The Use of Pediatric Simulation in Nursing Education
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Background and Significance: The use of simulation is a mainstay in nursing education. Pediatric clinical experiences can be a significant stressor for nursing students. Modalities to improve these experiences are integral for students’ success. Purpose and Objective: The purpose of this project was to determine if the use of simulation throughout the pediatric clinical rotation improved registered nursing (RN) students’ self-efficacy related to assessment and medication administration? Theoretical Framework: The framework for this project was social learning theory. It was applied to this project by providing practice through simulation to increase students’ knowledge and skills related to pediatric nursing in order to improve their self-efficacy. Methods and Design: The design for this project was quasi-experimental. Thirty-five 3rd semester students in an associate degree nursing program participated in two different pediatric simulations throughout their pediatric clinical rotation. Twenty-two students completed a pre & post simulation self-efficacy survey and 29 participated in a focus group. Aggregate averages for each survey question were analyzed via a paired t-test. Focus group data were collected and analyzed for themes. Results: Student averages pre and post simulation for four of the five survey questions were statistically significant at the .05 level for a 2-tailed test. Most common themes derived from the focus groups were improved preparation, enhanced confidence, and requests for more simulations. Conclusion: The results indicate that the use of simulation can improve nursing students’ self-efficacy related to pediatric nursing. As a result of this study faculty are planning to increase simulation opportunities in other courses.