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Electron Physician. 2017 May 25;9(5):4255-4260. doi: 10.19082/4255. eCollection 2017 May.

A new strategy in neurocritical care nurse continuing stroke education: A hybrid simulation pilot study.

Author information

1
DO, MS, Assistant Professor of Neurology, Co-Director of Neurosciences Intensive Care Unit, Department of Neurology, University of Missouri, Columbia, Missouri, USA.
2
PA-C, Clinical Instructor of Surgery, Division of Neurosurgery, Department of Surgery, University of Missouri, Columbia, Missouri, USA.
3
Melody Burks, RN, Neurosciences Service Line Specialist, University Hospital, University of Missouri Health Care, Columbia, Missouri, USA.
4
MD, Assistant Professor of Neurology, Co-Director of Neurosciences Intensive Care Unit, Department of Neurology, University of Missouri, Columbia, Missouri, USA.

Abstract

INTRODUCTION:

High-fidelity simulation is frequently utilized in medical education. Its use in the neurosciences is limited by the inherent limitations of the manikin to simulate neurological changes. We report here the use of a hybrid simulation - a combination of lecture and high-fidelity manikin - in the education of neurosciences nurses, involved in care of neurocritical care patients.

METHODS:

Neurosciences nurses from at the University of Missouri, Columbia, MO, USA, which is an academic, tertiary-care medical center participated in the simulation during Spring of 2016. The simulation involved a patient presenting with acute intracerebral hemorrhage (ICH) who neurologically deteriorated to brain death. Pre- and post-simulation questionnaires were administered using a questionnaire with five-point Liker scale.

RESULTS:

Seventy-two responses were returned. The majority had 0-5 years of nursing experience with 83.8% having prior critical care experience. Pre-simulation, the majority of nurses (85.7%) agreed or strongly agreed with managing patients with ICH. When the responses of "agree" were compared to "strongly agree", a significant improvement (p<0.001) in all responses except confidence in speaking with other healthcare providers was found.

CONCLUSION:

Nurses reported significant improvement in understanding and managing patients with acute ICH and neurological deterioration after participating in a neurocritical care hybrid simulation. This study shows the benefit of using hybrid simulation in the education of neurocritical care nurses.

KEYWORDS:

Cerebral hemorrhage; Critical care; Education; Manikin

Conflict of interest statement

Conflict of Interest: There is no conflict of interest to be declared.

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