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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.

The featured Innovations describe two programs that delivered patient-centered care to vulnerable populations, thereby improving the patient experience and enhancing access to appropriate care. The featured QualityTools provide clinicians and other stakeholders with resource guides that support a patient-centered approach to medication management.