A multiple modality simulation to prepare readiness for transition to clinical practice.

A variety of evidence-based simulations was implemented within blended learning approach to facilitate final year nursing students’ transition to the clinical practice:

  1. Procedural Simulation
  2. Immersive Simulation
  3. Virtual Simulation
  4. Team-based Simulation Assessment

Following procedural simulation to practice psychomotor skills using task trainers, an immersive simulation was implemented based on evidence-based simulation educational programme known as the SIMulated Professional Learning Environment (SIMPLE). Using high fidelity simulation with multiple scenarios, the immersive simulation reflected the complexity of real nursing practice that enabled students to practice clinical skills, communication, decision-making, collaborative practice, and delegation. 1-2 The virtual simulation was administered to develop clinical reasoning skills for assessing and managing patients with clinical deterioration.

Applying the principles of simulation-based mastery learning, the students’ clinical competencies were assessed using team-based simulation assessment. The students teamed in pair to work as a team on scenarios while being observed and evaluated by two assessors using a competency-based assessment tool. Those who did not meet the minimum passing standard were provided additional practice and were reassessed their competency before they could progress for their clinical practicum. 3

  1. Liaw SY, Koh Y, Dawood R, Kowitlawakul Y, Zhou W, Lau ST. Easing student transition to graduate nurse: a SIMulated Professional Learning Environment (SIMPLE) for final year student nurses. Nurse Educ Today. 2014 Mar;34(3):349-55. doi: 10.1016/j.nedt.2013.04.026

  2. Liaw SY, Palham S, Chan SW, Wong LF, Lim FP. Using simulation learning through academic-practice partnership to promote transition to clinical practice: a qualitative evaluation. J Adv Nurs. 2015 May;71(5):1044-54. doi: 10.1111/jan.12585. 65.

  3. Tan KZY, Seah B, Wong LF, Lee CCS, Goh HS, Liaw SY. Simulation-Based Mastery Learning to Facilitate Transition to Nursing Practice [published online ahead of print, 2022 Jun 3]. Nurse Educ.