Hospital consolidations, decreases in the number of nurses willing to serve as preceptors, and increased student-to-faculty ratios have pro- foundly restricted availability for student clinical rotations (Hauber, Cormier, & Whyte, 2010; Kameg, Clochesy, Mitchell, & Suresky, 2010; Partin, Payne, & Slemmons, 2011; Weaver, 2011), with critical care experiences the most limited of all clinical rotations (Beddingfield, Davis, Gilmore, & Jenkins, 2011). Clinical experiences in hospitals are further constrained due to low patient census, high-acuity patient populations, and safety considerations (Founds, Zewe, & Scheuer, 2011), limiting the opportunity to perform skills, interact with physi- cians, work with multidisciplinary teams, and exercise critical think- ing skills. Barriers to clinical placement hinder new graduate nurses' potential to recognize and respond to clinical complexities (Witt, Borden, & York, 2010).Research demonstrates that new graduates are neither prepared to care for high-acuity patients nor sufficiently competent to recognize or intervene in a crisis (Fero et al., 2010; Mould, White, & Gallagher, 2011; Wotton, Davis, Button, & Kelton, 2010). In 2005, del Bueno reported that only 35 percent of new RNs meet entry-level clinical judgment expectations.High-fidelity simulation (HFS) has been used to augment clin- ical learning, providing critical thinking and psychomotor learning opportunities in low- and high-risk clinical environments and popula- tions (Garrett, MacPhee, & Jackson, 2010; Schlairet & Pollock, 2010; Sportsman, Schumacker, & Hamilton, 2011). Use of offers rele- vant, realistic clinical experiences and develops competent graduate nurses, but no consensus exists about the extent of use for clini- cal learning opportunities (Sportsman et al.). The National Council of State Boards of Nursing (NCSBN) and national accreditation bodies do not provide guidelines on the percentage of clinical hours spent in training with HFS.MethodTheoretical FrameworkThis evidence-based review was framed by the theatre of high-fidelity simulation (THFS) education model (Roberts & Greene, 2010). THFS is grounded in Kolb's experiential learning theory, the Dreyfus and Dreyfus model of skill acquisition, and Benner's novice-to-expert the- ory. According to THFS, learners passively receive information via didactic methods and are instructed in theoretical principles, then have the opportunity to actively apply the knowledge through a simu- lated environment with the learner engaged as a participant, observer, and evaluator. Application of this model involves all physical, intel- lectual and emotional senses. Using scenarios to engage psychologi- cal, sociological, and physical components, learners can clarify issues, increase self-knowledge, and develop and refine clinical skills. THFS immersion provides deep comprehension of and competence in the role.Extensive Review of the literatureThis literature review was conducted using electronic databases CINAHL-plus, ERIC, and Cochrane Systematic Review. Full-text, English-language, peer-reviewed journal articles with quantifiable measures focusing on in undergraduate education pub- lished between January 2010 and November 2011 were identified. Boolean search phrases nursing or education and HFS and high-fi- delity were used.Most recent investigations found no significant differences in student learning outcomes when comparing the effectiveness of to the current practice of clinical rotations as a method of gaining clinical skills and critical thinking competency. (See Table.) Investigated aspects included: care of mechanically ventilated and postoperative patients (Beddingfield et al., 2011); differences in nurs- ing knowledge (Schlairet & Pollock, 2010); and interviewing and health assessment self-efficacy (Luctkar-Flude, Wilson-Keates, & Larocque, 2011). …
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