Developing and Implementing In-Situ Simulation Education for Emergency Department Nurses

Student Author(s)

Kyrian Wilcox

Faculty Mentor(s)

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

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In situ simulation can be a vital way to educate nurses and promote learning and improvement related to various areas and responsibilities of nursing. The purpose of this quality education simulation project is to evaluate whether in situ simulation in the emergency department promotes improvement in self-perceived attitude of reflection and objective patient friendliness. Lydia Hall’s Care, Cure, Core Theory of Nursing serves as the theoretical framework for this study, as it views the patient holistically, interacting with nurses and other medical professionals, as is seen in the emergency department. A literature review was done to determine ways to evaluate nursing teamwork and simulation-based learning and develop an in situ simulation based on emergency nursing needs. This simulation will be performed in the emergency department of a large, Midwest teaching hospital as a septic emergency case. Members of an emergency-response team, including 2-3 nurses and other interdisciplinary members, such as physicians and nurse technicians employed by the hospital, will complete a pre-and post-Simulation-Based Learning Evaluation Scale (SBLES) and the in situ simulation. Nursing students or the hospital nurse educator will complete the Clinical Teamwork Scale. Survey data will be analyzed using SPSS version 23. Results and conclusions are pending. Literature suggests that in situ simulation education will result in improved nursing teamwork and attitude of reflection, and therefore should be utilized for quality improvement in emergency nursing care. A small sample of medical professionals will be used in a single emergency department, so generalization to all hospitals is not conceivable. If found that in situ simulations can be an effective delivery method for education of emergency department nurses, it will be important to implement them frequently to improve the quality of nursing teamwork.


This research was supported by Spectrum Health.

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