Implementing Simulation in ICU New Graduate Nursing Orientation: Introducing Two Practice Innovations

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Abstract

A change project involving the use of innovative wearable simulation technology was integrated into the 12-week new graduate nurse ICU training program at one community hospital in Northern California. Project implementation was interrupted by the Covid-19 pandemic, so only the first pilot training session was conducted. Initial results from this training session suggest that the simulation training had a positive impact on the nurses’ ability to assess patient breath sounds and to recognize and treat a rapidly deteriorating patient. This training session also allowed the project team to identify additional areas of skill assessment and opportunities for improvement for the novice nurses—for example, the awareness of and ability to use a specialized procedure cart to treat deteriorating patients. These results will be utilized to design additional training sessions and further address gaps in knowledge, skills, and confidence. Future training sessions will occur once pandemic conditions allow change project implementation at Community Hospital to resume.

Table of Contents

Section I. Abstract
3
Abstract
3
Section II. Introduction
4
Introduction
4
Problem Description
5
Available Knowledge
10
Rationale
13
Project Aims
14
Section III. Methods
16
Context
16
Intervention
20
Study of the Intervention
23
Measures
24
Ethical Considerations
27
Section IV. Results
28
Results
28
Section V. Discussion
29
Summary
29
Conclusions
34
Section VI. References
36
Section VII. Appendices
40
Appendix A.
Annotated Bibliography
40
Appendix B.
Community Hospital Inpatient Profile
47
Appendix C.
TeamSTEPPS Framework and Teaching Plan
49
Appendix D. Gantt Chart of Action Plan
51
Appendix E.
Evidence-Based Change of Practice Project Checklist
52
Appendix F. Pre- and Post-Training Survey Questions
54
Appendix G.
Nurse Survey Data: Pre- and Post-Intervention
56

Brand

YourPastQuestions Brand

Additional information

Author

Aiza Quinday MSN

No of Chapters

7

No of Pages

59

Reference

YES

Format

PDF

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