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THE INCORPORATION OF EVIDENCE-BASED SIMULATED ACTIVITIES IN AN EXISTING NURSE RESIDENCY PROGRAM

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Running head: THE INCORPORATION OF SIMULATED ACTIVITIES 1 THE INCORPORATION OF EVIDENCE-BASED SIMULATED ACTIVITIES IN AN EXISTING NURSE RESIDENCY PROGRAM A Scholarly Project Submitted to the Faculty of Liberty University In partial fulfillment of The requirements for the degree Of Doctor of...

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Running head: THE INCORPORATION OF SIMULATED ACTIVITIES 1

THE INCORPORATION OF EVIDENCE-BASED SIMULATED ACTIVITIES IN AN
EXISTING NURSE RESIDENCY PROGRAM




A Scholarly Project

Submitted to the

Faculty of Liberty University

In partial fulfillment of

The requirements for the

degree Of Doctor of Nursing

Practice By

Wendy Partin Thompson

Liberty University

Lynchburg, VA

October, 2018

,THE INCORPORATION OF SIMULATED 2

THE INCORPORATION OF EVIDENCE-BASED SIMULATED ACTIVITIES IN AN
EXISTING NURSE RESIDENCY PROGRAM




A Scholarly Project

Submitted to the

Faculty of Liberty University

In partial fulfillment of

The requirements for the

degree Of Doctor of Nursing

Practice By

Wendy Partin Thompson

Liberty University

Lynchburg, VA

October, 2018



Scholarly Project Chair Approval:



Dr. Sharon J. Kopis, EdD, MS, RN, FNP-C, CNE Date

,THE INCORPORATION OF SIMULATED 3

ABSTRACT

As new graduate nurses are challenged with caring for patients with complex disease processes,

nurse residency programs are designed to ease the transition into practice. A community based

hospital, in the southern United States has recently implemented such a program. However, the

organization continues to have problems with nursing turnover. This problem is especially

evident in nurses with less than one year of clinical experience. Research has shown that nurse

residency programs without simulative activities eliminate vital critical thinking activities which

prepare novice nurses for clinical practice. The purpose of this project was to design evidence-

based simulative activities to increase self-efficacy in new graduate Registered Nurses (RNs). A

sample of 15 nurse residents received the education interventions and completed a pre and

posttest designed to measure self-efficacy. The average pre-intervention test indicated that the

new nurse graduates lacked confidence, critical thinking, and remaining calm in dealing with

complex clinical situations. After the intervention, the average post-intervention test indicated

that the new nurse graduates showed a statistically significant increase in in problem-solving

skills, clinical confidence in decision-making, confidence in patient education, handling

unexpected results, remaining calm in complex situations, and finding solutions to clinical

problems. As a result, the organization plans to add simulative activities permanently to the

residency program.

Keywords: Nurse residency program, new graduates, simulation, self-efficacy

, THE INCORPORATION OF SIMULATED 4

Copyright Page

THE INCORPORATION OF EVIDENCE-BASED SIMULATED ACTIVITIES IN AN

EXISTING NURSE RESIDENCY PROGRAM




©2018

Wendy Partin Thompson

ALL RIGHTS RESERVED

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