Challenges facing nurse educators in the implementation of high fidelity simulation at a public nursing college
Kapp, Jacinta Maria
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The new nursing curriculum, Regulation 171 for introduction at Nursing Education Institutions throughout South Africa, as approved by the South African Nursing Council and Council for Higher Education, stipulates that 20% of practical hours are to be spent in simulation laboratories. High fidelity simulation is available in varying degrees at all the campuses of the public nursing education institution selected for this study, yet it is not formally being utilised. The purpose of this study was to identify the challenges that nurse educators perceived to be standing in the way of their implementing high fidelity simulation at this nursing education institution. A qualitative, explorative, descriptive research design was employed and data was collected by means of the nominal group technique. The empirical data was analysed and themes, categories and subcategories were identified. The three main themes identified were stakeholders, readiness of staff and high fidelity simulation. Stakeholders’ four categories included finances, human resources, physical and material resources and attitudes. The three readiness of staff categories were identified as nurse educators’ training, empowerment/autonomy and students’ training. The three categories, responsibilities of the high fidelity simulation manager, standards of high fidelity simulation sessions and the information technology control centre were identified under the theme high fidelity simulation. Key recommendations included the coming together of all stakeholders for budgeting and financial purposes, the careful management of human resources, early consultation of nurse educators, comprehensive training and preparation of nurse educators for the implementation of high fidelity simulation and the availability of a fully functional information technology-controlled simulation laboratory, complete with control room.