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Collaborative Healthcare Immersive Learning Dynamic: Transitioning to Simulation-Based Learning

Bergero, Cassandra MSN, RN, FNP, CNS; Hargreaves, Linda MSN, RN, PCNS-BC; Nichols, Amy EdD, RN

doi: 10.1097/NUR.0b013e31823bfacf
Feature Article

Purpose: This article describes an innovation representing a paradigm shift away from the traditional nursing skills fair passive method of learning toward a dynamic, immersive learning experience utilizing simulation.

Background: There are many hospitals that review yearly competencies through a skills fair methodology. There is no evidence to support that this method of education and training has any direct correlation to better nursing care at the bedside, enhanced patient outcomes, or retained knowledge or skills.

Description of the Innovation/Outcome: We describe the process of successfully transitioning from traditional skills fairs to simulation-based skills fairs called CHILD (Collaborative Healthcare Immersive Learning Dynamic).

Implications: With this pioneering approach, institutions can reallocate funds and utilize simulation to more effectively provide education, training, and competency validation.

Author Affiliations: Clinical Nurse Specialist (Ms Bergero), Pediatric Acute Care Medicine, and Clinical Nurse Specialist (Ms Hargreaves), Pediatric Acute Care Surgery, Lucile Packard Children’s Hospital at Stanford, Palo Alto, California; Associate Professor, School of Nursing, San Francisco State University, and Director, Center for Nursing Excellence, Lucile Packard Children’s Hospital at Stanford (Dr Nichols), Palo Alto, California.

The authors report no conflicts of interest.

Correspondence: Cassandra Bergero, MSN, RN, FNP, CNS, Lucile Packard Children’s Hospital, 725 Welch Rd, Palo Alto, CA 94304 (

© 2012 Lippincott Williams & Wilkins, Inc.