2LLF2 - Evaluation of Prelicensure Nursing Program Simulation Use

Abstract : Simulation provides safe, effective learning experiences for prelicensure nursing students while requiring significant resource investment to achieve intended outcomes. The organization’s prelicensure graduate nursing (GEM) program’s simulation use was not evaluated against best practices and outcome objectives. This evaluation project aimed to address this gap.
The International Nursing Association for Clinical Simulation and Learning (INACSL) Healthcare Simulation Standards of Best Practice™, INACSL Cornerstones derived from the standards, and the Comprehensive Simulation Program Evaluation-Strategic Planning Model provided the benchmark and framework.
A formative evaluation of eight GEM clinical courses was completed to determine the degree of alignment with the INACSL Cornerstones. The evaluation included written records, existing student evaluations, faculty surveys, and faculty and simulation staff semi-structured interviews.
Evaluation success was achieved by addressing: (a) extent simulation is used within the GEM program, (b) extent existing GEM simulation activities align with the INACSL Cornerstones, and (c) strengths and opportunities for the GEM simulation program.
All GEM clinical courses included at least one simulation activity, which provided 121.5 learner hours for $411.83. Activities aligned with prebriefing, facilitation, and debriefing standards. Faculty simulation training occurred inconsistently. Faculty, student, and staff perceptions of simulation activities were generally positive. Faculty reported low knowledge of professional integrity standards; students reported threats to psychological safety. Simulation staff reported disparate faculty knowledge and skill related to simulation pedagogy.
Significant opportunity exists to elevate simulation use within a competency-based curriculum. Structured oversight is needed to ensure alignment with best practices. Faculty need simulation training consistent with their role.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: Evaluating simulation program outcomes is necessary to guide strategic use and improve outcomes. The Comprehensive Simulation Program Evaluation-Strategic Planning Model was used to guide an evaluation of a prelicensure nursing program's simulation use. Participants can learn from the institution's experience of using this model and consider how they might evaluate simulation use within their own program.