Etablering, afprøvning, evaluering og implementering af High Fidelity patientsimulationsundervisning på Sygeplejerskeuddannelsen i Odense, University College Lillebælt, UCL, 2013

Dorte Truelsen Gram

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Nurse students’ attitudes and assessments of a teaching project working with full scale patient simulation using mannequin in the latest part of the nursing education, Department of Nursing, Odense, Denmark.
Gram, Dorte Truelsen, Senior Lecturer, Department of Nursing, Odense, University College Lillebaelt, Denmark.
48 students had to use international recommended principles like ABCDE and ISBAR in order to deal with nursery to acute and critical ill patients (mannequins) with multitrauma or COLD in exacerbation. At the same time they had to take care of relatives. Four students were active and four were observing. One teacher acted relative and one teacher made voices to both the mannequin and the doctor. Then we had a reflection-session using inspiration from the method: Advocacy and Inquiry. Finally four focus group interviews were used to examine students' attitudes to the method.
Four focus group interviews were used to examine students' attitudes to the method. The interviews took place at the end of the last simulation and all the students were active according to their attitudes and assessments’ of the simulation. The interviews were recorded, transcribed and written down with respect for their pitches, breaks etc. and results were found.
Most of the students found that they learned a lot from patient simulation - they became more secure, they were able to fill in the gap between theory and practice and some of the students were convinced that they could easily transfer their body experiences to the nursery situations they in the future would meet in the clinic. A few students were a bit cautious, but they prepared even more than the other students and they found that they learned a lot, which was a huge success for them. Successful learning depended on the individual motivation, the ability to imagine and upon learning styles. They found out that simulation was not a question of becoming a good actor but about becoming a nurse who could act while using evidence based knowledge in order to highlight patient safety and avoid failures. They also talked about good introduction and student preparation as very important aspects to strengthen learning outcome.
The students feeling of improved security in acting towards acute and critical ill patients are equal to findings in other studies. This project also shows that students feel more comfortable and convinced that they can actually use the experience from doing patient simulation to act better in the clinic. They found that now they can use their theoretical knowledge, maybe because they have now been given the opportunity to practice their theory in a practice-like situation. The actual measuring of this improvement is difficult, but it is important that students have a good feeling of learning from the method because it is well-known that motivation improves learning-outcome.
The project shows that patient simulation seems meaningful for the nursery students in order to learn to use theory through patient simulation which they see as practice-like situations. They are convinced that they can transfer this knowledge to their future work in the clinic. Patient simulation is one method among others, a method we will develop and implement more in the future at the Department of Nursing, Odense, Denmark.

Original languageDanish
Number of pages15
Publication statusPublished - 15 Jan 2013


  • nurse education

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