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. 2022 Mar 1;97(3S):S66-S70.
doi: 10.1097/ACM.0000000000004534.

Overcoming COVID-19 Challenges: Using Remote and Hybrid Simulation Designs in DNP Programs

Janet E O'Brien  1 , Charlotte A Thrall  2 , Danielle Sebbens  3
Affiliations

Overcoming COVID-19 Challenges: Using Remote and Hybrid Simulation Designs in DNP Programs

Janet E O'Brien et al. Acad Med. .

Abstract

Simulation is a critical component of nursing and medical education used to teach skills and assess student performance. In March 2020, faculty members-including the authors-at the Grace Center for Innovation in Nursing Education at the Edson College of Nursing and Health Innovation (Edson College) simulation programs at Arizona State University quickly responded to the crisis presented by COVID-19. Within a few days, all nursing simulations were transitioned from a predominately in-person design to fully online. Maintaining simulation activities throughout the first several months of the pandemic allowed students at Edson College to meet clinical assessment objectives. This transition, implemented in 2 phases, included a detailed plan of action for all Doctor of Nursing Practice (DNP) nurse practitioner objective structured clinical exams (OSCEs). The challenges required innovative planning and flexibility while maintaining the integrity of the OSCE and simulation experience. The methods implemented out of necessity are now an important part of the authors' curricular toolbox, providing options for continued and future educational practice. This paper details the simulations designed and implemented in 2 DNP programs: the family nurse practitioner and acute care pediatric nurse practitioner programs.

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Figures

Figure 1
Figure 1
OSCE designs demonstrating levels of realism and physical exam demonstration opportunities. Abbreviations: PE, physical examination; pt, patient; SP, simulated participant; OSCE, objective structured clinical examination.
See this image and copyright information in PMC

References

    1. INACSL Standards Committee. INACSL Standards of best practice: Simulation: Debriefing Clin Simul Nurs. 2016;12(suppl):S21–S25.
    1. INACSL Standards Committee. INACSL standards of best practice: Simulation: Simulation design. Clin Simul Nurs. 2016;12(suppl):S5–S12.
    1. Lewis KL, Bohnert CA, Gammon WL, et al. . The Association of Standardized Patient Educators standards of best practice. Adv Simul. 2017;2:Article no. 10. - PMC - PubMed
    1. Aronowitz T, Aronowitz S, Mardin-Small J, Kim B. Using Objective Structured Clinical Examination (OSCE) as education in advanced practice registered nursing education. J Prof Nurs. 2017;33:119–125. - PubMed
    1. Fogg N, Wilson C, Trinka M, et al. . Transitioning from direct care to virtual clinical experiences during the COVID-19 pandemic. J Prof Nurs. 2020;36:685–691. - PMC - PubMed