Lone Star College- Kingwood Hospital
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Transcript Lone Star College- Kingwood Hospital
DEVELOPING A
MULTI-DISCIPLINARY SIMULATION
HOSPITAL
Presented by: Lee Jerls MSN, RN and Terri Currie BSN, RN
Definition
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Simulation
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An attempt to mimic essential aspects of a clinical
simulation with the goal of understanding and
managing the situation better when it occurs in actual
clinical practice.
A technique that uses a situation or environment
created to allow persons to experience a
representation of a real event for the purpose of
practice, learning, evaluation, testing, or to gain
understanding of systems or human actions (
Definition: Fidelity
Fidelity
The
degree to which either a simulation
encounter or simulation equipment approaches
reality (http://sirc.nln.org/mod/resource/view )
Types:
Low
fidelity manikins
Medium fidelity manikins
High fidelity manikins
Why Simulation?
“Carnegie Foundation for the Advancement of
Teaching Report” (Benner, Sutphen, Leonard, & Day, 2009)
“ From focus on covering decontextualized knowledge…to sense
of salience, situated cognition and action in a particular situation;
From a sharp separation of clinical and classroom teaching to
integration of classroom and clinical teaching;
From an emphasis on critical thinking to clinical reasoning and
multiple ways of thinking that include critical thinking; and
From an emphasis on socialization and role taking to an
emphasis on formation.”
Learning Theories
Constructivism learning therapy
Adult-learning theory
Brain-based learning theory
Social-cognitive learning theory
Experiential learning theory
Novice-to expert theory
A new pedagogy??
The Journey…. LSC-K Hospital
History (2007)
Appreciative Inquiry (early 2008)
Lack-of-realism
Roles
and responsibilities
Orientation to the unit and equipment
Faculty continuity
Scenario
development
Literature Review
Jeffries Simulation Model (2005)
S.T.E.P. Educator Preparation Plan
S.T.E.P.
Simulation Take Educator Preparation (Jeffries, 2008)
Standardized Materials
Train the Trainer
Encourage the development of a simulation design and
integration team
Plan to coordinate the simulation development and
implementation activities
S.W.O.T. Method
Strengths
Weakness
Opportunities
Threats (Rothgeb, 2008)
Integration Into the Program
Identification of a champion
Scheduling
Simple first steps
Flexibility
Debriefing (Leigh & Hurst, 2008)
Simulation Design
Objectives
Planning
Fidelity
Complexity
Cues
Debriefing (Jeffries, 2005)
Evaluation Process
Debriefing
Reflection
Tools
National League for Nursing
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The Simulation Design Scale (student version), a 20-item instrument using a fivepoint scale, was designed to evaluate the five design features of the instructordeveloped simulations used in the NLN/Laerdal study.
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Educational Practices Questionnaire (student version), a 16-item instrument
using a five-point scale, was designed to measure whether four educational practices
(active learning, collaboration, diverse ways of learning, and high expectations) are
present in the instructor-developed simulation, and the importance of each practice
to the learner.
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Student Satisfaction and Self-Confidence in Learning, a 13-item instrument
designed to measure student satisfaction (five items) with the simulation activity and
self-confidence in learning (eight items) using a five-point scale.
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http://sirc.nln.org/mod/resource/view
Chickering, A.W., & Gamson, A.F., (1987). Seven principles for good practice in
undergraduate education. Racine, WI: The Johnson Foundation, Inc./Wingspread
Lone Star College- Kingwood Hospital
A day in the life of a student nurse at
LSC-K Hospital…
Lone Star College- Kingwood Hospital
Mission: to deliver safe and prudent quality care while
maintaining ethical, professional, and culturally acceptable
standards through utilization of evidence-based practice an
innovative technology
Vision: to facilitate the growth of the novice learner to the
expert clinician, enhancing critical thinking skills and selfconfidence in a safe, realistic, and non-threatening
environment.
Orientation Process
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LSC-K Hospital
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Roles and responsibilities
Patient information
Confidentiality form
Scavenger hunt
Equipment
Crash carts
Paging system
Documentation
EMAR
I want to insert a picture here
Report
Patient Census
Level
Roles
and responsibilities
Primary
nurse
Secondary nurse
Family member
Observer
Interdisciplinary team
Multi-Patient Unit
Multi-Disciplinary Unit
Nursing disciplines
Nursing levels
Respiratory therapy
Occupational therapy
Debriefing
References
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2009). Educating nurses: A call for
radical transformation. San Francisco: Jossey-Bass.
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating
simulations used as teaching strategies in nursing. Nursing Education Perspectives ,
96-103.
Jeffries, P. R. (2008). Getting in S.T.E.P. with Simulations: Simulations Take educator
Preparation. Nursing Education Perspectives , 70-73.
Leigh, G., & Hurst, H. (2008). We have a high-fidelity simulator, now what? making the
most of simulators. International Journal of Nursing Education Scholarship , 1-10.
Rothgeb, M. K. (2008). Creating a nursing simulation laboratory: a literature review.
Journal of Nursing Education , 489-494.