In Situ Simulation and Confidence in Performing the Nursing Process during a Septic Medical Emergency

Student Author(s)

Olivia Klamt

Faculty Mentor(s)

Dr. Emilie Dykstra Goris, PhD, RN, Hope College Department of Nursing, Chad Galdys, BSN, RN, EMT-B, Spectrum Health

Document Type


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The use of in situ simulation has been effective in improving technical and non-technical skills as well as increasing patient safety in highly stressful environments. The purpose of this project is to determine whether in situ simulation has an educational impact on nurses’ confidence in performing the nursing process during a septic medical emergency as measured by the Simulation Based Learning Evaluation Scale (SBLES). This project is based on Lewin’s Change Theory, which states that change follows the process of unfreezing and refreezing. This creates a standard to be used as nurses participate in the in situ simulation and potentially change their confidence levels in assessing, diagnosing, planning, implementing, and evaluating patients. Implementation will be performed at a Level 1 Trauma Center Emergency Department (ED) in West Michigan in a hospital that is Magnet recognized. It is a quality improvement project with a pre and post survey to evaluate a pilot educational intervention with ED nurses. Sample size is yet to be determined, but will be obtained through convenience sampling. Data analysis will be conducted using SPSS. Results and conclusions are yet to be determined. Limitations include being a pilot study and a single site setting. Implementation of this study will provide ED nurses with additional practice to enhance their learning and confidence in performing the nursing process in the emergency setting. It will also suggest whether the use of in situ simulation as an educational intervention is a feasible tool for nurses to use in the ED at Spectrum Health.


This research was supported by Spectrum Health.

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