Transcript Improving Quality With Clinical Simulation

Integrating High Fidelity Simulation into
Clinical Orientations
INTEGRIS Baptist Medical Center
Nursing Education & Research
Objectives:
• Describe methods for assessing learner
needs.
• Discuss the elements of developing a
simulation plan for orientation.
• Discuss how to incorporate simulation
into dept-based orientation.
• Evaluate outcomes of an Orientation
Simulation Strategy.
Establishing the Need to Change!
•
Impact Evaluation
– critical thinking issues
– early recognition issues
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Course Evaluations
– Too much information...
– Some speakers & topics are
boring....
– Prefer hands-on....
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Simulation Survey Results
– 98% of participants indicated
strong interest in attending
programs that incorporated
simulation.
– 98% of participants indicated that
the using clinical simulation in
education programs would
enhance their learning
experience and improve critical
thinking.
Simulation Survey:
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I would be interested in attending programs to enhance my clinical
knowledge, critical thinking and clinical skills using clinical simulation.
Using simulation mannequins will enhance my learning experience and
help me to improve both critical thinking and clinical skills.
Participating in continuing education activities that use clinical
simulation will assist me to provide safe, high quality patient care –
especially when learning new skills/procedures and protocols.
The simulation manikins provided a more realistic clinical training
experience than traditional mannequins.
The simulation manikins would be easy to use and transport for inservice education and dept-based competency validation.
I would use a hospital-based simulation lab to teach skills and scenarios
to healthcare providers and /or students that I am orienting and/or
precepting.
How often would you utilize a hospital simulation lab for your own
development or to assist with other healthcare provider’s development?
Scale: 5 Strongly Agree
4 Agree
3 Neutral
2 Disagree
1 Strongly Disagree
First Evidence (and if that fails...), Then Learning Theory
Dale’s Cone of Learning & Kolb’s Learning Styles)
Simulation Strategy: Define Your Goals
• Increase Learning Retention
– Adoption of learned skills and integration
of new concepts into clinical practice.
• Improve Critical Thinking Skills
– Increase early identification of a DUC
(Determining Underlying Conditions).
– Reduce failures to rescue.
• Increase Learner Satisfaction
– Improved program evaluations.
Developing & Implementing the
Simulation Plan
When & What ?
• Nurse Residency Seminars
• Nurse Externship Program
• Clinical Emergency
Courses
• Adult & Pediatric Advanced
Life Support Courses
• Nursing Department
Orientations
• Clinical Debriefings
• Medical Staff Continuing
Education
Developing & Implementing the
Simulation Plan
Where?
• Physical space
– Dedication simulation room
– Patient room
– Storage
• Manikins & Equipment
– Low, Mid & High Fidelity manikins
– Video, headwalls, sink, monitors, crash
carts, beds, medical supplies
Developing & Implementing the
Simulation Plan
Who?:
• Identify your simulation
coordinator &
champion!
• Identify your technical
support expert
• Identify your facilitators
• Provide education....
and more education ...
and then some more
education!
Developing & Implementing the
Simulation Plan
How?:
• Purchased scenarios versus
developing your own scenarios.
• Consider when you will use simulation
and what objectives you want the
participant to accomplish.
• Consider your human and financial
resources.
Evaluating the Simulation Plan
Lessons Learned:
• Start small, think big!
• Identify & secure necessary resources –
equipment, technical support, facilitator...
• Provide the necessary training....and then
more training!
• Seek opportunities to partner.
• Create a wish list.
• Educate your Leaders, your Board & your
Foundation!.
• Measure & share your results.