Abstract:
Prioritization is a critical skill for nursing practice. Students often have limited opportunities to develop this competency. Based on feedback from clinical stakeholders and below benchmark scores on the HESI®, faculty at a southeastern five-semester baccalaureate nursing program identified the need for second-semester students to gain experience prioritizing patient care. To overcome clinical challenges and improve undergraduate nursing students’ ability to prioritize care, this project implemented a simulated clinical experience (SCE) with an extended prebrief.
The SCE was guided by Kolb’s Experiential Learning Cycle and followed INACSL HSSBOP®. To target prioritization skills, during prebrief, students received handoff on three clients and were asked to independently determine which client they would see first. To ensure and evaluate understanding, facilitators prompted and guided those students who were unsure or incorrect. Following prebrief, regardless of which client the students saw during the SCE, the outcomes, and objectives were identical, allowing for equivalent learning for prioritizing client care within the scenario itself.
Utilizing the SET-M, three semesters of survey data showed 85% of students felt that the pre-brief increased their confidence, and 93% felt it benefited learning. Following the SCE, 97.8-100% of students felt empowered to make clinical decisions, had the opportunity to practice this skill during the SCE, felt more confident in their ability to prioritize, and felt better prepared to respond to changes.
Learning Objectives:
- Discuss the challenges of delivering meaningful, equal opportunity for learning and practice for undergraduate nursing prioritization of client care.
- Discuss this group’s approach to a simulation dedicated to delivering meaningful, equal opportunity for learning and practice for undergraduate nursing, prioritization of client care.
- Determine this approach’s applicability within their own learning centers.