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Various factors, including the fact that in fast-paced, acute care settings, students have little time to reflect on a client's situation and provide appropriate and thoughtful nursing interventions, led our faculty to develop real-life, real-time scenarios for a simulated clinical setting. Senior students studying Complex Illness and Disease Management are assigned to 15 weeks of eight-hour clinicals in an acute care setting. Now, three sessions with a high-fidelity simulation (HFS) manikin are spaced throughout the semester. The eight-hour authentic clinical scenario mimics the entire hospitalization experience, from admission to discharge of a client. The scenario is designed to enhance students' critical thinking skills and promote confidence and comfort in the clinical arena. While skills lab use of HFS focuses primarily on learning skills and tasks, the simulation clinical focuses on solving problems, teamwork, understanding complex disease processes, decision making, and critical thinking. A focus on tasks and skills is one component of the scenario, but only in relation to caring for the client.

Details nurse educators experience creating high fidelity simulation experiences for a nursing students. Headings include: Project development, simulation clinical experience, and outcomes.

Over a 1-year period, support included upfront training of the chapters and participating practices on quality improvement concepts, followed by ongoing sharing of data and best practices and assistance with problem-solving. The program improved adherence to recommended care processes, leading to better asthma control.

Find hundreds of health care innovations listed by topic including patient population, clinical category, setting of care, etc.

"The ICU Mind Maps covering the JFICM Fellowship Exam curriculum are in pdf format. They were created by Dr. Paul Young in preparing for the JFICM Fellowship exam in 2007-2008. They are provided free and may be redistributed for educational purposes."

I just finished reviewing these maps and they are wonderful and would be an excellent resource for adult and acute care nurse practitioners. Some would work for undergraduate students, however they are at a high level.