Critical Thinking and Decision Making

8. DESIGN AND METHODOLOGY
Qualitative Research
Interpretive Phenomenology
Purposive Sampling
Eligibility Criteria
RN with BSN degree obtained within two years
Worked in acute care setting less than two years

9. PROTECTION OF HUMAN SUBJECTS
NIH certification
IRB approval from the University of Mary
Informed consents obtained
Confidentiality maintained
The protection of human subjects was ensured by obtaining permission from the IRB committee at the University of Mary.
All protocols were followed

10. DATA COLLECTION Semi-structured interviews Audio recorded
Open ended questions
Experiences with high-fidelity simulation during baccalaureate nursing program
Perceptions of being prepared to enter clinical practice
Effect on knowledge, action and decision making
Influences that high-fidelity simulation had on preparedness
Aspects of high-fidelity simulation most and least beneficial
Audio recorded
Face to face interviews
Field notes transcribed

11. ANALYSIS PROCEDURES Recorded interviews professionally transcribed
Thematic analysis

12. SAMPLE Graduated within two years from BSN program
Worked in acute care setting as RNs
All female
Attended four BSN programs in a Midwestern state

13. Categories Safe Environment to Practice
Applicability to the Real World
Recommendations

14. SAFE ENVIRONMENT TO PRACTICE
Codes:
Trial and Error
Preparation, debriefing, and feedback
Teamwork and communication
Critical thinking
Theme:
High-fidelity simulations in a controlled environment were valuable
Participate in situations not generally seen

15. APPLICABILITY TO REAL WORLD
Codes:
Improved confidence
Prepared to practice
The mannequin is not human
Theme:
Increased confidence to function in varied patient care situations later encountered as RNs

16. RECOMMENDATIONS Codes: Theme: Better than classroom
Not taken seriously
Encourage to continue
Theme:
Beneficial to current practice and recommended nursing students take seriously and not something as extra to do

17. FINAL ASSERTION
High-fidelity simulation viewed as beneficial and perceived the experiences prepared them to enter nursing workforce
Allowed them to practice skills never performed before
Controlled and safe environment
Preferred this type of participatory learning rather than reading textbooks and attending lectures
Clinical experiences prepared them best
Nursing students should view these experiences as high priority learning opportunities

18. IMPLICATIONS FOR NURSING
More high-fidelity simulation experiences
Senior level
High-fidelity simulations prior to specialty clinical rotations
Assign letter grades
Develop/implement best practice policies

19. RECOMMENDATIONS FOR FURTHER STUDY
Larger sample
Acute, non-acute, and long term care settings
Broader geographic region
Baccalaureate program in different states
Four years from graduation/experience
Quantitative
Themes
Survey tool

20. CONCLUSION Minimal previous research Positive experience
Need for developing strategies for high-fidelity simulation to be taken more seriously
Significance of this research
Improving teaching methods

21. REFERENCES
Amos, L. (2016). Baccalaureate Nursing Programs. American Association of Colleges of Nursing. Retrieved from
Bambini, D., Washburn, J., & Perkins, R. (2009). Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment. Nursing Education Perspectives, 30(2),
Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp ). New York: Academic Press. Retrieved from xuzt.georgiadisaster.info/Schools/fs%205%20school/Self- Efficacy.pdf
Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2),

22. REFERENCES
Edith Cowan University. (2016). ECU South West - nursing clinical practice. Retrieved from practicumpreparation/ecu-south-west-nursing-clinical-practice
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Gore, T., & Thomson, W. (2016). Use of simulation in undergraduate and graduate education. AACN Advanced Critical Care, 27(1), doi: /aacnacc
Ji Young, K., & Eun Jung, K. (2015). Effects of simulation on nursing students' knowledge, clinical reasoning, and self-confidence: A quasi- experimental study. Korean Journal Of Adult Nursing, 27(5),

23. REFERENCES
Johnson, W. G., Butler, R., Harootunian, G., Wilson, B., & Linan, M. (2016). Registered Nurses: The curious case of a persistent shortage. Journal Of Nursing Scholarship, 48(4), doi: /jnu.12218
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24. REFERENCES
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25. REFERENCES
Shin, S., Park, J., & Kim, J. (2015). Effectiveness of patient simulation in nursing education: Meta-analysis. Nurse Education Today, 35(1), doi: /j.nedt
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26. REFERENCES
University of Mary. (2010). Institutional Review Board. Retrieved April 14, 2016, from
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27. QUESTIONS ????