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Adaptation to Virtual Format of an Advanced Practice Registered Nurse Pediatric Physical Abuse Simulation

Published:November 01, 2022DOI:


      • Advanced practice registered nurses preparing to see children in primary care should be comfortable interviewing and referring patients when abuse is suspected.
      • The virtual format, while not ideal in a clinic setting, created an effective simulation environment with several benefits over face-to-face simulation.
      • The virtual simulation format allowed for simulation objectives to be met without compromising the emotional charge of the scenario.


      Identification of victims of physical abuse is a skill in which all advanced practice registered nurses who interact with children should be competent. Interacting with a family in whom an advanced practice registered nurse suspects physical abuse can be an emotionally charged encounter. Simulation allows students to practice this skill in a safe environment. Certain skills translate nicely to the virtual environment, and the convenience, decreased costs, and effective use of time are noted as benefits. This report describes the transition of a pediatric physical abuse simulation from a face-to-face environment to the virtual environment and notes the outcomes from faculty and student perspectives.


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      Anna Richmond, DNP, FNP-BC, PNP-BC, is an assistant professor of nursing at Vanderbilt University School of Nursing, Monroe Carrell Jr. Children's Hospital at Vanderbilt, and the Department of Pediatric Rheumatology, Nashville, TN, and can be contacted at [email protected]


      Mary Lauren Pfieffer, DNP, FNP-BC, and Natasha McClure, DNP, PNP-BC, are both associate professors at Vanderbilt University School of Nursing.


      Darlene Parker, MS Ed, is a Sr. Standardized Patient Educator at Vanderbilt University Medical Center.