{"id":74155,"date":"2026-02-02T07:43:24","date_gmt":"2026-02-02T12:43:24","guid":{"rendered":"https:\/\/blog.utc.edu\/news\/?p=74155"},"modified":"2026-02-09T08:28:25","modified_gmt":"2026-02-09T13:28:25","slug":"shared-simulation-communication-takes-center-stage-in-utc-dnp-erlanger-collaboration","status":"publish","type":"post","link":"https:\/\/blog.utc.edu\/news\/2026\/02\/shared-simulation-communication-takes-center-stage-in-utc-dnp-erlanger-collaboration\/","title":{"rendered":"Shared simulation: Communication takes center stage in UTC DNP, Erlanger collaboration"},"content":{"rendered":"
\"Viewed

UTC Doctor of Nursing Practice students Alexis Murray (blue scrub cap) and Sabina Dukic (right) work with Erlanger nursing residents during a clinical simulation collaboration. Photo by Angela Foster.<\/p><\/div>\n

A patient arrives with abdominal pain but doesn\u2019t think it\u2019s anything serious. A nurse begins an assessment. A provider is called in. What follows depends not just on clinical knowledge but also on how clearly information is shared and how confidently roles are carried out under pressure.<\/p>\n

That dynamic drove a full-day collaborative simulation focused on communication and patient care across clinical settings, held Jan. 21 at Erlanger\u2019s Holli Counts and Joseph Grendys Simulation Center.<\/p>\n

The simulation paired University of Tennessee at Chattanooga Doctor of Nursing Practice students and Erlanger nursing residents at the start of bedside practice, giving both groups space to step into unfamiliar roles and work through clinical decisions in a controlled environment.<\/p>\n

Six UTC DNP students\u2014two from the Family Nurse Practitioner program and four from the Acute Care Nurse Practitioner program\u2014rotated roles throughout the day as Erlanger nursing residents worked alongside them through a scenario that moved from the emergency department to the operating room and then the intensive care unit.<\/p>\n

\"UTC

UTC Doctor of Nursing Practice student Alexis Murray points to a monitor while two Erlanger nursing residents observe during the simulation collaboration.<\/p><\/div>\n

The collaboration marked the first time UTC advanced practice nursing students and Erlanger nursing residents had participated together in a simulation of this scope. The simulation was developed and led by UTC College of Nursing Assistant Professor Chris Doneski.<\/p>\n

\u201cThere\u2019s a lot of research and evidence on the transition from nursing graduates to early-career nurses, and there\u2019s a lot of research on the transition from a bedside nurse to an advanced practice registered nurse\u2014or APRN\u2014but there\u2019s not really anything that looks at how we come together to build teamwork, confidence and communication between those roles,\u201d Doneski explained. \u201cWe\u2019re trying to see if this is an area where we can really hone in on some of these skills that we might not necessarily get until we are actually out in practice.\u201d<\/p>\n

From Erlanger\u2019s perspective, the collaboration addressed a common challenge for nurses early in their careers.<\/p>\n

\u201cI think it\u2019s really important for the nursing residents to do this because it\u2019s going to expose them to communicating with providers,\u201d said Samantha Calhoun, nurse residency coordinator at Erlanger. \u201cCommunication is key when we\u2019re in health care, and it\u2019s something they\u2019re really nervous about when they first come out of school.<\/p>\n

\u201cThis is giving them a safe environment to test that out, to learn, to be able to have discussions with providers in real time.\u201d<\/p>\n

Calhoun said the partnership with UTC added an important layer to the experience.<\/p>\n

\u201cThese nurse practitioner students are in their senior year; they remember being here and they\u2019re able to really sympathize and help them through that process,\u201d she said. \u201cI think it\u2019s great that our nursing residents get to see some possible new career opportunities in the future if they decide to go into graduate school.\u201d<\/p>\n

\"UTC

UTC Doctor of Nursing Practice student Brooke Williams, playing the role of a provider, speaks with two Erlanger nursing residents.<\/p><\/div>\n

Throughout the day, the participating UTC students\u2014Family Nurse Practitioner students Brooke Williams and Amanda Rice and Acute Care Nurse Practitioner students Alexis Murray, Travis Wright, Sabina Dukic and Allison Kiemeyer\u2014rotated roles, sometimes serving as providers, sometimes as patients and sometimes as observers.<\/p>\n

During the first several emergency department simulations, Williams played the role of the provider while Rice was the patient.<\/p>\n

Williams, on track to graduate in May as part of the first cohort to complete UTC\u2019s Family Nurse Practitioner DNP program, said experiences like this have been central to her development.<\/p>\n

\u201cI think they\u2019re invaluable,\u201d said Williams, a native of Nashville. \u201cI think it helps us go in and do better assessment skills. I think it helps us engage with patients and communicate more effectively\u2014and know what questions to ask.\u201d<\/p>\n

She said repetition and realism are what make simulation effective.<\/p>\n

\u201cI can tell you that simulations such as this really helped me to be in a real-life situation,\u201d Williams said. \u201cThat way I can calm down and remember the things that I know that I know because we\u2019ve practiced it so many times.\u201d<\/p>\n

Williams brings a wide range of clinical experience to the Family Nurse Practitioner program. Her nursing background includes pediatric emergency medicine, mental health care at Moccasin Bend Mental Health Institute and pediatric home health. She also works as a sexual assault nurse examiner with the nonprofit Partnership for Families, Children, and Adults, and serves as a part-time clinical adjunct instructor at Chattanooga State Community College.<\/p>\n

She said the simulation\u2019s structure allows students to take risks without lasting consequences.<\/p>\n

\u201cIt\u2019s a safe space,\u201d Williams said. \u201cIt\u2019s OK to mess up here, but when you get in the real world, you want to try your absolute best for everything to be clinically sound.\u201d<\/p>\n

Rice has been a nurse for nearly 16 years, beginning her career in medical-surgical nursing before transitioning into public health. Her professional background includes extensive work in women\u2019s health and sexual health, and she is trained as a sexual assault nurse examiner.<\/p>\n

The Ringgold, Georgia, native said the experience brought back the early days of her own career.<\/p>\n

\u201cJust remembering what it\u2019s like to be a new nurse is so important,\u201d Rice said. \u201cEverybody starts somewhere.\u201d<\/p>\n

She pointed to the shift that occurs when nurses move into advanced practice roles.<\/p>\n

\u201cLearning how to communicate between teams is especially important,\u201d Rice said. \u201cFor someone like me transitioning from a nurse to an NP \u2026 I\u2019m so used to doing things myself because that\u2019s what I do as a nurse. Now, I\u2019m learning how to delegate.\u201d<\/p>\n

\"Assistant

Assistant Professor Chris Doneski leads a debriefing session.<\/p><\/div>\n

For Doneski, the debriefing that followed each scenario was as critical as the simulation itself.<\/p>\n

\u201cThat\u2019s where a lot of the learning happens,\u201d he said. \u201cWe talk about what went well, what didn\u2019t go well, how it made them feel and how that translates to real practice.\u201d<\/p>\n

He said those conversations also provided something that can be hard to capture in a busy clinical environment: perspective.<\/p>\n

\u201cYou\u2019re getting multiple viewpoints from different roles,\u201d Doneski said. \u201cThat\u2019s something you don\u2019t always get when things are chaotic and busy in the hospital.\u201d<\/p>\n

That perspective was echoed by the UTC students.<\/p>\n

\u201cI think just remembering how we felt when we were new nurses,\u201d Dukic said during one of the debriefings. \u201cFor me, it\u2019s remembering that if you have a new nurse, this may be their first time doing this. They\u2019re not going to know all the things. Give them some grace.\u201d<\/p>\n

She also reminded the nursing residents sitting across the table from her that confidence matters in patient care.<\/p>\n

\u201cJust remember your patient doesn\u2019t know that you don\u2019t know things,\u201d Dukic said.<\/p>\n

\"UTC

UTC Doctor of Nursing Practice student Allison Kiemeyer role-plays a surgeon while DNP student Travis Wright manages airway support in the simulated operating room.<\/p><\/div>\n

Calhoun, who observed the simulations throughout the day, said she saw value from an educator\u2019s standpoint.<\/p>\n

\u201cWatching the nurse residents interact with their providers will help me guide them on education in the future as far as where they might be lacking in communication,\u201d she said.<\/p>\n

Both UTC and Erlanger see the collaboration as a foundation for future partnerships.<\/p>\n

\u201cDefinitely,\u201d Calhoun said when asked if she would want to do more simulations like this. \u201cI would love to.\u201d<\/p>\n

Doneski said early feedback from the pilot suggests the approach is worth continuing. He said the experience also helps inform what future interprofessional simulations could look like as UTC prepares to open the new Dorothy and Jim Kennedy Health Sciences Building<\/strong><\/a>, located a short drive down 3rd Street from Erlanger.<\/p>\n

\u201cAs this grows, we\u2019ll be more impactful,\u201d he said. \u201cWe\u2019ll be able to pull in more roles, get different viewpoints and continue to build on what we\u2019ve seen really works.\u201d<\/p>\n

The simulation experience at Erlanger, he said, reinforced a simple but essential idea: patient care improves when communication is intentional, practiced and shared.<\/p>\n

\u201cIt\u2019s all just planting a seed and watching it grow,\u201d Doneski said.<\/p>\n

Learn more<\/h4>\n

Visit UTC<\/a><\/p>\n

UTC College of Nursing<\/a><\/p>\n

Nurse Practitioner Program<\/a><\/p>\n

Dorothy and Jim Kennedy Health Sciences Building<\/a><\/p>\n

How to apply<\/a><\/p>\n

Photos by Angela Foster<\/h4>\n
\"UTC

UTC Doctor of Nursing Practice student Amanda Rice, center, plays the role of a patient.<\/p><\/div>\n

\"Assistant <\/a>
Assistant Professor Chris Doneski speaks with Erlanger nursing residents <\/div> <\/div>
\"UTC <\/a>
UTC Doctor of Nursing Practice students Alexis Murray, left, and Sabrina Dukic <\/div> <\/div> <\/div>
\"Assistant <\/a>
Assistant Professor Chris Doneski leads a debriefing discussion with students and Erlanger nursing residents following a clinical simulation exercise <\/div> <\/div> <\/div> <\/div>
\"UTC <\/a>
UTC Doctor of Nursing Practice student Brooke Williams role-plays a health care provider while Doctor of Physical Therapy student Amanda Rice plays the role of a patient during a clinical simulation exercise. <\/div> <\/div> <\/div>
\"UTC <\/a>
UTC Doctor of Nursing Practice student Sabrina Dukic, far left, and DNP student Alexis Murray, in a black jacket, participate in a clinical simulation with Erlanger nursing residents as Assistant Professor Chris Doneski observes in the background. <\/div> <\/div>
\"UTC <\/a>
UTC Doctor of Nursing Practice student Sabrina Dukic, far left, and DNP student Alexis Murray, in a black jacket, participate in a clinical simulation with Erlanger nursing residents as Assistant Professor Chris Doneski observes in the background. <\/div> <\/div> <\/div> <\/div>
\"UTC <\/a>
UTC Doctor of Nursing Practice students Travis Wright, left, and Allison Kiemeyer <\/div> <\/div> <\/div> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"

A recent simulation collaboration paired University of Tennessee at Chattanooga Doctor of Nursing Practice students and Erlanger nursing residents at the start of bedside practice, giving both groups space to step into unfamiliar roles and work through clinical decisions in a controlled environment.<\/p>\n

Continue Reading 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