Transcript Using a Human Patient Simulator

Simulation in the Undergraduate Nursing Curriculum at Queen’s University
Belfast: Clinical Skills, OSCE, ILS, High Fidelity Simulation
Why is simulation important?
The HPS Represents Advanced Technology, ‘mimics’ a Real Patient” & adds Authenticity
•
Interacts with the student
•
Patient’s condition can improve
or deteriorate with interventions
as the scenario progresses
Putting Simulation into Action
•
Five students worked together on
each scenario, two participated and
three observed.
•
Students were given the scenario by
a lecturer as a ward handover report
and had twenty minutes to carry out
the appropriate nursing
interventions.
•
Nurse teachers took the role of
qualified nurse or relative as
necessary during the scenario
Simulated Learning Cycle
Future
Action
Self
Assessment
Debriefing &
Reflection
Clinical
scenario
Assessment &
Diagnostic
Skills
Nursing
Interventions
Theme 1: The ‘Reality’ of the Simulation
•
Once the simulation session began
students forgot that they were
working on a simulated patient and
responded to the situation as if it
were ‘real’.
•
This response was integral in all
other themes.
Theme 2: The Benefits of Active Learning
Teamwork
•
•
Students stated that the HPS
experience provided a much better
learning opportunity than a text
book, indicating that they perceived
a huge difference between seeing
Motivates
and doing.
Active /
Experiential
Safe
Students were clear of the need to
visualise a situation in order for
learning to occur.
Reflective
Challenges
Problem
Solving
Theme 3:
The Opportunity to Experience working as an Autonomous Practitioner
•
The experience enabled students to
recognise the importance of a sound
knowledge base to effective clinical
judgement and decision making.
•
Students benefited from the
opportunity to work independently and
the experience enabled them to realise
that effective care depended on good
team work.
Theme 4:
•
The Importance of Theory to Practice
Students commented that the case scenarios exposed individual and collective
knowledge deficit.
This is summarised by one student who stated:
“…the lack of knowledge was made clear…..I had notes and books but I had not
read and absorbed the information. You can cram for examinations but when
you are faced with a problem you have to be able to apply theory to practice.”
•
The simulated case scenarios also affirmed the importance of students asking
questions during clinical placement as a means of extending their knowledge
base.
Theme 5 The Benefits of Working in a Safe Environment
“
“An excellent day, the scenarios were so real, it was like a real patient”
“I found the simulation practice enjoyable and interesting. I feel it helped to highlight
areas where I need further development in my skills and also showed my strengths”
“I feel that this opportunity has urged me to think about the care we deliver as nurses and
the importance of teamwork. It was a very worthwhile day”
“The theory is being taught, therefore, it is great to put us into such a real life scenario to
deal with and help us understand our strengths and weaknesses. This experience will
improve the quality of care we provide for our patients when we are on placement and
as newly qualified nurses”
Enhancing the Learners’ Experience
Teamwork
Active /
Experiential
Safe
Motivates
Reflective
Challenges
Problem
Solving
Recommendations
It is imperative that nurse educators help prepare students for the
reality of the clinical environment where cases are increasingly
complex.
• Using the HPS as an educational tool, can assist with the
transition from student to a trained member of the health service
would appear to offer some solution to this problem
• The HPS encourages students to think critically and analytically
and allows the lecturer to vary the clinical scenarios in response
to changes in the health service.
• The scenarios can be used to facilitate teamwork and to monitor
how the student reacts in challenging situations.
• Debriefing is a forum for reflection and debate of the issues
arising from the scenarios.
• The scenarios introduce students to situations they will
experience as a qualified nurses within the safe simulated
clinical environment.