Arizona State Board of Nursing Releases Advisory Opinion Regarding Use of Simulation in Approved RN/LPN Programs Based Off NCSBN Study

arizona state board of nursing

 

*Update: Watch here Clinical Simulation in Nursing Editor Dr. Suzie Kardong-Edgren’s announcement about a new Standard currently in development with SimGHOSTS leadership which will highlight the need for hiring and training Sim Techs.

Check out this recent advisory opinion written by the Arizona State Board Of Nursing which is taking notice from the NCSBN National Landmark study which suggested up to 50% of clinical learning hours could be substituted through simulation. Has your State Board of Nursing reviewed the study to see what their recommendations are yet? Encourage them to follow suit by forwarding these results on to your state representatives!

About the Opinion

An advisory opinion adopted by AZBN is an interpretation of what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of AZBN regarding the practice of nursing as it relates to the functions of nursing. Facility policies may restrict practice further in their setting and/or require additional expectations related to competency, validation, training, and supervision to assure the safety of their patient population and or decrease risk.


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The Advisory

Approved RN and LPN programs may use simulation, along with actual patient care, to meet clinical objectives. Consistent with A.A.C. R4-19-206 (D)(2), simulation may not be used for an entire clinical experience. Programs reducing clinical patient care hours need to carefully evaluate whether the amount of patient care hours is sufficient to apply core principles of nursing to each population as required in R4- 19-206 (D)(2). If clinical time in a specialty is already very limited (less than 30 hours), simulation may only be used to augment patient care hours. In such situations, substitution of any clinical time for simulation may result in both inadequate simulation and inadequate actual patient care experiences. Programs offering less than 30 hours in a clinical rotation and wishing to substitute any of those hours for An advisory opinion adopted by AZBN is an interpretation of what the law requires. While an advisory opinion is not law, it is more than a recommendation. In other words, an advisory opinion is an official opinion of AZBN regarding the practice of nursing as it relates to the functions of nursing. Facility policies may restrict practice further in their setting and/or require additional expectations related to competency, validation, training, and supervision to assure the safety of their patient population and or decrease risk. 2 simulation should consider asking for a rule exemption under R4-19-214, Pilot Programs for Innovative Approaches in Nursing Education.

Programs incorporating simulation are expected to adopt the standards of the International Nursing Association for Clinical Simulation and Learning (INACSL, 2013) or a later version in its entirety. Programs are encouraged to explore the use of additional evidence-based theoretical frameworks and models that support successful achievement of simulation objectives.

Programs who meet the above criteria may substitute simulation, using simulators or standardized patients, for a portion of clinical time if the following requirements are met.

Read the full press AZ State Board of Nursing Advisory Here!


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The National Council of State Boards of Nursing Releases Results of National Simulation Study!

national sim study

Breaking News – The NCSBN has released their Landmark Simulation Research Results! Here is a snippet about the overall results from the official NCSBN press release:

“The National Council of State Boards of Nursing (NCSBN) has released the findings of its award-winning research, “The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education,” which concluded that substituting high quality simulation experiences for up to half of traditional clinical hours produce comparable end of program educational outcomes to those students whose experiences are mostly just traditional clinical hours and produce new graduates that are ready for clinical practice. 

The largest and most comprehensive research to date examining the use of simulation in the prelicensure nursing curriculum, this longitudinal study included incoming nursing students from 10 prelicensure programs across the U.S. who were randomized to one of three study groups: 

  • Control group (traditional clinical where up to 10 percent of clinical time was allowed in simulation) 
  • 25 percent simulation in place of traditional clinical hours 
  • 50 percent simulation in place of traditional clinical hours

The study began in the 2011 fall semester with the first clinical nursing course, continued throughout the core clinical courses to graduation in May 2013. Students were assessed on clinical competency, nursing knowledge and provided ratings on how well they perceived their learning needs were met in both the clinical and simulation environments. A total of 666 students completed the study requirements at the time of graduation.

It was found that up to 50 percent simulation was effectively substituted for traditional clinical experience in all core courses across the prelicensure nursing curriculum. Additionally, the use of up to 50 percent simulation did not affect NCLEX pass rates.

Study participants were also followed into their first six months of clinical practice. The study found that there were no meaningful differences between the groups in critical thinking, clinical competency and overall readiness for practice as rated by managers at six weeks, three months and six months after working in a clinical position.”

Read the full NCSBN press release here and then stay tuned to the Journal of Nursing Regulation website to download the full study for free as soon as its posted!