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A system has been developed to simulate transport in a medical emergency vehicle with the intent of assisting paramedics improve their skills in en-route cannulation. En-route cannulation makes pre-hospital venous access possible, which in turns helps to minimize the risk of lengthening transfer times. The system is designed to attain full monitoring of transport conditions, not just in the spatial but also in the temporal sense, and to physically recreate these parameters on a fabricated six degree of freedom simulator system. Tests conducted revealed the viability of applying an inertial measurement unit board sensor to collect data from a vehicle during transport and to subsequently reproduce the exact motions encountered on the simulator. It was found that a smartphone could be used to collect transport data that are dominated by perturbations in the O (10 1 ) Hertz scale. With a training arm for venipuncture placed on the simulator, a preliminary study conducted with six participants showed more pronounced performance deterioration amongst those who were untrained in cannulation when the simulator was switched on. The demonstrated system has features that make it amenable for incorporation into a clinical skills laboratory setting. [ABSTRACT FROM AUTHOR]

Despite an increasing focus on simulation as a learning strategy in nursing education, there is limited evidence on the transfer of simulated skills into clinical practice. Therefore it's important to increase knowledge of how clinical skills laboratories (CSL) can optimize students' learning for development of professional knowledge and skills, necessary for quality nursing practice and for patient safety. Thus, the aim was to describe nursing students' experiences of learning in the CSL as a preparation for their clinical practice. Interviews with 16 students were analysed with content analysis. An overall theme was identified -- walking the bridge -- in which the CSL formed a bridge between the university and clinical settings, allowing students to integrate theory and practice and develop a reflective stance. The theme was based on categories: conditions for learning, strategies for learning, tension between learning in the skills laboratory and clinical settings, and development of professional and personal competence. The CSL prepared the students for clinical practice, but a negative tension between learning in CSL and clinical settings was experienced. However, this tension may create reflection. This provides a new perspective that can be used as a pedagogical approach to create opportunities for students to develop their critical thinking. [ABSTRACT FROM AUTHOR]

Summary: Background: The Clinical Skills Laboratory has become an essential structure in nurse education and several benefits of its use have been identified. However, the literature identifies the need to examine the transferability of skills learned there into the reality of practice. Objective: This research explored the role of the Clinical Skills Laboratory in preparing nursing students for the real world of practice. This paper focuses specifically on the perceptions of the teaching and assessment strategies employed there. Design: Qualitative multiple case study design. Setting: Five case study sites. Participants: Interviewees (n=58) included academic staff, clinical staff and nursing students. Methods: Semi-structured interviews. Results: The Clinical Skills Laboratory can provide a pathway to practice and its authenticity is significant. Teaching strategies need to incorporate communication as well as psychomotor skills. Including audio-visual recording into assessment strategies is beneficial. Effective relationships between education institutions and clinical settings are needed to enhance the transferability of the skills learned. Conclusions: The Clinical Skills Laboratory should provide an authentic learning environment, with the appropriate use of teaching strategies. It is crucial that effective links between educators and clinical staff are established and maintained. [Copyright &y& Elsevier]