Track: Research: study or review follows a systematic process (If human subjects are involved, prior approval from review board is required.)
Prevalence and use of high-fidelity simulation in family nurse practitioner programs
Background: Family nurse practitioner (FNP) programs represent 60% of accredited primary-care NP programs in the U.S. in 2015. Increased enrollments and new NP programs led to a shortage of clinical sites. FNP programs are utilizing high-fidelity simulation as a solution to clinical site shortages. There is little evidence supporting substituting traditional clinical hours with high-fidelity simulation.
Purpose: The purpose of this study was to examine the prevalence and use of high-fidelity simulation in FNP programs in the U.S. during the 2017-2018 academic year.
Methodology: This study used a descriptive survey-research methodology. The survey was sent to 377 FNP programs from August to October 2018.
Results: A total of 131 programs (34.7%) participated with 85.5% reporting use of one or more types of high-fidelity simulation. High-fidelity simulation is used in an average of three courses per program; the most common course being advanced health/physical assessment. Programs have an average of 36 high-fidelity simulation hours per program. Standardized patients (SPs) was the most common type of high-fidelity simulation modality used in courses. Only 28.2% reported using high-fidelity simulation towards clinical hours with a range of 6 to 100 hours. However, 53.9% of participants stated they would substitute 5-25% of traditional clinical hours with high-fidelity simulation, if allowed.
Discussion: No previous simulation survey has focused specifically on FNP programs. Results of this study showed a wide variety of uses and practices of high-fidelity simulation, positive perceived benefits from using high-fidelity simulation, and a desire to increase the use of high-fidelity simulation within programs.
Describe the high-fidelity simulation activities being conducted in FNP programs around the United States
Describe how high-fidelity simulation activities are being utilized in FNP programs around the United States
Discuss the perceived benefits of using high-fidelity simulation and barriers to increasing high-fidelity simulation in FNP programs around the United States