kenya snowden | University of Miami (original) (raw)

Papers by kenya snowden

International Journal of Nursing Studies Advances, 2021

Clinical Simulation in Nursing, 2020

Abstract Background Endotracheal intubation using direct laryngoscopy is a fundamental skill for ... more Abstract Background Endotracheal intubation using direct laryngoscopy is a fundamental skill for health care professionals who are tasked with the job of securing a patient's airway. Teaching this skill is often challenging because of the inability of a faculty member to share the same vantage point as the learner. The aim of this study was to determine feasibility and acceptability of the use of telehealth glasses to guide teaching the skill of endotracheal intubation. Method This study used a qualitative descriptive design through transcript analysis of open-ended survey questions completed by 14 nurse practitioner students in the Southeastern United States. Results Three categories emerged from the students’ responses regarding use of the telehealth glasses: advantages, disadvantages, and recommendations. Conclusions Although the findings were mixed, the researchers learned powerful lessons that could be helpful to educational researchers who would like to use a form of glasses.

Nurse educator, Jan 19, 2018

A critical component of doctor of nursing practice (DNP) education is practice immersion. DNP pro... more A critical component of doctor of nursing practice (DNP) education is practice immersion. DNP programs require 1000 hours of clinical practice experience to obtain the DNP degree. Faculty struggle with providing meaningful clinical experiences congruent with the role of the DNP. This article describes a unique practice immersion course joining DNP students with community health care partners to provide meaningful experiences with the potential to transform health care. DNP students are assigned system-level projects designed to create organizational change. Over the course of 4 years, the practice immersion opportunities more than doubled from 30 to 66 live projects. Integrating collaborative practice immersion into the curriculum builds students' leadership skills and strengthens long-standing bonds among academia, practice, and the community. The creation of structured, meaningful collaborations between DNP students and community partners is an approach that has the potential ...

Nurse Education Today, 2014

Background: According to The Joint Commission (2012), the leading cause of sentinel events in the... more Background: According to The Joint Commission (2012), the leading cause of sentinel events in the United States was miscommunication. Lack of thorough and accurate communication remains a serious challenge in healthcare and an educational priority in schools of nursing. Virtual clinical simulation is an online educational approach where students use avatars to practice various skills. Objectives: The purpose of this pilot study was to evaluate the educational innovation of using virtual clinical simulation to improve communication skills of BSN students. The objectives of the simulations were to 1) recognize significant patient data and 2) accurately perform the ISBAR communication technique. Design: The study used a within-group, time-series design with eight students. Students participated in two synchronous virtual simulations in an online virtual clinical environment called CliniSpace™. Students performed in groups of four to five students. Methods: Students performed in two virtual simulations in groups of four to five students. Student performances were scored by two raters using the CliniSpace™ ISBAR Rating Sheet. Field notes from debriefing sessions were analyzed for content. Results: Mean group student performance scores more than doubled from performance one to performance two. This change was found to be statistically significant, p b .001. Field notes revealed that students listened to how their peers communicated and learned from them. Students expressed having less anxiety, knowing what to expect, and having "better flow" with communication. Students verbalized learning to assess the patient prior to calling the physician and to give a recommendation to the physician.

Clinical Simulation in Nursing, 2021

Background Faculty members in low- and middle-income countries (LMICs) are seeking to develop sim... more Background Faculty members in low- and middle-income countries (LMICs) are seeking to develop simulation centers with fewer resources. The aim of this study was to describe an effective approach to build capacity and facilitate the incorporation of simulation into the curriculum of a nursing program in a middle-income country. Method A team of expert faculty members from the United States visited Jamaica to provide a train-the-trainer simulation workshop. Results Innovative and engaging strategies were used to foster faculty member development including codevelopment of simulations, implementation of simulation, codebriefing experiences, and curriculum development. Conclusion Boards of nursing in LMICs are hesitant to accept simulation as the majority of evidence supporting simulation has been conducted in high-income countries. To influence policy, faculty members are urged to conduct more simulation research in LMICs to establish an evidence base. Collaborations of nurse faculty m...

The Journal of nursing education, 2018

There is disparity in the nursing work-force of minority leaders. The aim of this article is to d... more There is disparity in the nursing work-force of minority leaders. The aim of this article is to describe and evaluate an innovative program designed to provide mentorship and increase leadership skills of minority nursing students. An innovative mentorship program was developed including coordination of financial aid meetings, incorporating technology, enacting an online preimmersion course, choosing and training mentors, hosting a lunch-and-lead leadership series, and using intensive review sessions and tutoring. Program evaluation data were analyzed using mixed methods. All 40 participants passed the NCLEX-RN and had obtained employment after the program. Of the 20 respondents, 25% already had obtained a leadership role in nursing. Qualitative data about the program revealed categories of leadership, networking, mentorship, more time, and gratitude. This program was successful in promoting retention, graduation, and development of future minority nurse leaders. [J Nurs Educ. 2018;...

Journal of Nursing Education, 2020

BACKGROUND There is a lack of diversity in the master's prepared nursing workforce. One nursi... more BACKGROUND There is a lack of diversity in the master's prepared nursing workforce. One nursing school implemented a scholarship program for students from disadvantaged backgrounds enrolled in the Family Nurse Practitioner and Adult Gerontology Primary Nurse Practitioner tracks. METHOD Awardees were required to be full-time students from disadvantaged backgrounds with financial need. Each student was matched with a faculty member for regular mentorship. Student progress was evaluated every three months, with follow-up 1 year after graduation. RESULTS A total of 45 students received the Scholarship for Disadvantaged Students (SDS) over 2 consecutive years. Of the 45 students, 26 (58%) identified themselves as Hispanic and 11 (24%) as black. A total of 42 (93%) of 45 SDS students completed the original plan of study and passed the national certification board. CONCLUSION The SDS serves as a model of an effective mentorship program to assist nurse practitioner students from disadvantaged backgrounds. [J Nurs Educ. 2020;59(5):287-290.].

International Journal of Travel Medicine and Global Health, 2021

Introduction: The problem of the prevailing occurrence of hypertension and diabetes cases quickly... more Introduction: The problem of the prevailing occurrence of hypertension and diabetes cases quickly took the world by storm. Rural areas became even more exposed to the negative issues associated with these health conditions due to the lack of a skilled workforce and educational programs for patients. Within the framework of the current paper, the researcher utilized the data from two mission trips in Thomonde, Haiti, to gain more insight into chronic health issues among rural Haitian residents. Methods: This study employed a retrospective analytical cross-sectional retrospective, descriptive design utilizing data obtained from two mission trips in Thomonde, Haiti in the areas of Palmay, Savane Plate, and La Hoye. The information was analyzed with the help of the SPSS software. A total of 403 adult patient visits across the three sites and two visits were included in the analysis. Results: Gastroesophageal reflux disease (GERD) (25.8%) was the most common diagnosis found in the rural ...

Nurse Education Today, 2020

BACKGROUND Opportunities for students to participate in global health mission trips have expanded... more BACKGROUND Opportunities for students to participate in global health mission trips have expanded. However, lack of pre-departure training is often reported and has been associated with negative outcomes for participants. Simulation is an effective method for providing customized situational learning. OBJECTIVE To evaluate the effectiveness of a Pre-Departure Training program incorporating simulation for advanced practice registered nursing (APRN) students prior to a global health mission trip. DESIGN This program employed a pre-posttest design with surveys administered at baseline, after a computer-based learning module, and after a simulation-based learning experience. SETTING A university in the Southeastern United States. PARTICIPANTS Twenty-two APRN students in their first clinical rotation of the program. METHODS APRN students with interest in global health missions partake in a pre-departure training program. Pre-departure training includes a computer-based learning module followed by an outdoor simulation replicating a low-income setting. Pre-posttest surveys assessed students' perceptions of confidence, skill, knowledge and comfort regarding global health. A skills checklist was used to evaluate student clinical patient presentation during the simulation. RESULTS Students' preparedness scores increased after the computer-based learning and significantly increased after the simulation. In the simulation, 42% of students successfully completed their patient presentation during their first attempt while 58% required remediation. CONCLUSION After the pre-departure program, students felt more confident in their global health knowledge, and felt significantly more prepared to provide health care in a low-income country. Schools of nursing offering global health mission trips or study abroad programs should consider implementing pre-departure programs using simulation as a teaching method.

Practice Immersion (PI) Evolves: 2013 2017 Reverse the PI model Integrate DNP Essentials, Magn... more Practice Immersion (PI) Evolves: 2013 2017 Reverse the PI model Integrate DNP Essentials, Magnet Criteria Develop, strengthen, expand & leverage partnerships... the community and beyond Develop practice initiatives as fusion of course, student, & community partner objectives Evolution of practice projects Project topics Problem statement Key elements Goals, objectives, & deliverables Student, agency contacts, & faculty Students identify learning needs & preferred practice experiences from menu of PI options Didactic component transition

International Journal of Travel Medicine and Global Health, 2017

Introduction Since 2010, [BLINDED FOR REVIEW] has provided primary care health services biannuall... more Introduction Since 2010, [BLINDED FOR REVIEW] has provided primary care health services biannually in Haiti. These efforts, in collaboration with the non-governmental organization Project Medishare, consist of approximately week-long mobile healthcare clinics organized and conducted by nursing faculty and nurse practitioner students. The goals of these medical missions are to provide needed healthcare services and supplies for those who might not otherwise receive them; to enhance health infrastructure within Haiti by offering educational resources and health promotion; and to provide nurse practitioner students with an opportunity to conduct fieldwork by engaging in a humanitarian travel medicine endeavor. 1 An essential component used to facilitate achievement of these goals is the implementation of the United States National Incident Management System (NIMS) as the framework for medical missions. 1 This integrated system has five components: (1) Preparedness, (2) Communication/ Information Management, (3) Resource Management, (4) Command and Management, and (5) Ongoing Management/ Maintenance, as shown in Figure 1. The ultimate goal of any healthcare mission is to ensure the benefits it provides endure and remain sustainable over time. This concept of sustainability in a healthcare program is a "best practice principle" introduced by the World Health Organization (WHO) in 2002. 2 This article will illustrate how one nursing school created an organizational template that can be utilized by academic institutions and other nongovernmental organizations as a guideline for future medical http://ijtmgh.com

Advanced emergency nursing journal

Tobacco use is a major threat to public health. Current guidelines suggest that healthcare profes... more Tobacco use is a major threat to public health. Current guidelines suggest that healthcare professionals in the emergency department provide routine smoking cessation screening and interventions. Evidence suggests that an educational intervention among registered nurses in the emergency department may increase education and referral for smoking cessation of patients who use tobacco products. An educational module regarding smoking cessation counseling was provided to registered nurses in the emergency department at a private hospital in South Florida. A pre- and postintervention self-reported survey evaluated changes in nurses asking about tobacco use; advising to quit; assessing readiness, assisting, and arranging follow-up for patients who smoke to quit; and encouraging pharmacological agents. All participating nurses screened for tobacco use most of the time before and after the intervention. However, the number of nurses who assessed readiness, assisted, arranged follow-up for p...

Nursing Open, 2021

Asthma is the most common long-term illness in children in the United States that affects 8.5% of... more Asthma is the most common long-term illness in children in the United States that affects 8.5% of all children (Miller et al., 2016). According to the Agency for Healthcare Research and Quality, asthma represented the most common and most expensive reason for potentially preventable hospital stays in children in 2017, with 53,900 hospital stays and $278.1 million in aggregate costs (McDermott & Jiang, 2020). Asthma is associated with high Emergency Department (ED) and Urgent Care Clinic (UCC) utilization in children-almost twice as many compared to adults (Pate et al., 2021). Research has shown that avoidable ED visits for acute asthma are prevalent in children, which contributes to a heavy cost burden of paediatric asthma on governments, healthcare systems, and on patients and families (Beydon et al., 2016). Health disparities are an important factor to consider in paediatric asthma. Paediatric asthma is more prevalent among children from low-income families and among non-Hispanic Black children and those of Puerto Rican descent when compared to non-Hispanic White children (Zahran et al., 2018). Furthermore, health disparities are implicated in asthma-related ED visits and eventual hospitalizations. In low-income families, Black children were less likely to be

Nurse Education Today, 2014

According to The Joint Commission (2012), the leading cause of sentinel events in the United Stat... more According to The Joint Commission (2012), the leading cause of sentinel events in the United States was miscommunication. Lack of thorough and accurate communication remains a serious challenge in healthcare and an educational priority in schools of nursing. Virtual clinical simulation is an online educational approach where students use avatars to practice various skills. The purpose of this pilot study was to evaluate the educational innovation of using virtual clinical simulation to improve communication skills of BSN students. The objectives of the simulations were to 1) recognize significant patient data and 2) accurately perform the ISBAR communication technique. The study used a within-group, time-series design with eight students. Students participated in two synchronous virtual simulations in an online virtual clinical environment called CliniSpace. Students performed in groups of four to five students. Students performed in two virtual simulations in groups of four to five students. Student performances were scored by two raters using the CliniSpace ISBAR Rating Sheet. Field notes from debriefing sessions were analyzed for content. Mean group student performance scores more than doubled from performance one to performance two. This change was found to be statistically significant, p<.001. Field notes revealed that students listened to how their peers communicated and learned from them. Students expressed having less anxiety, knowing what to expect, and having "better flow" with communication. Students verbalized learning to assess the patient prior to calling the physician and to give a recommendation to the physician.

International Journal of Nursing Studies Advances, 2021

Clinical Simulation in Nursing, 2020

Abstract Background Endotracheal intubation using direct laryngoscopy is a fundamental skill for ... more Abstract Background Endotracheal intubation using direct laryngoscopy is a fundamental skill for health care professionals who are tasked with the job of securing a patient's airway. Teaching this skill is often challenging because of the inability of a faculty member to share the same vantage point as the learner. The aim of this study was to determine feasibility and acceptability of the use of telehealth glasses to guide teaching the skill of endotracheal intubation. Method This study used a qualitative descriptive design through transcript analysis of open-ended survey questions completed by 14 nurse practitioner students in the Southeastern United States. Results Three categories emerged from the students’ responses regarding use of the telehealth glasses: advantages, disadvantages, and recommendations. Conclusions Although the findings were mixed, the researchers learned powerful lessons that could be helpful to educational researchers who would like to use a form of glasses.

Nurse educator, Jan 19, 2018

A critical component of doctor of nursing practice (DNP) education is practice immersion. DNP pro... more A critical component of doctor of nursing practice (DNP) education is practice immersion. DNP programs require 1000 hours of clinical practice experience to obtain the DNP degree. Faculty struggle with providing meaningful clinical experiences congruent with the role of the DNP. This article describes a unique practice immersion course joining DNP students with community health care partners to provide meaningful experiences with the potential to transform health care. DNP students are assigned system-level projects designed to create organizational change. Over the course of 4 years, the practice immersion opportunities more than doubled from 30 to 66 live projects. Integrating collaborative practice immersion into the curriculum builds students' leadership skills and strengthens long-standing bonds among academia, practice, and the community. The creation of structured, meaningful collaborations between DNP students and community partners is an approach that has the potential ...

Nurse Education Today, 2014

Background: According to The Joint Commission (2012), the leading cause of sentinel events in the... more Background: According to The Joint Commission (2012), the leading cause of sentinel events in the United States was miscommunication. Lack of thorough and accurate communication remains a serious challenge in healthcare and an educational priority in schools of nursing. Virtual clinical simulation is an online educational approach where students use avatars to practice various skills. Objectives: The purpose of this pilot study was to evaluate the educational innovation of using virtual clinical simulation to improve communication skills of BSN students. The objectives of the simulations were to 1) recognize significant patient data and 2) accurately perform the ISBAR communication technique. Design: The study used a within-group, time-series design with eight students. Students participated in two synchronous virtual simulations in an online virtual clinical environment called CliniSpace™. Students performed in groups of four to five students. Methods: Students performed in two virtual simulations in groups of four to five students. Student performances were scored by two raters using the CliniSpace™ ISBAR Rating Sheet. Field notes from debriefing sessions were analyzed for content. Results: Mean group student performance scores more than doubled from performance one to performance two. This change was found to be statistically significant, p b .001. Field notes revealed that students listened to how their peers communicated and learned from them. Students expressed having less anxiety, knowing what to expect, and having "better flow" with communication. Students verbalized learning to assess the patient prior to calling the physician and to give a recommendation to the physician.

Clinical Simulation in Nursing, 2021

Background Faculty members in low- and middle-income countries (LMICs) are seeking to develop sim... more Background Faculty members in low- and middle-income countries (LMICs) are seeking to develop simulation centers with fewer resources. The aim of this study was to describe an effective approach to build capacity and facilitate the incorporation of simulation into the curriculum of a nursing program in a middle-income country. Method A team of expert faculty members from the United States visited Jamaica to provide a train-the-trainer simulation workshop. Results Innovative and engaging strategies were used to foster faculty member development including codevelopment of simulations, implementation of simulation, codebriefing experiences, and curriculum development. Conclusion Boards of nursing in LMICs are hesitant to accept simulation as the majority of evidence supporting simulation has been conducted in high-income countries. To influence policy, faculty members are urged to conduct more simulation research in LMICs to establish an evidence base. Collaborations of nurse faculty m...

The Journal of nursing education, 2018

There is disparity in the nursing work-force of minority leaders. The aim of this article is to d... more There is disparity in the nursing work-force of minority leaders. The aim of this article is to describe and evaluate an innovative program designed to provide mentorship and increase leadership skills of minority nursing students. An innovative mentorship program was developed including coordination of financial aid meetings, incorporating technology, enacting an online preimmersion course, choosing and training mentors, hosting a lunch-and-lead leadership series, and using intensive review sessions and tutoring. Program evaluation data were analyzed using mixed methods. All 40 participants passed the NCLEX-RN and had obtained employment after the program. Of the 20 respondents, 25% already had obtained a leadership role in nursing. Qualitative data about the program revealed categories of leadership, networking, mentorship, more time, and gratitude. This program was successful in promoting retention, graduation, and development of future minority nurse leaders. [J Nurs Educ. 2018;...

Journal of Nursing Education, 2020

BACKGROUND There is a lack of diversity in the master's prepared nursing workforce. One nursi... more BACKGROUND There is a lack of diversity in the master's prepared nursing workforce. One nursing school implemented a scholarship program for students from disadvantaged backgrounds enrolled in the Family Nurse Practitioner and Adult Gerontology Primary Nurse Practitioner tracks. METHOD Awardees were required to be full-time students from disadvantaged backgrounds with financial need. Each student was matched with a faculty member for regular mentorship. Student progress was evaluated every three months, with follow-up 1 year after graduation. RESULTS A total of 45 students received the Scholarship for Disadvantaged Students (SDS) over 2 consecutive years. Of the 45 students, 26 (58%) identified themselves as Hispanic and 11 (24%) as black. A total of 42 (93%) of 45 SDS students completed the original plan of study and passed the national certification board. CONCLUSION The SDS serves as a model of an effective mentorship program to assist nurse practitioner students from disadvantaged backgrounds. [J Nurs Educ. 2020;59(5):287-290.].

International Journal of Travel Medicine and Global Health, 2021

Introduction: The problem of the prevailing occurrence of hypertension and diabetes cases quickly... more Introduction: The problem of the prevailing occurrence of hypertension and diabetes cases quickly took the world by storm. Rural areas became even more exposed to the negative issues associated with these health conditions due to the lack of a skilled workforce and educational programs for patients. Within the framework of the current paper, the researcher utilized the data from two mission trips in Thomonde, Haiti, to gain more insight into chronic health issues among rural Haitian residents. Methods: This study employed a retrospective analytical cross-sectional retrospective, descriptive design utilizing data obtained from two mission trips in Thomonde, Haiti in the areas of Palmay, Savane Plate, and La Hoye. The information was analyzed with the help of the SPSS software. A total of 403 adult patient visits across the three sites and two visits were included in the analysis. Results: Gastroesophageal reflux disease (GERD) (25.8%) was the most common diagnosis found in the rural ...

Nurse Education Today, 2020

BACKGROUND Opportunities for students to participate in global health mission trips have expanded... more BACKGROUND Opportunities for students to participate in global health mission trips have expanded. However, lack of pre-departure training is often reported and has been associated with negative outcomes for participants. Simulation is an effective method for providing customized situational learning. OBJECTIVE To evaluate the effectiveness of a Pre-Departure Training program incorporating simulation for advanced practice registered nursing (APRN) students prior to a global health mission trip. DESIGN This program employed a pre-posttest design with surveys administered at baseline, after a computer-based learning module, and after a simulation-based learning experience. SETTING A university in the Southeastern United States. PARTICIPANTS Twenty-two APRN students in their first clinical rotation of the program. METHODS APRN students with interest in global health missions partake in a pre-departure training program. Pre-departure training includes a computer-based learning module followed by an outdoor simulation replicating a low-income setting. Pre-posttest surveys assessed students' perceptions of confidence, skill, knowledge and comfort regarding global health. A skills checklist was used to evaluate student clinical patient presentation during the simulation. RESULTS Students' preparedness scores increased after the computer-based learning and significantly increased after the simulation. In the simulation, 42% of students successfully completed their patient presentation during their first attempt while 58% required remediation. CONCLUSION After the pre-departure program, students felt more confident in their global health knowledge, and felt significantly more prepared to provide health care in a low-income country. Schools of nursing offering global health mission trips or study abroad programs should consider implementing pre-departure programs using simulation as a teaching method.

Practice Immersion (PI) Evolves: 2013 2017 Reverse the PI model Integrate DNP Essentials, Magn... more Practice Immersion (PI) Evolves: 2013 2017 Reverse the PI model Integrate DNP Essentials, Magnet Criteria Develop, strengthen, expand & leverage partnerships... the community and beyond Develop practice initiatives as fusion of course, student, & community partner objectives Evolution of practice projects Project topics Problem statement Key elements Goals, objectives, & deliverables Student, agency contacts, & faculty Students identify learning needs & preferred practice experiences from menu of PI options Didactic component transition

International Journal of Travel Medicine and Global Health, 2017

Introduction Since 2010, [BLINDED FOR REVIEW] has provided primary care health services biannuall... more Introduction Since 2010, [BLINDED FOR REVIEW] has provided primary care health services biannually in Haiti. These efforts, in collaboration with the non-governmental organization Project Medishare, consist of approximately week-long mobile healthcare clinics organized and conducted by nursing faculty and nurse practitioner students. The goals of these medical missions are to provide needed healthcare services and supplies for those who might not otherwise receive them; to enhance health infrastructure within Haiti by offering educational resources and health promotion; and to provide nurse practitioner students with an opportunity to conduct fieldwork by engaging in a humanitarian travel medicine endeavor. 1 An essential component used to facilitate achievement of these goals is the implementation of the United States National Incident Management System (NIMS) as the framework for medical missions. 1 This integrated system has five components: (1) Preparedness, (2) Communication/ Information Management, (3) Resource Management, (4) Command and Management, and (5) Ongoing Management/ Maintenance, as shown in Figure 1. The ultimate goal of any healthcare mission is to ensure the benefits it provides endure and remain sustainable over time. This concept of sustainability in a healthcare program is a "best practice principle" introduced by the World Health Organization (WHO) in 2002. 2 This article will illustrate how one nursing school created an organizational template that can be utilized by academic institutions and other nongovernmental organizations as a guideline for future medical http://ijtmgh.com

Advanced emergency nursing journal

Tobacco use is a major threat to public health. Current guidelines suggest that healthcare profes... more Tobacco use is a major threat to public health. Current guidelines suggest that healthcare professionals in the emergency department provide routine smoking cessation screening and interventions. Evidence suggests that an educational intervention among registered nurses in the emergency department may increase education and referral for smoking cessation of patients who use tobacco products. An educational module regarding smoking cessation counseling was provided to registered nurses in the emergency department at a private hospital in South Florida. A pre- and postintervention self-reported survey evaluated changes in nurses asking about tobacco use; advising to quit; assessing readiness, assisting, and arranging follow-up for patients who smoke to quit; and encouraging pharmacological agents. All participating nurses screened for tobacco use most of the time before and after the intervention. However, the number of nurses who assessed readiness, assisted, arranged follow-up for p...

Nursing Open, 2021

Asthma is the most common long-term illness in children in the United States that affects 8.5% of... more Asthma is the most common long-term illness in children in the United States that affects 8.5% of all children (Miller et al., 2016). According to the Agency for Healthcare Research and Quality, asthma represented the most common and most expensive reason for potentially preventable hospital stays in children in 2017, with 53,900 hospital stays and $278.1 million in aggregate costs (McDermott & Jiang, 2020). Asthma is associated with high Emergency Department (ED) and Urgent Care Clinic (UCC) utilization in children-almost twice as many compared to adults (Pate et al., 2021). Research has shown that avoidable ED visits for acute asthma are prevalent in children, which contributes to a heavy cost burden of paediatric asthma on governments, healthcare systems, and on patients and families (Beydon et al., 2016). Health disparities are an important factor to consider in paediatric asthma. Paediatric asthma is more prevalent among children from low-income families and among non-Hispanic Black children and those of Puerto Rican descent when compared to non-Hispanic White children (Zahran et al., 2018). Furthermore, health disparities are implicated in asthma-related ED visits and eventual hospitalizations. In low-income families, Black children were less likely to be

Nurse Education Today, 2014

According to The Joint Commission (2012), the leading cause of sentinel events in the United Stat... more According to The Joint Commission (2012), the leading cause of sentinel events in the United States was miscommunication. Lack of thorough and accurate communication remains a serious challenge in healthcare and an educational priority in schools of nursing. Virtual clinical simulation is an online educational approach where students use avatars to practice various skills. The purpose of this pilot study was to evaluate the educational innovation of using virtual clinical simulation to improve communication skills of BSN students. The objectives of the simulations were to 1) recognize significant patient data and 2) accurately perform the ISBAR communication technique. The study used a within-group, time-series design with eight students. Students participated in two synchronous virtual simulations in an online virtual clinical environment called CliniSpace. Students performed in groups of four to five students. Students performed in two virtual simulations in groups of four to five students. Student performances were scored by two raters using the CliniSpace ISBAR Rating Sheet. Field notes from debriefing sessions were analyzed for content. Mean group student performance scores more than doubled from performance one to performance two. This change was found to be statistically significant, p<.001. Field notes revealed that students listened to how their peers communicated and learned from them. Students expressed having less anxiety, knowing what to expect, and having "better flow" with communication. Students verbalized learning to assess the patient prior to calling the physician and to give a recommendation to the physician.