Evidence of clinical competence by simulation, a hermeneutical observational study

Abstract

Making the transition from theory to practise easier in nursing education through simulation is widely implemented all over the world, and there is research evidence of the positive effects of simulation. The pre-understanding for this study is based on a definition of clinical competence as encountering, knowing, performing, maturing and developing, and the hypothesis is that these categories should appear in simulated situations. The aim of the study was to explore the forms and expressions of clinical competence in simulated situations and furthermore to explore if and how clinical competence could be developed by simulation. An observational hermeneutic study with a hypothetic-deductive approach was used in 18 simulated situations with 39 bachelor degree nursing students. In the situations, the scenarios, the actors and the plots were described. The story told was "the way from suffering to health" in which three main plots emerged. The first was, doing as performing and knowing, which took the shape of knowing what to do, acting responsibly, using evidence and equipment, appearing confident and feeling comfortable, and sharing work and information with others. The second was, being as encountering the patient, which took the shape of being there for him/her and confirming by listening and answering. The third plot was becoming as maturing and developing which took the shape of learning in co-operation with other students. All the deductive categories, shapes and expressions appeared as dialectic patterns having their negative counterparts. The study showed that clinical competence can be made evident and developed by simulation and that the challenge is in encountering the patient and his/her suffering.

The theory of caritative caring: Katie Eriksson’s theory of caritative caring presented from a human science point of view

“…The notions of caritas and caritative caring have influenced the education of nursing teachers at Åbo Akademi University, the Alma Mater of caring science in Finland. Articles on nursing education from a caritative perspective have been written by, among others, Matilainen and Westerlund‐Perätalo (2001), Sandvik, Eriksson, and Hilli (2015), Lejonqvist, Eriksson, and Meretoja (2016), and Ekebergh, Andersson, and Eskilsson (2018).…”

Effect of Internship Program on Self-Reported Clinical Competence among BSc Nursing Students in Selected Nursing Colleges at Mangaluru

“…These study results supported by a study on the evidence of clinical competence by simulation revealed that clinical competence could be made evident and developed by simulation. 10 Another similar finding in a study on baccalaureate nursing students' preceptorship program and the development of clinical competence revealed that students who participated in preceptorship program gained more level of clinical competence than the students who worked as nursing assistants in a noninstructional clinical setting. 11…”

“It is much more real when it comes from them”: The role of experts by experience in the integration of mental health nursing theory and practice

“…22 There is, however, some evidence to suggest actors can enhance the benefits of simulation in achieving enhanced perceived self-efficacy, clinical competence, and improved communication skills. [22][23][24] Taking simulation a step further, an approach to simulation named "Mask-Ed" was developed to create a more realistic experience for students, allowing encounters with "consumers" to be recreated in a safe environment. 25 The educator wears a silicon mask and creates a character with specific health issues and other characteristics preselected as the focus of student learning.…”