Ability to Care in Acute Situations—The Influence of Simulation-Based Education on New Graduate Nurses

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“…9 Errors made by NPRNs lead to an increased risk of harm to patients because these nurses haven't yet developed the knowledge base and critical thinking skills necessary for their new role. 7,[10][11][12] NPRNs account for a disproportionate…”

“…1,7,9,10,17 The difficulties experienced by NPRNs in transitioning from nursing students to practicing professionals are well documented. 2,3,11,12 As early as 1974, Marlene Kramer described the lack of nurse preparation as "reality shock." 2 Despite the longstanding knowledge regarding these difficulties, we continue to see large numbers of NPRNs who are unprepared for the transition to practice.…”

“…Fear dominates the experiences of NPRNs as they transition to practice in acute care settings. 11 The increasing complexity of patient populations and treatment plans and constantly evolving technology has placed additional burdens on NPRNs. [1][2][3]7,16,19 In the current setting, NPRNs remain unprepared to face the challenging and complex role of today's nurse.…”

“…9,10,12 Therefore, an orientation that meets the needs of the NPRN is critical to satisfaction and retention. 1,7,[9][10][11] NPRNs also experience stress, low levels of confidence, lack of comfort, and feeling unprepared to deliver safe patient care when working in their new role. 2,11,12 This heightened level of stress can last for up to 1 year.…”

“…1,7,[9][10][11] NPRNs also experience stress, low levels of confidence, lack of comfort, and feeling unprepared to deliver safe patient care when working in their new role. 2,11,12 This heightened level of stress can last for up to 1 year. 19 NPRNs have cited a low sense of competence, lack of support, low confidence levels, stress, and an unwelcoming clinical environment as reasons for leaving the nursing profession.…”