Carol Durham Durham in Las Vegas

January 15, 2025 -- In a talk a couple of days ago entitled "Thinking Like a Nurse", Prof. Carol Durham EdD, RN, ANEF, FAAN, FSSH of the University of North Carolina at Chapel Hill described a uniquely effective learning system named NovEx, Novice to Expert Learning. It is a set of "virtual clinicals" -- interactive programs in which the nurse learner rehearses clinical judgment in simulated patient situations:

  • Pneumonia (hospital and community acquired)
  • COPD
  • Pulmonary emboli
  • DVT
  • Chest pain
  • Heart failure
  • Stroke (hemorrhagic, ischemic)
  • Hypertension
  • Shock (septic, hemorrhagic, anaphylactic)
  • Diabetes (DKA, HHS, diabetic ulcer)
  • Bladder distention
  • Wound infection
  • Sepsis
  • Respiratory failure
  • GI bleed

Though I remain convinced that there is no better learning modality than live patient clinical rotations, the value of NovEx is clear and I wish I'd had it in nursing school.

Might these exercises be made available to working or returning nurses -- possibly granting CEUs upon completion -- for us to sharpen our skills?