Simulation based learning in nursing education provides learners with
opportunities to practice real-life experiences. Enhancing the education of
nurse practitioners (NPs) with simulation based teaching and learning strategies
has not been well investigated. There is limited evidence related to learning
outcomes and the use of high fidelity simulation or standardized patients. In
an Ontario Primary Health Care Nurse Practitioner (PHCNP) Program, the use of a
multi-model simulation learning activity was piloted with a group of NP
learners. The learning activity consisted of three scenarios, each representing
typical conditions seen in primary health care across the lifespan. Each
scenario was carefully developed with consideration of curriculum goals, use of
simulation technology or standardized patients, and the role of faculty
facilitators. Learners worked in pairs as a team to complete a focused history
and physical examination, formulate a diagnosis, and develop a plan of care or
action for the patients. Following each of the three scenarios, the learner
teams received focused feedback on their performance. A guided group reflection
was conducted following the learning activity. The feedback from the learners
was positive, with a recommendation to include similar learning opportunities
earlier in the NP curriculum. The learners valued the active learning process,
including peer collaboration and group debriefing. Although the findings from
this pilot included a small group of learners, there are valuable
considerations for nursing faculty teaching in NP programs with a primary
health care focus.
Cite this paper
Staples, E. and Pierazzo, J. (2016). Assessing the Feasibility of Using a Multi-Modal Simulation Approach to Prepare Nurse Practitioners in Primary Health Care. Open Access Library Journal, 3, e2779. doi: http://dx.doi.org/10.4236/oalib.1102779.
Seropian,
M., Brown, K., Gavilanes, J. and Driggers, B. (2004) An
Approach to Simulation Program Development. Journal of Nursing Education, 43, 170-174.
Branch, C. (2013)
Pharmacy Students’ Learning and Satisfaction
with High-Fidelity Simulation to Teach Drug- Induced Dyspepsia. American Journal of Pharmaceutical Education, 77, 1-9. http://dx.doi.org/10.5688/ajpe77230
Weller, J.M., Bloch,
M., Young, S., Maze, M., Oyesola, S., Wyner, J., et al. (2003) Evaluation of High
Fidelity Patient Simulator in Assessment of Performance of Anesthetists. British Journal of Anesthesia, 90, 43-47. http://dx.doi.org/10.1093/bja/aeg002
Shoemaker, M.J., Riemersma, L. and Perkins, R. (2009) Use of High
Fidelity Human Simulation to Teach Physical Therapist Decision-Making Skills
for the Intensive Care Setting. Cardiopulmonary
Physical Therapy Journal, 20, 13-18.
Cooper, J.B., Singer,
S.J., Hayes, J., Sales, M., Vogt, J.W., Raemer, D. and Meyer, G.S. (2011) Design and Evaluation of
Simulation Scenarios for A Program Introducing Patient Safety, Teamwork, Safety
Leadership, and Simulation to Healthcare Leaders and Managers. Society for Simulation in Healthcare, 6,
231-238. http://dx.doi.org/10.1097/SIH.0b013e31821da9ec
Mompoint-Williams,
D., Brooks, A., Lee, L., Watts, P. and Moss, J. (2014) Using
High-Fidelity Simulation to Prepare Advanced Practice Nursing Students. Clinical Simulation in Nursing, 10, e5-e10. http://dx.doi.org/10.1016/j.ecns.2013.07.005
Clapper, T. (2010) Beyond Knowles: What Those Doing Simulation Need to Know about Adult Learning Theory. Clinical Simulation in Nursing, 6, 37-e14. http://dx.doi.org/10.1016/j.ecns.2009.07.003
Elfrink Cordi, V.L., Leighton, K., Ryan-Wenger, N., Doyle,
T.J. and Ravert, P. (2012) History and Development
of the Simulation Effectiveness Tool (SET). Clinical
Simulation in Nursing, 8, e199-e210. http://dx.doi.org/10.1016/j.ecns.2011.12.001