Simulation to Replace Clinical Hours in Nursing

A Meta-narrative Review

Elizabeth Roberts, Vera Kaak, John Rolley

Research output: Contribution to journalReview article

Abstract

Background: Continuingly increasing numbers of undergraduate nursing students on clinical placement have led to industry partners feeling stretched and fatigued. This can lead to inadequate supervision and education for the students. Substituting a percentage of the required clinical hours with simulation provides students the experience they crave and industry partners a chance to slow down. Method: A metanarrative review method was used as outlined by the RAMESES guidelines. Results: A total of 104 articles were screened and 12 included in the final sample. Studies conducted in the United States and United Kingdom showed that a percentage replacement of clinical placement hours with clinical simulation shows no significant difference to student outcomes in relation to clinical skills and knowledge, and student confidence. Conclusion: The total number of clinical placement hours required by each university for studies is unclear. Higher numbers of clinical placement hours are seen in the United Kingdom, and a diverse spread of clinical hours in the United States, which impacts how the findings can be applied to Australia. Simulation can be used as an adjunct to clinical placement hours, yet regulations need to be defined around the simulation modality used, how many hours of simulation compared with clinical practice is sufficient to maintain proficiency of students, and the assessment or measurement tool used to ensure quality.

Original languageEnglish
Pages (from-to)5-13
Number of pages9
JournalClinical Simulation in Nursing
Volume37
DOIs
Publication statusPublished - Dec 2019

Fingerprint

Nursing
Placement
nursing
Students
narrative
simulation
Simulation
student
Percentage
Industry
Clinical Competence
Nursing Students
industry
Modality
Confidence
Replacement
Emotions
supervision
Narrative
Review

Cite this

@article{7f0f22af8e524584ab4ba68e9f6bddfc,
title = "Simulation to Replace Clinical Hours in Nursing: A Meta-narrative Review",
abstract = "Background: Continuingly increasing numbers of undergraduate nursing students on clinical placement have led to industry partners feeling stretched and fatigued. This can lead to inadequate supervision and education for the students. Substituting a percentage of the required clinical hours with simulation provides students the experience they crave and industry partners a chance to slow down. Method: A metanarrative review method was used as outlined by the RAMESES guidelines. Results: A total of 104 articles were screened and 12 included in the final sample. Studies conducted in the United States and United Kingdom showed that a percentage replacement of clinical placement hours with clinical simulation shows no significant difference to student outcomes in relation to clinical skills and knowledge, and student confidence. Conclusion: The total number of clinical placement hours required by each university for studies is unclear. Higher numbers of clinical placement hours are seen in the United Kingdom, and a diverse spread of clinical hours in the United States, which impacts how the findings can be applied to Australia. Simulation can be used as an adjunct to clinical placement hours, yet regulations need to be defined around the simulation modality used, how many hours of simulation compared with clinical practice is sufficient to maintain proficiency of students, and the assessment or measurement tool used to ensure quality.",
keywords = "clinical practice and/or placement, nurs*, replace, simulation, student",
author = "Elizabeth Roberts and Vera Kaak and John Rolley",
year = "2019",
month = "12",
doi = "10.1016/j.ecns.2019.07.003",
language = "English",
volume = "37",
pages = "5--13",
journal = "Clinical Simulation in Nursing",
issn = "1876-1399",
publisher = "Elsevier Inc.",

}

Simulation to Replace Clinical Hours in Nursing : A Meta-narrative Review. / Roberts, Elizabeth; Kaak, Vera; Rolley, John.

In: Clinical Simulation in Nursing, Vol. 37, 12.2019, p. 5-13.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Simulation to Replace Clinical Hours in Nursing

T2 - A Meta-narrative Review

AU - Roberts, Elizabeth

AU - Kaak, Vera

AU - Rolley, John

PY - 2019/12

Y1 - 2019/12

N2 - Background: Continuingly increasing numbers of undergraduate nursing students on clinical placement have led to industry partners feeling stretched and fatigued. This can lead to inadequate supervision and education for the students. Substituting a percentage of the required clinical hours with simulation provides students the experience they crave and industry partners a chance to slow down. Method: A metanarrative review method was used as outlined by the RAMESES guidelines. Results: A total of 104 articles were screened and 12 included in the final sample. Studies conducted in the United States and United Kingdom showed that a percentage replacement of clinical placement hours with clinical simulation shows no significant difference to student outcomes in relation to clinical skills and knowledge, and student confidence. Conclusion: The total number of clinical placement hours required by each university for studies is unclear. Higher numbers of clinical placement hours are seen in the United Kingdom, and a diverse spread of clinical hours in the United States, which impacts how the findings can be applied to Australia. Simulation can be used as an adjunct to clinical placement hours, yet regulations need to be defined around the simulation modality used, how many hours of simulation compared with clinical practice is sufficient to maintain proficiency of students, and the assessment or measurement tool used to ensure quality.

AB - Background: Continuingly increasing numbers of undergraduate nursing students on clinical placement have led to industry partners feeling stretched and fatigued. This can lead to inadequate supervision and education for the students. Substituting a percentage of the required clinical hours with simulation provides students the experience they crave and industry partners a chance to slow down. Method: A metanarrative review method was used as outlined by the RAMESES guidelines. Results: A total of 104 articles were screened and 12 included in the final sample. Studies conducted in the United States and United Kingdom showed that a percentage replacement of clinical placement hours with clinical simulation shows no significant difference to student outcomes in relation to clinical skills and knowledge, and student confidence. Conclusion: The total number of clinical placement hours required by each university for studies is unclear. Higher numbers of clinical placement hours are seen in the United Kingdom, and a diverse spread of clinical hours in the United States, which impacts how the findings can be applied to Australia. Simulation can be used as an adjunct to clinical placement hours, yet regulations need to be defined around the simulation modality used, how many hours of simulation compared with clinical practice is sufficient to maintain proficiency of students, and the assessment or measurement tool used to ensure quality.

KW - clinical practice and/or placement

KW - nurs

KW - replace

KW - simulation

KW - student

UR - http://www.scopus.com/inward/record.url?scp=85072072670&partnerID=8YFLogxK

U2 - 10.1016/j.ecns.2019.07.003

DO - 10.1016/j.ecns.2019.07.003

M3 - Review article

VL - 37

SP - 5

EP - 13

JO - Clinical Simulation in Nursing

JF - Clinical Simulation in Nursing

SN - 1876-1399

ER -