title: Learning to deal with crisis in the home: Part 2 - preparing preregistration students.
abstract: The global shift of health care is from acute services to community and primary care. Therefore, registrants must be prepared to work effectively within diverse settings. This article is the second in a series discussing the preparation of nurses for contemporary health-care challenges in the community. In it, we outline the design, implementation, and evaluation of simulated emergency scenarios within an honours degree-level, pre-registration nursing curriculum in Scotland. Over 3 years, 99 final-year students participated in interactive sessions focusing on recognition and management of the deteriorating patient and emergency care. Clinical scenarios were designed and delivered collaboratively with community practitioners. Debriefing challenged the students to reflect on learning and transferability of skills of clinical reasoning and care management to the community context. Students considered the scenarios to be realistic and perceived that their confidence had increased. Development of such simulation exercises is worthy of further debate in education and practice.
authors.affiliation: Senior Lecturer in Nursing, Queen Margaret University Edinburgh, Scotland.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Gibson
authors.affiliation: Senior Lecturer in Community Nursing, Queen Margaret University Edinburgh, Scotland.
authors.forename: Caroline
authors.initials: C
authors.lastname: Dickson
authors.affiliation: Lecturer in Nursing, Queen Margaret University Edinburgh, Scotland.
authors.forename: Bill
authors.initials: B
authors.lastname: Lawson
authors.affiliation: Lecturer in Nursing and Programme Leader BSc Hons Nursing, Queen Margaret University Edinburgh, Scotland.
authors.forename: Ailsa
authors.initials: A
authors.lastname: McMillan
authors.affiliation: Lecturer in Nursing, Glasgow Caledonian University, Scotland.
authors.forename: Helena
authors.initials: H
authors.lastname: Kelly
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D003152:Community Health Nursing / Q000193:education*; D003479:Curriculum; D004508:Education, Nursing, Baccalaureate / Q000458:organization & administration*; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006701:Home Nursing / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015402:Nursing Education Research; D059017:Primary Care Nursing / Q000379:methods*; D018794:Problem-Based Learning; D012606:Scotland; D013222:State Medicine; D013338:Students, Nursing; D006113:United Kingdom
keywords: community health nurses; education; evaluation; nursing students; problem-based learning