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Description –
What happened in the immersive simulation resilience scenario?
The immersive simulation resilience scenario was a perfect opportunity for me to learn the importance of resilience in nursing. The scenario was set up in a way that every student contributed to a better learning experience. Various aspects of nursing were discussed in the simulation such as hand hygiene, effective communication, patient-centered care (PCC), and most importantly, resilience. A role-play was conducted with six student nurses and an older adult. The role-play setting revolved around an older patient with a past medical history of COPD admitted to the hospital with an infection. She was quite anxious about getting yet another hospital-acquired infection and frequently told the nurse that she wanted to go home. Likewise, she often prompted the nurses around her if everything was disinfected which showed that she was worried.
Feelings-
What were you thinking or feeling during the scenario?
During the scenario, I could recall my past experiences in clinical placements. I always felt that it was only me who was finding it hard to cope with the tough situations. I found the simulation class resourceful as it made me aware of the key attributes of successful nursing; effective communication and PCC. I realized that even though I was aware of these things before the simulation class, they were not always on top of my head. Additionally, seeing the nurses apply effective communication with the patient, for example, building a therapeutic relationship and rapport with the patient even when she was distressed was eye-opening. I would usually keep the conversation minimal if my patient was distressed but I have now learned that empathetic conversation can help make the situation less stressful for both the nurse and the patient. The session was very helpful and educational. It has made me reflect on my nursing practices.
Evaluation –
What was good/bad about the simulation? What impact did the simulation have upon you? Include references in this section.
I am very grateful for the opportunity provided to be a part of this simulation. Since nursing is a practice-oriented course, it is essential for the students to be involved in skill-based practice incorporated with the theory (Shin, Park & Kim, 2015). Simulation enables the students to work in a situation like a real-time setting, with extra time to learn and freedom to make mistakes which hone their practical skills making the student more proficient (Eyikara & Baykara, 2017). I feel like the close observation in the simulation has prompted me to question myself, Am I competent enough as a nurse? Am I forgetting something important?
Analysis-
Access current literature and relate the information that you have learned. What is in the literature that suggests how to manage the situation? Include references in this section.
Firstly, being a part of the hand hygiene team, I observed how common it is to forget the five moments of hand hygiene. According to studies, non-compliance with hand hygiene remains a great challenge in the healthcare system, and education and performance feedback have been known to improve hand hygiene (Gould, Moralejo, Drey, Chudleigh & Taljaard, 2017). This simulation has been insightful about hand hygiene compliance.
Likewise, seeing how the patient interacted positively when the nurses engaged her in the decision-making and reassurance has taught me that PCC is necessary for quality care. Generally, effective communication, health promotion, and partnership are important strategies to achieve PCC and thereby, holistic care of the patient (Constand, MacDermid, Dal Bello-Haas & Law, 2014).
Finally, resilience is the key to successful nursing as it helps us build strategies to overcome difficulties and make our practice better (Thomas & Revell, 2016). It can be simply defined as an individual capacity to restore ones integrity while encountering adverse situations such as distress, death and dying, diversities, and confusion (Rushton, Schoonover-Shoffner & Kennedy, 2017). It is crucial for nurses to be resilient since nursing is equally challenging as other health majors but with additional challenges in the clinical arena (Reyes, Andrusyszyn, Iwasiw, Forchuk & Babenko-Mould, 2015). Having experienced some difficult situations myself, I have acknowledged that resilience is something I have developed over time in my clinical practices.
Conclusion
Appraise how the experience of attending the simulation has informed your understanding or changed your perception. Consider what could you have done differently to improve the learning experience.
The experience of attending the simulation has brought to my attention that resilience is a major aspect of nursing. Coming across stressful situations such as communication difficulties, medical emergencies and many first experiences of death and aggression can cause burnout and distress in nurses (Reyes, Andrusyszyn, Iwasiw, Forchuk & Babenko-Mould, 2015). This applies equally in my past experiences and expect it in the days to come as well. However, being resilient has now filled me with a positive attitude toward these situations. Moreover, I have now developed a focus on contributors to resilience such as effective communication, PCC, and empathy. It could have been a different learning experience for me, had I volunteered to role-play a nurse. I suppose I would have had more exposure to resilience building if I had acted as a nurse and dealt with the tough situation. Nevertheless, this situation has been very fruitful.
Action plan-
How will you implement your learning from the simulation into your practice?
With a better understanding of possible challenges and interventions to deal with them, I believe I will be able to handle the situations more professionally and with a much more positive attitude rather than being stressed myself. It is interesting how a simulation session can boost students confidence to a great extent. I look forward to applying my concept of PCC in my clinical practices for better results. Likewise, in the days to come, I would be eager to attend more simulation classes to enhance my skills and my knowledge.
References
- Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). A scoping review of patient-centered care approaches in healthcare. BMC health services research, 14(1), 271. doi: 10.1186/1472-6963-14-271
- Eyikara, E., & Baykara, Z. G. (2017). The Importance of Simulation in Nursing Education. World Journal on Educational Technology: Current Issues, 9(1), 2-7. Retrieved from https://eric.ed.gov/?id=EJ1141174
- Gould, D. J., Moralejo, D., Drey, N., Chudleigh, J. H., & Taljaard, M. (2017). Interventions to improve hand hygiene compliance in patient care. Cochrane database of systematic reviews, (9). doi 10.1002/14651858.CD005186.pub4
- Reyes, A. T., Andrusyszyn, M. A., Iwasiw, C., Forchuk, C., & BabenkoMould, Y. (2015). Nursing students’ understanding and enactment of resilience: a grounded theory study. Journal of advanced nursing, 71(11), 2622-2633. doi: 10.1111/Jan.12730
- Reyes, A. T., Andrusyszyn, M. A., Iwasiw, C., Forchuk, C., & Babenko-Mould, Y. (2015). Resilience in nursing education: An integrative review. Journal of Nursing Education, 54(8), 438-444. doi: 10.3928/01484834-20150717-03
- Rushton, C. H., Schoonover-Shoffner, K., & Kennedy, M. S. (2017). Executive summary: transforming moral distress into moral resilience in nursing. Journal of Christian Nursing, 34(2), 82-86. doi: 10.1097/CNJ.0000000000000386
- Shin, S., Park, J. H., & Kim, J. H. (2015). Effectiveness of patient simulation in nursing education: meta-analysis. Nurse education today, 35(1), 176-182. doi 10.1016/j.nedt.2014.09.009
- Thomas, L. J., & Revell, S. H. (2016). Resilience in nursing students: An integrative review. Nurse education today, 36, 457-462. doi 10.1016/j.nedt.2015.10.016
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