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Implementation of Simulation to Improve Staff Nurse Education

Hommes, Tiffany DNP, RN, CNP

Journal for Nurses in Professional Development:
doi: 10.1097/01.NND.0000433144.66804.4c

This project implemented a simulation curriculum during the nursing orientation process at a Midwestern, rural community hospital. Three consecutive cohorts for a total of nine new graduate nurses engaged in four simulations at the end of the first week of orientation. The Orientation and Simulation Pre/Post Confidence and Competence Survey was used to assess presimulation and postsimulation confidence and competence. One hundred percent of participants had an increase in perceived confidence and competence from presurvey to postsurvey. At the project’s completion, the project site opted to sustain the simulations in orientation as an intervention to improve confidence and competence and, ultimately, lower attrition rates in newly hired nurses.

Author Information

Tiffany Hommes, DNP, RN, CNP, is Assistant Professor of Nursing, Bemidji State University, Bemidji, Minnesota.

The author has disclosed that she has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

ADDRESS FOR CORRESPONDENCE: Tiffany Hommes, DNP, RN, CNP, Bemidji State University, 1500 Birchmont Drive NE #15, Bemidji, MN 56601 (e-mail:

© 2014 by Lippincott Williams & Wilkins, Inc.