3LLS2 - From Novice to Nurse: A Simulation Approach to Readiness to Practice

Abstract :

Background:
With anticipated nursing shortages in 30 states by 2030 and only 55% of new graduate nurses (NGNs) feeling adequately prepared for today’s healthcare (Sterner et al., 2023), there is a critical need to enhance NGN readiness. Research highlights a gap between NGN self-reported confidence and clinical agencies' expectations for safe practice. This study aimed to bridge these gaps by developing a simulation targeting deficiencies in clinical skills and confidence.
Research Questions:
What knowledge and skill gaps are perceived by graduating nursing students?
What gaps do clinical agencies identify as challenges for NGNs?
Can a readiness-to-practice simulation improve student confidence in transitioning to clinical roles?
Theoretical Approach: Benner's Novice to Expert, which emphasizes the value of structured experiences in progressing student nurses toward proficient nursing practice.

Methods:
Open-ended surveys collected data from graduating students and clinical partners on challenging areas for NGNs. Based on identified themes, a "readiness-to-practice" exit simulation was designed for nursing seniors, using high- and mid-fidelity scenarios, including a team-based code simulation. Post-simulation reflection surveys gauged student comfort and confidence.

Results:
Student surveys highlighted gaps in airway management, pharmacology, and risk-reduction, with low confidence in managing chest tubes, central lines, and codes. Clinical agencies emphasized gaps in care management, airway skills, and emergency response. Post-simulation, students reported increased confidence, teamwork, communication, and appreciation for a realistic learning environment.

Conclusion:
This readiness-to-practice simulation provides a model for addressing skill gaps, supporting NGNs’ transition to practice, and preparing them for today’s healthcare challenges.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: Discover how a readiness-to-practice simulation, grounded in Benner's Novice to Expert model, addresses critical skill gaps for student nurses transitioning to clinical practice. Gain insights into feedback-driven scenario design, targeted skill development, and post-simulation outcomes that increase confidence and competence. Join this session to explore a replicable model for enhancing NGN readiness for today’s healthcare demands.