Degree Name
Nursing Practice, DNP
Publication Date
12-1-2025
First Advisor
Sandy King
Abstract
There is a gap in undergraduate nursing curriculum on incorporating collaboration and communication into patient care, leading to a lack of competence and confidence in novice practice. Using collaboration in high-fidelity simulation, students gain real-world exposure and opportunities to communicate and make independent decisions. Using Kotter’s eight-step change theory, this project addresses the limited exposure to collaboration by implementing purposeful interdisciplinary collaboration within high-fidelity simulation to improve undergraduate nursing students’ confidence and competence in nursing practice. This will build on Patricia Benner’s novice-to-expert theory and help advance Associate Degree Nursing (ADN) students into a safe and effective novice year of practice. This project used a quantitative pre-post design to compare perceptions of self-confidence and competence among six ADN students during a high-fidelity simulation that incorporated a nurse practitioner student as a multi-level participant. Using a Likert-scale survey and an ordinal scale evaluation tool, the principal investigator aimed to determine whether the intervention affects students' confidence and competence. The collected data were deidentified and analyzed using a Paired Samples t-test. This analysis found that collaboration within simulation did not significantly affect students' self-confidence (p = .175); however, it did significantly affect competency levels (p = .049). In addition to the statistical findings, students reported increased realism, improved SBAR communication, and an enhanced sense of independence and autonomy during patient assessments. Replication of this research is needed to validate the statistically significant results.
Rights Management
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Carroll, Jillian, "Quality Improvement Project: Effect of Multi-level Student Collaboration on Clinical Judgment in High-Fidelity Simulation" (2025). Doctor of Nursing Practice Projects. 276.
https://arch.astate.edu/dnp-projects/276
