Multi-Center Development and Testing of a Simulation-Based Cardiovascular Assessment Curriculum for Advanced Practice Nurses – Article Example
Article Critique The essay aims to address a two-fold objective to wit to select and read a peer-reviewed cardiovascular or pulmonary advanced-practice assessment article featuring an assessment technique; and (2) to write an article critique with initial thread of 400-500 words.
The study of Jeffries et al. (2011) entitled “Multi-Center Development and Testing of a Simulation-Based Cardiovascular Assessment Curriculum for Advanced Practice Nurses” aimed to develop, implement, and evaluate outcomes of a cardiovascular assessment curriculum for advanced practice nurses at four institutions (p. 316). The purpose is clear and relevant to the nursing practice as cardiovascular assessment skills are essential to the provision of cardiac life support and minimizing errors during the delivery of patient care. There is a need for the study because according to Jeffries et al. (2011), advanced practice nursing (APN) students and providers are deficient among cardiovascular assessment skills, including auscultation (p. 316). The study will improve nursing practice in terms of cardiovascular assessment and will add to the body of nursing knowledge regarding cardiovascular assessment curriculum for advanced practice nurses.
The study utilized the one-group pre-to-post-intervention design, the SPSS for statistical analysis, and content validity of instrument via group of six APN experts from Miami Simulation Group (Jeffries et al., 2011, 316-319). Samples consisted of 36 participants from four institutions. The research plans decisions are justified adequately and explained in detail and the design used is appropriate for observing the effect of educational intervention (both the independent learner review and the instructor-led sessions) prior to the treatment. The SPSS tool was a good statistical tool; however, the small sample size might be one of the weaknesses of this research because findings cannot be generalized until a larger sample size is used. In addition, the determination of content validity via experts review may lead to biases due to possible high-fidelity simulations of a faculty member.
Discussion of the problem examined the effect of a simulation-based curriculum and a deliberately grounded practice curriculum in terms of cardiovascular assessment, particularly auscultation. The study found out that both of the strategies were effective but the deliberate practice model increased skills in cardiovascular bedside assessment, diagnostic reasoning, and acquisition and mastery of important clinical skills in cardiovascular assessment and auscultation (Jeffries et al., 2011, 321). Discussion of the problem in the study was supported by literatures and statistics as evidence.
The literature is comprehensive and integrated in each section of the study. Although a number of literatures have not been published within the last five years, majority of the literatures have been published during 2002-2009. Benchmark publications included the deliberate practice Harvey curriculum which substantiated the need for cardiovascular knowledge and skills among advance practice nurses. Majority of the sources were primary but lacks organization and a section for model/theory.
As stated earlier, study application needs follow-up study with larger sample size because the small number of participants limits generalizability of findings. Implications to nursing included emphasis on use of the deliberate practice model and a simulation-based curriculum in the future and development of a nonthreatening, interactive, and self-paced learning environment in order to acquire mastery of cardiovascular assessment and diagnostic reasoning skills among advanced practice nurses.
Jeffries, P.R. et al. (2011). Multi-Center Development and Testing of a Simulation-Based Cardiovascular Assessment Curriculum for Advanced Practice Nurses. Nursing Education Perspectives, 32(5): pp. 316-322.