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A collaborative approach to simulation development
  1. Laura Gonzalez,
  2. Kelly Allred
  1. College of Nursing, University of Central Florida, Orlando, Florida, USA
  1. Correspondence to Dr Kelly Allred, University of Central Florida, College of Nursing, 12201 Research Parkway, Suite 300, Orlando, FL 32826, USA; Kelly.allred{at}


Background Meeting employer expectations is a challenge for new nurse graduates and their nurse educators. Designing studies to collect specific data on hospital expectations and new nursing graduate deficiencies is needed.

Sample Hospital-based educators and preceptors (n=13) participated in one of two focus groups, to identify problem areas. Senior nursing students (n=64) participated in simulations developed from data obtained in the sessions.

Methods Audio-recorded focus groups were conducted with the goal to identify deficiencies in new graduate nurses. Recordings were transcribed and analysed using thematic analysis.

Results Hospital employer expectation themes identified include attending to basic patient needs, organisational skills, anticipation of risks and consequences, higher order technical skills, communication and ownership/accountability. Two simulations for senior nursing students were developed to address identified deficiencies.

Conclusion Developing meaningful simulations which address deficiencies prior to graduation, in collaboration with potential employers, has the potential to lower the cost of graduate nurse orientation, improve patient outcomes, provide a greater sense of readiness to the graduate nurse and ultimately meet the needs of both the student and employer.

  • Education
  • Focus Groups
  • Simulation
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  • Contributors Both authors gave substantial contributions to the conception or design of the work, and the acquisition, analysis and interpretation of data for the work; drafted the work or revised it critically for important intellectual content; did final approval of the version to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding This work was supported by the Florida Blue Foundation, grant number 26028058.

  • Competing interests None declared.

  • Ethics approval University of Central Florida, Intstitutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Correction notice This paper has been amended since it was published Online First. Owing to a scripting error, some of the publisher names in the references were replaced with ’BMJ Publishing Group'. This only affected the full text version, not the PDF. We have since corrected theseerrors and the correct publishers have been inserted into the references.

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