Utilizing Telehealth Education for Persons with Chronic Kidney Disease Stages 4-5: Eliminating Barriers at the Patient and Provider Level.

Home dialysis rates have improved little over the past five years. Lack of pre-dialysis patient education persists as an obstacle precluding greater improvement. In this study, barriers to chronic kidney disease (CKD) education at patient and provider levels were addressed using telehealth education for patients with CKD Stages 4-5 in a nonacademic outpatient nephrology practice.

Wellness and Stress Management Practices Among Healthcare Professionals and Health Professional Students.

Purpose: Healthcare professionals experience stressors that begin during training and persist into their careers that adversely impact their well-being. This study aims to identify students' and professionals' stress levels, satisfaction with wellness domains, barriers to wellness, and stress management practices.

Design: This study was a cross-sectional self-reported survey study.

Considerations for Culturally Congruent Healthcare for Simulation in Bedside Clinical Practice.

This article provides practical recommendations for creating and implementing culturally appropriate and culturally congruent healthcare simulation applications for bedside providers that adhere to best practices and reporting standards. Framed within the 11 criteria for simulation design outlined in the Healthcare Simulation Standards of Best Practice, the article provides a summary of these criteria, highlighting the lessons learned from their application in a Health Resources and Services Administration-sponsored public health grant 6 U4EHP46217-01-01, Public Health Simulation-Infused Program.

Nurturing a Nursing Workforce: Developing and Implementing Role-Play.

Nurses' demands and challenges can sometimes lead to burnout, compassion fatigue, and a lack of focus on self-care. Implementing innovative strategies, such as role-play, may be instrumental in nurturing and rejuvenating the health care workforce. Role-play simulations offer a promising method to support essential skills and practices for health care workers.

Social Determinants of Health in Graduate Nursing Simulation Education: An Integrative Review.

Background: This integrative review examined how simulation is being used to teach graduate nursing students about the social determinants of health (SDH).

Methods: The literature search focused on studies that included a sample of graduate nursing students who participated in an SDH simulation-based education (SBE). The timeframe used was 2013 to 2023 as this is when SBE emerged in graduate nursing education.

Remembering to Resume: A Randomized Trial Comparing Combined Interruption Management Training and Simulation-Based Education to Simulation-Based Education Alone.

Aim: This study aimed to determine if purposeful presimulation interruption management training impacts cognitive load and successful completion of simulation objectives more than the experience alone.

Background: Practicing nurses are frequently interrupted, increasing the risk for error and task time. Novices are particularly vulnerable to interruption consequences.

Exploring Health Care Disparities in Maternal-Child Simulation-Based Education.

Aim: The purpose of this study was to explore student experiences within a health care disparity simulation, embedded in maternal-child content.

Background: Health care disparities related to race and ethnicity in the maternal-child population are daunting among African American and Hispanic women.

Method: Participants completed the Simulation Effectiveness Tool-Modified, a rapid-fire huddle questionnaire, and a demographic instrument.

Accessibility and utilisation of telehealth services among older adults during COVID-19 pandemic in the United States.

The removal of regulatory and reimbursement barriers during the COVID-19 pandemic in the United States presented opportunities to explore the potential of telehealth to improve access to and use of healthcare among underserved populations. Therefore, we examined factors associated with accessibility and utilisation of telehealth among older adults during the COVID-19 pandemic. We analysed the nationally representative Medicare Current Beneficiary Survey COVID-19 Supplement File of community-dwelling Medicare beneficiaries aged ≥65 years (n = 5,189), administered from 5 October 2020, through 15 November 2020.

Self-debriefing in healthcare simulation: An integrative literature review.

Objectives: Debriefing is an essential component of simulation-based education. In-person, facilitator-led debriefing may not always be practical for newer forms of simulation, such as individual virtual simulations. Self-debriefing addresses the issue of practicality, but evidence of implementation and design are unknown.

Considerations for the Effective Integration of Virtual Simulation in the Undergraduate Nursing Curriculum.

Nursing education employs a cadre of strategies to address faculty shortages, increased student admissions, and the decreased availability of clinical sites. Virtual simulation provides an innovative way to provide a robust learning experience that can be used in conjunction with or in lieu of some portion of clinical experiences. The authors highlight how virtual simulation can be used and outline considerations for educators considering virtual simulation integration.

Comparison of Clinical Options: High-Fidelity Manikin-Based and Virtual Simulation.

Background: Minimal evidence compares nursing student outcomes when replacing clinical hours with manikin-based high-fidelity patient simulation (HFPS) or virtual simulation.

Purpose: The study aims were to compare differences in outcomes: (1) between 2 intervention groups (HFPS or virtual simulation) when replacing 25% of pediatric/obstetrics clinical hours and (2) pass/fail for clinical practice between the intervention groups and a face-to-face clinical group (control).

Methods: A quasi-experimental study was conducted to determine differences in knowledge between intervention groups participating in 6 pediatric/obstetrics simulation scenarios.

An Examination of Simulation Prebriefing in Nursing Education: An Integrative Review.

Aim: The aim of the integrative review was to examine the prebriefing phase of simulation as the foundation for the learning experience of nursing students and to determine effective prebriefing activities to enhance learning.

Background: There are currently no frameworks or specific time allotments for prebriefing comparable to those implemented for debriefing.

Method: Eight electronic databases were searched for the period 2012 to 2019.

Using Experiential Learning in Escape Rooms to Deliver Policies and Procedures in Academic and Acute Care Settings.

Puzzle rooms, recently termed "escape rooms," have been in existence for several years and are increasing in popularity in the United States. These experiential learning rooms create an inviting learning environment for both the academic and acute care learner. Learners are placed in strategic cooperative learning groups to promote teamwork, collaboration, critical thinking, and communication.

The Physical-Virtual Patient Simulator: A Physical Human Form With Virtual Appearance and Behavior.

Introduction: We introduce a new type of patient simulator referred to as the Physical-Virtual Patient Simulator (PVPS). The PVPS combines the tangible characteristics of a human-shaped physical form with the flexibility and richness of a virtual patient. The PVPS can exhibit a range of multisensory cues, including visual cues (eg, capillary refill, facial expressions, appearance changes), auditory cues (eg, verbal responses, heart sounds), and tactile cues (eg, localized temperature, pulse).

Early Recognition of Pediatric Sepsis Simulation Checklist - An Exploratory Study.

Purpose: To report on the modification and exploration of a 21-item Early Detection of Pediatric Sepsis Assessment Checklist aimed at improving nursing students' recognition of key factors that contribute to early detection of sepsis in pediatric patients through clinical simulation.

Design And Methods: One hundred and thirty-one undergraduate, pre-licensure nursing students were evaluated using the adapted 21-item Early Detection of Pediatric Sepsis Assessment Checklist in simulation using high-fidelity manikins. Categorical Principle Component Analysis was used to evaluate for factor structure, with items accounting for <0.

Using Simulation With Nursing Students to Promote Affirmative Practice Toward the Lesbian, Gay, Bisexual, and Transgender Population: A Multisite Study.

Aim: The aim of this research was to evaluate the impact of a transgender simulation on nursing students' affirmative practice when caring for a transgender person.

Background: There is a paucity of research that assesses the attitudes of nursing students toward lesbian, gay, bisexual, and transgender (LGBT) persons and a deficit in nursing curricula regarding LGBT content.

Method: A nonexperimental, pretest-posttest design was used to evaluate nursing students' affirmative practice when caring for a transgender patient using the Gay Affirmative Practice Scale.

Students' Perceptions of the Psychological Well-Being of a Transgender Client Through Simulation.

Background: The need to address mental health concerns for transgender clients is imperative. Nursing curricula must prepare students to provide holistic care for individuals within this community. The purpose of this study was to explore undergraduate nursing students' experiences providing mental health care for a transgender client through simulation.

Using simulation to address care of the transgender patient in nursing curricula.

This descriptive study explored the use of simulation as a means to increase cognitive and reflective practice as well as determining if simulation can alter perceptions and attitudes related to the lesbian, gay, bisexual and transgender (LGBT) community. This manuscript describes how student nurses perceive their role when providing care to and, more specifically, the care of transgender patients. The research question asks: How does a transgender simulation impact the attitudes and beliefs of nursing students related to the LGBT community? One-hundred and fifty-nine students, with a subset of 120 students attending a school in central Florida and 50 students attending a Connecticut programme, participated in the completion of the instruments.

Enhancing Empathy in Undergraduate Nursing Students: An Experiential Ostomate Simulation.

Aim: The aim of this study was to implement and evaluate an experiential learning simulation created to enhance nursing students' empathy during patient care encounters.

Background: The investigators proposed that an ostomy simulation experience would be an efficient method for providing this educational content.

Method: Content analysis was conducted on essays using Krippendorff's technique to quantify the simulation.

Simulation: Introduction to Correctional Nursing in a Prison Setting.

Simulation can be used to introduce students to critical nursing skills that reduce errors, enhance nurse-patient communication, and improve safety and security when caring for patients in the correctional setting. The interactive environment creates scenarios in a realistic fashion that include experiences that nursing students may encounter in a correctional facility setting, such as aggressive clients, gang-related activities, and noncompliant personalities. Orientation prior to entering the facilities is the key to safety, reducing student anxiety, and enhancing the student's ability to learn.

Importance and promotion of linguistic safety in the healthcare setting.

The United States has always been and will continue to be a nation of many cultures and languages. In the healthcare arena, this means safety will depend on clear, linguistically appropriate communication between the patient and family and the healthcare provider. Three obstacles exist to this type of essential communication: limited English proficiency, low health literacy, and cultural barriers.