Preparing Neonatal Nurses for Improved Performance, Professional Development, and National Certification Through Simulation.


Journal

Advances in neonatal care : official journal of the National Association of Neonatal Nurses
ISSN: 1536-0911
Titre abrégé: Adv Neonatal Care
Pays: United States
ID NLM: 101125644

Informations de publication

Date de publication:
01 Aug 2022
Historique:
pubmed: 16 10 2021
medline: 2 8 2022
entrez: 15 10 2021
Statut: ppublish

Résumé

Code and emergent situations require skilled nursing response wherever they occur. Nurse preparation for code response is an ongoing need in nursing education. The Neonatal Intensive Care Unit (NICU) at Parkland Health and Hospital System in Dallas, Texas, has a team of 3 nurse educators. These educators determined the need for increased nurse confidence, skill, and response in code and emergent situations within the NICU. The education team also recognized the need to increase nurse involvement in professional development activities and preparation for the national certification examination. The purpose of this article is to describe how a NICU education team, in a level III NICU, trained nurses using simulated scenarios to improve nursing knowledge for national certification, skill, and confidence in code situations and to provide ongoing professional development opportunities within a controlled learning environment. The intervention designed to meet these specific goals for the NICU was the creation of a simulation team (called the "Drill Team") to facilitate simulated activities created by the NICU education team. This simulation strategy was found to have multiple advantages for content delivery, as multiple learning styles can be incorporated into the simulated activities. Nurses demonstrated improved performance, knowledge acquisition, and knowledge retention after the Drill Team project. Nursing confidence in code performance also increased using this intervention. This educational intervention can be replicated and utilized in nursing education for all specialties. Further research could be conducted to determine the effectiveness of simulated activities and national certification pass rates.

Sections du résumé

BACKGROUND BACKGROUND
Code and emergent situations require skilled nursing response wherever they occur. Nurse preparation for code response is an ongoing need in nursing education. The Neonatal Intensive Care Unit (NICU) at Parkland Health and Hospital System in Dallas, Texas, has a team of 3 nurse educators. These educators determined the need for increased nurse confidence, skill, and response in code and emergent situations within the NICU. The education team also recognized the need to increase nurse involvement in professional development activities and preparation for the national certification examination.
PURPOSE OBJECTIVE
The purpose of this article is to describe how a NICU education team, in a level III NICU, trained nurses using simulated scenarios to improve nursing knowledge for national certification, skill, and confidence in code situations and to provide ongoing professional development opportunities within a controlled learning environment.
METHODS METHODS
The intervention designed to meet these specific goals for the NICU was the creation of a simulation team (called the "Drill Team") to facilitate simulated activities created by the NICU education team. This simulation strategy was found to have multiple advantages for content delivery, as multiple learning styles can be incorporated into the simulated activities.
FINDINGS RESULTS
Nurses demonstrated improved performance, knowledge acquisition, and knowledge retention after the Drill Team project. Nursing confidence in code performance also increased using this intervention.
IMPLICATIONS FOR PRACTICE CONCLUSIONS
This educational intervention can be replicated and utilized in nursing education for all specialties.
IMPLICATIONS FOR RESEARCH CONCLUSIONS
Further research could be conducted to determine the effectiveness of simulated activities and national certification pass rates.

Identifiants

pubmed: 34654046
doi: 10.1097/ANC.0000000000000946
pii: 00149525-202208000-00019
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E131-E136

Informations de copyright

Copyright © 2021 by The National Association of Neonatal Nurses.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Parkland Health and Hospital System. Neonatal Intensive Care Unit. https://www.parklandhospital.com/nnicu#:∼:text=Our%20NICU%20staff%20cares%20for,tiniest%20and%20most%20fragile%20patients . Accessed March 19, 2021.
Schroeter K. The value of certification. J Trauma Nurs. 2015;22(2):53–53.
Whitehead L, Ghosh M, Kirk-Walker D, Bloxsome D, Vafeas C, Wilkinson A. The relationship between specialty nurse certification and patient, nurse, and organizational outcomes: a systematic review. Int J Nurs Stud. 2019;93:1–11.
Martin LC, Arenas-Montoya NM, Barnett TO. Impact of nurse certification rates on patient satisfaction and outcomes: a literature review. J Contin Educ Nurs. 2015;46(12):549–554.
Perlstein L, Hoffman RL, Lindberg J, Petras D. Addressing barriers to achieving nursing certification. J Nurses Prof Dev. 2014;30(6):309–315.
Morfoot C, Stanley H. Simulation-based education for neonatal skills training and its impact on self-efficacy in post-registration nurses. Infant. 2018;14(2):77–81.
Letcher DC, Roth SJ, Varenhorst LJ. Simulation-based learning: improving knowledge and clinical judgment within the NICU. Clin Simul Nurs. 2017;13(6):284–290.
Kiernan LC, Olsen DM. Improving clinical competency using simulation technology. Nurs. 2020;50(7):14–19.
Holtschneider ME, Park CW. Simulation and the nursing professional development practitioner: learning from the past and looking toward the future. J Nurses Prof Dev. 2019;35(2):110–111.
Seethamraju R, MacKinnon R. Did they use it? A qualitative study exploring transfer of “attitudes and behaviors” from simulation to workplace. Infant. 2014;10(5):160–163.
Bordlon C, Smith TS, Wood T, Watts P. Simulation to enhance communication skills in neonatal nursing practice. Neonatal Netw. 2020;39(6):347–355.
Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: meta-analysis. Nurse Educ Today. 2015;35(1):176–182.
Verlakan MT, Walden M, Forest S, eds. Core Curriculum for Neonatal Intensive Care Nursing. 6th ed. Philadelphia, PA: Elsevier; 2021.

Auteurs

Laura Zebreski (L)

Neonatal Intensive Care Unit, Parkland Health and Hospital System, Dallas, Texas.

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