title: Enhancing Trifocal Leadership Practices Using Simulation in a Pediatric Charge Nurse Orientation Program.
abstract: A well-established charge nurse orientation program was enhanced with the addition of a simulation, addressing three primary populations (the trifocus) with whom charge nurses interact: patients, patients' parents, and other staff members. In this pilot quality improvement project, 20 staff nurses enrolled in the orientation program and were assigned a mentor. Only one participant used the mentorship opportunity; therefore, it is not discussed here. Twelve nurses completed all charge nurse classes and a simulation scenario of caring for a deteriorating infant. The nurses were given an opportunity to reflect on leadership practices after the simulation. Thematic analysis from qualitative, reflective data supported the enhanced understanding of managing complex patients, a code situation, and teams; guiding a team's novice nurse; leading as a charge nurse; and using clinical and critical thinking skills. All nurses reported that the simulation as experiential learning helped them to meet their leadership goals.
authors.forename: Teresa J
authors.initials: TJ
authors.lastname: Clark
authors.forename: Patricia S
authors.initials: PS
authors.lastname: Yoder-Wise
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007318:Inservice Training / Q000458:organization & administration*; D007400:Interprofessional Relations; D007857:Leadership; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009718:Nurse Administrators / Q000193:education*; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D015402:Nursing Education Research; D009745:Nursing, Supervisory; D016544:Patient Simulation; D010371:Pediatric Nursing / Q000193:education*; D010865:Pilot Projects; D011368:Professional-Family Relations; D015206:Southwestern United States