Date of Graduation

Fall 12-12-2014

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


The purpose of this project was to develop a video simulation exercise to enhance communication between Registered Nurses (RNs) and Patient Care Assistants (PCAs). From a general microsystem assessment initially performed on an urban hospital medical-surgical unit, 75% of respondents noted that the most pertinent issue to address was improving communication between RNs and PCAs. Literature review of evidence-based practices found several studies that support the use of human clinical simulation to promote teamwork and interdisciplinary communication. RNs (n = 24) and PCAs (n = 9) were then individually interviewed with surveys and responses scored based on the Likert Scale. Pre-test survey results reflected differing opinions about various communication aspects between RNs and PCAs. Improving communication during delegation was chosen as the theme of the simulation project. Two short videos were created featuring an RN and PCA performing an effective and ineffective hypothetical scenario. As the intervention, the videos were shown to unit RNs and PCAs who were previously surveyed. Participants were then debriefed before completing a post-test 3-item survey to evaluate their perceptions of what they saw. Despite a small n value of 8 RNs and no PCAs, all post-test respondents believed the video simulation successfully demonstrated effective and ineffective communication and were encouraged to reexamine their own communication styles. The debriefing narratives from the RNs revealed support to develop more simulation videos and incorporate them into future Staff and Patient Council Meetings.