James F. Jeff

Degree Name

Master of Science in Nursing (MSN)

Document Type

Major Paper


School of Nursing




High-fidelity simulation (HFS) has been shown to be a successful means of skill sustainment and improved confidence across many professions in which human lives are a stake to include the fields of aviation and healthcare. More specifically, HFS technology has displayed efficacy with doctors, nurses, and other advanced practice providers. The flexibility of HFS makes for an ideal educational tool in both professional development and academia. Military medicine could benefit from HFS technology due to the dynamic nature which requires readiness at a moment’s notice. The benefit can be significant in the military nursing community due to the frequency of relocation to duty stations and positions that do not allow for frequent use of deployment critical patient care skills. These deployment skills must be carried out by confident military nurses. The functionality of HFS to provide an opportunity to repeat complicated procedures in a safe controlled setting to improve a nurses’ confidence is essential (Boling & Hardin-Pierce, 2016). The purpose of the project was to determine if the use of HFS in addition to traditional online education could improve military nurse confidence with the deployment specific skill of managing a patient with a chest tube. An educational pre-briefing, four simulation scenarios, and a debriefing were implemented and assessed using a modified confidence tool. The project demonstrated improvement in the confidence of all subjects in the assessment, intervention, and evaluation of a simulated patient with a chest tube.

Included in

Nursing Commons