Revolutionizing Simulation in Nursing Education and Practice
Simulation, once confined to the realm of aviation and military training, has become highly integrated into nursing education, offering a dynamic platform for experiential learning. The diverse landscape of simulation modalities, from high-fidelity mannequins to virtual-reality environments, offers a unique set of advantages in preparing nurses for the complexities of real-world practice. The term “simulation” is defined as Imitation of a situation or process, the action of pretending. From this perspective, it is hard to imagine a time when the nursing profession hasn’t included some degree of simulation within its ...
Source: Nursing Clinics of North America - April 17, 2024 Category: Nursing Authors: Benjamin Smallheer Tags: Foreword Source Type: research
Professional Integrity and Ethical Considerations in Simulation
As healthcare providers, ethical decisions are woven into the fabric of our profession from bedside care to the use of simulation as an educational pedagogy. Simulation as a method for healthcare education began in response to ethical dilemmas in clinical practice. Educators require an interactive approach to education that will keep patients, learners, and faculty psychologically safe, decrease errors in clinical practice, and engage participants, all of which are inherent in simulation-based experiences. Professional integrity and morality are infused throughout simulation design: prebriefing, facilitation, debriefing, a...
Source: Nursing Clinics of North America - April 8, 2024 Category: Nursing Authors: Fara Bowler, Patrick Luna, Tammy Spencer Source Type: research
Simulation ’s Use Across the Clinical Landscape
Across the healthcare continuum simulation is routinely integrated into the curriculum for nurses and other professionals. The amount of simulation experienced at different points in the clinical setting highly depends on the specialty and organizational investment. The use of simulation in nursing can be divided into five specific use cases. Required and specialty certification courses include the following: Nurse Onboarding, Nurse Continuing Education, Regulatory& Joint Commission, and Interprofessional Education. Although common elements exist for each of the abovementioned use cases, there are distinct advantages, disa...
Source: Nursing Clinics of North America - March 21, 2024 Category: Nursing Authors: Jared M. Kutzin, Connie M. Lopez Source Type: research
Simulation Modalities in Clinical Practice
For maximum effectiveness of a simulation-based educational experience, the correct modality must be chosen. Modality refers to the equipment or platform used to conduct the simulation. There are a variety of options available to clinical simulation educators, ranging from simple task trainers to full-body manikins to virtual experiences. The correctly chosen modality will allow the learners to achieve the learning objectives. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 21, 2024 Category: Nursing Authors: Elizabeth Horsley, Jennifer Dale-Tam Source Type: research
Primary Prevention of Cardiovascular Disease for People Living with Human Immunodeficiency Virus
People living with HIV (PLWH) have a risk of cardiovascular disease (CVD) that is 1.5 to 2 times higher than the general population owing to traditional risk factors, HIV-mediated factors like chronic inflammation and immune dysfunction, and exposure to antiretroviral therapy. Currently available CVD risk estimation calculators tend to underestimate risk in PLWH but can be useful when an individual ’s HIV history is considered. Improving modifiable risks is the primary intervention for reducing CVD risk in PLWH. Statin therapy is important for specific individuals, but attention should be given to drug interactions with ...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Christopher B. Fox, Kristine Butler, Devon Flynn Source Type: research
Overview of the US National HIV Strategy and Ending the HIV Epidemic Initiative
This article provides an overview of the NHAS and EHE and provides examples of programs and strategies that can be used to end the HIV epidemic in the United States. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Kara S. McGee Source Type: research
A Review of Updated Guidelines on Breastfeeding with Human Immunodeficiency Virus Using Relational Decision-Making and Intellectual Humility to Support Infant Feeding Choices
This article summarizes the updated guidelines on breastfeeding with HIV with an emphasis on using relational decision-making and intellectual humility to support the conversation around infant feeding choices. The complex cultural experiences and historical disparities that influence these decisions are highlighted, along with an overview of the recent changes to recommendations for breastfeeding in people with HIV. The article describes individualized clinical scenarios that consider infant feeding decisions, outlines communication and support strategies for health care providers, and proposes a relational decision-makin...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Emily A. Barr, Lisa L. Abuogi, Christiana Smith Source Type: research
The Essentials of Debriefing and Reflective Practice
Debriefing is a specific type of reflective learning. Debriefing follows an experience, with the goal of taking meaningful learning away from the experience. It is often used following a simulation-based educational experience but the same techniques can be used following actual clinical care. Early studies in simulation suggest that learning does not occur in simulation-based education in the absence of debriefing. There are phases of a debriefing discussion and specific conversational strategies that are used to engage learners and provoke engaging learning discussions. Standards of practice call for facilitators with sp...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Mary K. Fey, Kate J. Morse Source Type: research
The Epidemiology of Human Immunodeficiency Virus
This article will shine a reflective and insightful light on the advances that we have made with HIV treatment and prevention and propose novel ways to close the gap for vulnerable people living with or affected by HIV. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Lacrecia M. Bell Source Type: research
Setting Learners up for Simulation and Clinical Success
Simulation is an effective method for learning and demonstrating competency in the clinical setting. Like protocols used by nurses in the practice setting, simulation educators have standards of best practice to guide their use of simulation for teaching and learning. By using the Healthcare Simulation Standard of Best Practice: Prebriefing, the simulation educators and nurse preceptors can create safe learning and working environments. Incorporating a standard prebriefing method and plan that carries throughout the clinical environment may be one way to decrease stress and anxiety of the nursing team and promote a psychol...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Donna S. McDermott, Samantha Smeltzer, Jessica L. Kamerer Source Type: research
Using Simulation to Improve Communication Skills
Ineffective communication is implicated in 80% of medical errors, costing the United States approximately $12 billion annually. Teaching communication skills is a component of nursing curricula linked to improved patient outcomes. Simulation-based experience (SBE) is a strategy for healthcare professionals to learn communication skills. Providing nurses with the ability to practice nurse –nurse, nurse–physician, nurse–patient, and team communication skills in a psychologically safe learning environment provides an opportunity for skill development and meaningful self-reflection. The multiple modalities for SBE suppor...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Crystel L. Farina, Jasline Moreno, Tonya Schneidereith Source Type: research
Care of People Living with HIV: Contemporary Issues
The landscape of HIV prevention and treatment has evolved significantly over the past few decades, and HIV is now a chronic, manageable illness. Medical advances in the treatment of HIV have translated to normal life expectancy for people living with HIV who are on effective treatment, and innovations in HIV prevention approaches means that we have the tools to significantly reduce the number of new HIV infections in the United States. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Kara S. McGee Tags: Preface Source Type: research
Criminalization of Human Immunodeficiency Virus in the United States
Human immunodeficiency virus (HIV) criminalization is the prosecution of people with HIV using HIV-specific state statutes, sentence enhancements, and general criminal laws wherein otherwise legal conduct becomes criminalized based on a person ’s HIV diagnosis. HIV criminal laws perpetuate HIV stigma and discrimination, misrepresent how HIV is transmitted, and are a barrier to HIV prevention and care. Research has found that Black Americans are more likely to be arrested for and convicted of HIV-related offenses. The harm caused by HIV laws on already marginalized communities is long-lasting and severe. (Source: Nursing ...
Source: Nursing Clinics of North America - March 14, 2024 Category: Nursing Authors: Robin Lennon-Dearing Source Type: research
Cancer Prevention and Screening for People Living with Human Immunodeficiency Virus
People living with human immunodeficiency virus (HIV) (PLWH) live near-normal life expectancies due to advances in antiretroviral therapy. PLWH are experiencing more non-HIV –related comorbidities and deaths. PLWH are diagnosed with cancer more often and experience worse cancer-related outcomes than the general population. Cancer prevention and screening in PLWH is essential and leads to earlier diagnosis and treatment which may result in improved health outcomes and increased long-term survival. Few cancer screening guidelines specific to PLWH exist. There are often discrepancies in general population cancer screening g...
Source: Nursing Clinics of North America - March 14, 2024 Category: Nursing Authors: Melody Wilkinson, Karen McCrea, Amy Culbertson Source Type: research
The Impact of Human Immunodeficiency Virus on Women in the United States
Substantial improvements have been made in reducing HIV incidence rates among women in the United States. However, numerous disparities affect women ’s risk of HIV acquisition, in addition to affecting treatment outcomes for women living with HIV. As people with HIV continue to live longer due to antiretroviral therapy, clinicians must be cognizant of various health, financial, and social implications that can affect HIV self-management. Succe ssfully ending the HIV epidemic will require more targeted approaches on prevention, linkage to care, and treatment while also addressing underlying factors that affect women’s e...
Source: Nursing Clinics of North America - March 14, 2024 Category: Nursing Authors: Dominique Guillaume Source Type: research
