“组合模拟”
BSN，FNP学生一起学习
Amid a global pandemic that kept people apart, educators at Cizik School of Nursing at UTHealth Houston came up with a new way to bring together nursing students at different points in their careers.
The intraprofessional simulation they developed lets Bachelor of Science in Nursing (BSN) students in their final semester practice their skills, while Master of Science in Nursing (MSN) students in their first clinical semester begin preparing for their transition into health care provider roles as family nurse practitioners (FNPs).
研究生和本科教师在2020年共同努力，开发了假装经历各种症状的标准化患者行动的场景。在学校新扩展的模拟和临床表现实验室中，BSN学生采用医学历史和练习技能，例如抽血和注射，而FNP学生则磨练诊断和治疗技能。
助理教授说：“我们的目标是改善团队合作和沟通，并致力于他们的技能。”Padma Ramaswamy，博士，RN. “The simulation is a welcoming, safe environment where they are learning and faculty are providing feedback.”
针对妇女健康的“组合SIM”开发的第一个方案，其中一些常见的现实世界因素（健康决定因素）插入了演员的项目符号点，例如酒精中毒和缺乏保险的挑战。
助理教授说：“这是一个非常困难的领域。”曼迪·里昂（Mandi Lyons），DNP，RN. “Getting sexual and social health histories is really intimidating. You have to ask hard questions.” Practicing with standardized patients before encountering uncomfortable situations in real life can help students overcome some of their anxiety, she added.
与Ramaswamy和Lyons合作开发模拟是副教授Kristin Ownby, PhD, RN和教练Kennessa Landry，MSN，RN，以及临床教育者D'Hania Miller，Jennifer Dugger， 和Davida Chatman.
Bailey King, a U.S. Navy veteran working to become a registered nurse, did not need clinical hours but wanted to help out the future FNPs and to practice things like charting and administering medications.
金说：“我参加主要是因为我确实想参加，这是继续练习这些技能的好方法。”
在方程式的另一侧，FNP学生Kaylan Timmons，BSN，RN在医院观察部门工作，并表示模拟使她对初级保健环境有着宝贵的了解。
“They did a good job of making the simulation feel like what real life is going to be like for me very soon,” she said. “I’m going to take on that nurse practitioner role of giving orders instead of carrying out the orders. It was good to have that new mindset and see how we work together as a team.”
Lyons and Ramaswamy agreed that the combo sim not only helped bring together students at different levels but also undergraduate and graduate faculty members who interacted less than usual during the pandemic. “I have enjoyed working with the undergraduate faculty, and we have gotten positive feedback from faculty and students,” Ramaswamy said.
At first a pandemic necessity, intraprofessional simulations are now requirements of BSN and MSN clinical preparation because they help students bolster skills and confidence before they begin clinical rotations with preceptors. Additionally, simulations allow students to have specific experiences with situations that are high risk but occur in the practice setting at lower frequency and may be missed during clinical rotations.
“This is the small little seed that we hope plants a big tree for the future,” Lyons said.
