Buchholz, Jill

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Objective: Simulation is a widely utilized tool for training healthcare professionals. Research examines and details the benefits of simulation, although there is no recommendation for the most effective amount. This project aims to determine if increased amounts of simulation benefit nursing residents' confidence and self-efficacy regarding the deteriorating patient. Method: Based on a review of literature regarding simulation use, nursing transition-to-practice programs, and patient deterioration, nursing residents were exposed to varying amounts of simulation and asked to respond to questionnaires regarding their perceived self-efficacy, satisfaction, and self-confidence utilizing a quasi-experimental, comparative design approach. Qualitative data was obtained through debriefing that followed each intervention. Intervention: This study's interventions included four different simulation scenarios involving decompensating patients with varying underlying pathology. Participants were exposed to either no extra simulation, two hours of simulation, or four hours of simulation. Results: Eleven nursing residents participated. Total satisfaction and self-confidence among intervention groups participating in the simulation were not statistically different (U = 4.50, p = .593). Simulation learning experiences elicited a statistically significant mean increase in total self-efficacy scores compared to no participation (z = -2.366, p = .018). Median self-efficacy scores increased from the control to both intervention groups, but the differences were not statistically significant (χ2(2) = 5.182, p = .075). Conclusion: The intervention did not produce statistically significant data to recommend increasing simulation among nursing residents, nor did it lend direction on a concrete, adequate amount, but it did produce data suggesting continued support of simulation use as there were notable improvements in perceived selfefficacy along with satisfaction and self-confidence. Key Words: nursing resident, transition-to-practice programs, simulation, confidence, self-efficacy