The Effects of Repeated Simulation on Nursing Students Self-Confidence and Practice Readiness in Safe Medication Administration
97 Pages Posted: 1 May 2017
Date Written: December 10, 2015
This paper describes the impact that a repeat simulation in medication administration on associate degree nursing students’ self-confidence and readiness for practice. National nursing simulation leaders, including the National League of Nursing, promote simulation as an innovative teaching and learning strategy in nursing education. Learning through simulation has been shown to help bridge the gap between academia and professional practice. The literature research demonstrates a positive relationship between simulation and an increase in nursing students’ self-confidence, competence, and critical thinking. Therefore, the aim of this study was to explore the impact of a repeated simulation on self-confidence and readiness for practice of Sheridan College Associate Degree nursing students. This study incorporated a quantitative exploratory design to determine if exposure to a repeated simulation promoted nursing student self-confidence and readiness for practice. This study supports previous research and literature which describes patient safety as the utmost concern in healthcare and simulation as a tool to prevent such issues. There were a total of 32 second year associate degree nursing students that participated in the study. The primary evaluation method was a pre-test/post-test self-confidence survey which had been adapted from a self-confidence instrument published by the National Council of State Boards of Nursing. Data was analyzed using descriptive statistics and a repeated measured one-way analysis of variation. All participants in the study reported an increase in self-confidence and practice readiness at the highest point (4.4 ± 0.57) post the repeat simulation (Wilks Lambda .356; p=.0001; CI 95%). As demonstrated by this study, integrating a repeated simulation within nursing curriculum allows for students to build skills through repeated exposure and deliberate practice, and gain self-confidence preparing them to provide safe, quality care.
Keywords: simulation, increased self-confidence, nursing-student critical thinking, deliberate practice, repeat simulation
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