Introduction

This is a video-recorded, actor simulation aimed at developing College of Nurses of Ontario Entry-to-Practice (ETP) leadership competencies in a rapidly changing and complex adult acute care setting. The simulation focuses on the new graduate nurse acting in a charge nurse role in managing the staffing and patient care situations. The scenario will evolve through three scenes which will include changing staff availability in addition to a rapidly deteriorating patient.

Learning Outcomes

1. Based on the concepts of transformational leadership theory, apply effective communication and decision-making approaches in a simulated charge nurse role.
2. Demonstrate conflict resolution strategies to de-escalate difficult interprofessional/intraprofessional situations.
3. Formulate a realistic plan [of care] for a deteriorating patient that includes escalating the issues to appropriate members of the interprofessional/intraprofessional team.
4. Demonstrate application of principles of equity, diversity, and inclusivity through interactions with healthcare staff, patients and families.

College of Nurses Entry-to-Practice Competencies (2018)

• Transformational leadership
• Inter/intra professional collaboration
• Conflict resolution
• Decision-making
• Principles of Equity, Diversity and Inclusivity
• Patient safety (e.g., escalation of care)

Simulation Characters

• Charge Nurse (CN)
• Personal Support Worker (PSW)
• Medical Doctor (MD)
• Social Worker                         

Setting

This video simulation takes place in a complex adult acute care hospital setting such as a General Internal Medicine unit.