Just in Time Training: Utilizing Simulation for Nursing Staff Development
Arcaro, Lygia L.
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Competency and competence are frequently used interchangeable. There have been extensive debates on how to define and how to measure both. Wright (2007) states that nurses do not lose skills with disuse and relates them to riding a bicycle; while other researchers have found that skills can deteriorate in a matter of weeks without practice (Conlan, Grabowski, & Smith, 2012). Most nurses who have not used certain skills for a period of time would most certainly agree with the latter. Providing the needed patient care opportunities for consistent hands-on care practice to maintain skills can be quite challenging. Simulation is a proven tool for prelicensure nursing education; in 2015 the National Council of State Boards of Nursing (NCSBN) published a research study stating that up to 50% of nursing student clinical experience could be substituted with simulation without effect on state board performance or beside competency (Hayden, et al, 2015). While simulation has been used extensively in anesthesia, medicine, nursing schools, and with new graduate nurse education its use in nursing staff development has been slow. Some barriers for simulation utilization in staff development include educator buy-in, knowledge of simulator use, cost, and staff burden with time away at a simulation center (Abel & Keaster, 2012). This course will provide educators with a template to utilize simulation in staff development to fill patient care gaps, increase practice time, and improve nurse confidence without removing staff from the clinical area and without taking them away from patient care for extended periods.