Evidence-Based Practice Poster Session (Posters #1-#10)
7 - Using Simulation to Improve Self-perceived Competency
Description: Clinical Problem: Scrubbing is an essential skill by a registered nurse (RN) who performs multiple functions within the sterile field of the surgical area. Competency of scrubbing process varies widely, due to the diverse nature of procedures.
Background: It is imperative that perioperative nurses acquire proficient scrubbing competencies to deliver effective workflow and positive patient outcomes. Yet the lack of a standardized training program, limited resources, new responsibilities, and shortages of qualified preceptors and educators make addressing this competency difficult. Clinical Question: For perioperative RNs undergoing scrubbing orientation, does an addition of simulation training to the current practice of scrubbing during an actual procedure improve self-perceived competency? Description of Evidence-Based Protocol: The proposed program includes didactic lectures, low fidelity simulations and return demonstrations, all of which address the cognitive, affective, and psychomotor domains of learning. Implementation of Evidenced-Based Protocol: In 10 selected RNs, the perioperative perceived competency tool - revised was used to calculate the participants’ perceptions before and after simulation. A standardized scrubbing scale was used to determine interrater and instrument reliability.
Results: This program showed improved average group pre simulation score of 2.96 to 3.69 post simulation. Reliability of the instrument was validated by average scores of 0.91 and 0.86 between observer and scrub preceptor, respectively.
Conclusion: Simulation effectively improves perceived competency as evidenced by improved individual and average group scores from pre simulation scores. Simulation aids in knowledge and skills retention as evidenced by the similar value of return to scrubbing average group score to post simulation score. Lastly, reported average observer and preceptor scores showed high interrater and instrument reliability. Perioperative Nursing Implication: Results of this program have implications to impact training in other aspects of perioperative nursing. Replication of this model can occur in other difficult to train specialties with specific skill competencies.