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Clinical simulation in nursing v.13 no.2, 2017년, pp.71 - 77  

New Nursing Graduates' Self-Efficacy Ratings and Urinary Catheterization Skills in a High-Fidelity Simulation Scenario

Cason, M. ; Atz, T. ; Horton, L.F. ;
  • 초록  

    Background: Transition to practice is a major concern for nurse educators, health care executives, and new nursing graduates. The disparity of nurse educators' and leaders' perceptions regarding new graduates' abilities to perform procedural skills may lead to patient harm. Pay for performance, quality indicators, and decreased reimbursement related to catheter-associated urinary tract infections have increased the need for competency validation. Methods: A quantitative method with a descriptive correlational design provided information about the relationship of self-efficacy of the new nursing graduate and competency in urinary catheterization. Following a self-efficacy inquiry, a high-fidelity simulation was conducted for individual evaluation of the psychomotor skill of urinary catheterization. Results: Analysis with nonparametric statistics for correlation indicated a lack of statistical significance (p > .05) between self-efficacy and competency in the psychomotor skill of urinary catheterization. Conclusions: This study indicates that there is a need for validating competency in psychomotor skills within the context of a simulated patient care situation. The appropriate use of high-fidelity simulation may include incorporating self-efficacy measurements with an objective evaluation of psychomotor abilities to improve patient outcomes while increasing the accountability of the nurse.


  • 주제어

    high fidelity simulation .   self-efficacy .   new graduate nurses .   psychomotor competency.  

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