https://doi.org/10.24552/00002160 ©青森県立保健大学
A trial to enhance full-scale simulation-based education at a nursing university. Part I: Report on a program to cope with sudden changes of patients' conditions for undergraduate students at the period immediately before graduation
Takeaki Chiba, Shotaro Koike, Tomomi Honma, Yumiko Fukuoka and Emiko Kimura
Department of Nursing, Faculty of Health Sciences, Aomori University of Health and Welfare
（Recieved March 18, 2020; Accepted July 28, 2020）
ABSTRACT
［Objective］The opportunities at which nursing students can experience nursing technology in practical trainings are limited due to recent situations; an increase in elderly patients/patients with severe conditions and the diversity of nursing practices. Consequently, a disparity between the abilities acquired in the undergraduate nursing training and those required in the actual clinical settings would expand, leading to concerns about insufficient provision of safe healthcare and nursing. Although the Ministry of Health, Labor and Welfare has been promoting more extensive simulation-based education in basic nursing education since 2003, full-scale simulation-based education has not be actually extended at nursing universities. We therefore, tried to clarify the unsolved issues through a trial to create and conduct a full-scale simulation program for students immediately before their graduation at a nursing university.
［Methods］We firstly created a simulation program referring to Abe (2008). After obtaining the oral and written informed consent from eligible subjects, we conducted the program for 24 participants. We used the records of the participants to summarize the degree of the achievement of 4training goals. To reflect on the practical situations, we divided the contents written in the records into meaningful clause units and categorized similar units together.
［Results］The training goal, "noticing abnormal changes in the patient" was achieved by 54％ students, and "practicing necessary observation," was achieved by 50-71％ according to the measurement indicators. However, the goal "requesting support" was achieved only by 4％ , while none achieved the goal "being able to report." Reflection on practical situations was summarized into 5 categories, including "being unable to measure vital signs well" and "being unable to take action leading to the necessary care after observation".
［Conclusions］We clarified the issues relevant to the method of creating scenarios and the facilitators' skills to interact with the simulated situations.
Key words: Simulation-based education, full-scale simulation, sudden changes, undergraduate nursing training, the period immediately before graduation