Assistant Professor, College of Nursing and Health Sciences, Georgia Southwestern State University, 800 GSW State University Drive, Americus GA 31709, Georgia.
Dean of Tanner Health System School of Nursing, University of West Georgia, 1601 Maple Street, Carrollton GA 30116, Georgia.
Nurse Educ Pract. 2021 Aug;55:103087. doi: 10.1016/j.nepr.2021.103087. Epub 2021 May 19.
Readiness for practice (RFP) is essential as new nurses will practice in a nursing shortage climate, with high acuity patients and complex technology. Nurse educators are challenged to foster readiness for practice.
The aim of this integrative review was to explore the impact of simulation and senior practicum on graduating senior nursing students' readiness for practice.
Readiness for practice has been a point of concern for healthcare for quite some time. This has led to a need for better understanding for what RFP means including their perceptions of various stakeholders. Further, it is important to address what teaching and learning strategies can be implemented to assist in ensuring the graduating senior nursing student is ready for practice on graduation and for their first professional practice. Readiness for practice is defined as the ability to safely and competently care for patients by synthesizing theory, skills, attitudes and values in applying clinical reasoning in practice settings.
An integrative review identified 48 published papers on simulation and senior practicum that met the inclusion criteria.
Themes identified from the senior practicum/preceptor literature included clinical reasoning, skills, barriers to the senior practicum and transition. Themes identified regarding simulation as a strategy included preparation, competence development, clinical reasoning and the number of human patient simulators used.
Although the evidence is not conclusive, simulation and senior practicums have the promise of preparing graduating nursing students for their first professional practice. However, nurse educators must ensure simulations are well-organized with clear objectives and that preceptors are supported in teaching and assessing students.
一段时间以来，实践准备情况一直是医疗保健领域关注的焦点。这就需要更好地了解 RFP 的含义，包括各利益相关者的看法。此外，重要的是要确定可以实施哪些教学策略，以协助确保即将毕业的高级护理学生在毕业时以及在首次专业实践中做好实践准备。实践准备情况被定义为在实践环境中通过综合理论、技能、态度和价值观来应用临床推理，从而安全且有能力照顾患者的能力。
综合审查确定了 48 篇符合纳入标准的关于模拟和高级实习的已发表论文。
虽然证据尚无定论，但模拟和高级实习有望为即将毕业的护理学生做好首次专业实践的准备。然而，护理教育工作者必须确保模拟教学组织良好，目标明确，并为实习指导教师的教学和评估学生提供支持。
