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Patient Scenarios and Simulation
Technology in Mental Health Nursing
Marian Traynor & Fiona Martin (QUB)
Background
• Simulation using high fidelity technology already established
in undergraduate curriculum for adult and children's.
• Challenge was to develop and pilot simulated scenarios for
mental health field of nursing.
• NMC Standards for preregistration nurse education (2010) –
generic competencies and field specific competencies
Objectives
• To promote the importance of addressing the physical health
needs of an individual with a mental health illness
• Promote an interactive/team approach to student learning
through the use of “real life” scenarios
• To encourage the development of a practitioner with the
ability to think critically and analytically.
• To facilitate students in the use of peer and self-evaluation as
means of promoting learning
Methods
• Purpose built simulation suite
• Two case scenarios: Patient with Head Injury/ Patient with
Asthma
• Second year mental health nursing students (n=17)
• 3G simulator
• Each scenario lasted no longer than 20 minutes followed by
30 minutes debrief.
• Scenarios video recorded to assist with the debrief.
• Complete a post 20-item questionnaire
Environment
SimMan
• Realistic airway
• Pharyngeal swelling
• Laryngospasm
• Respiratory movements
• Synchronised breath sounds
• Pupil size
• Pneumothorax / chest drain
• Apnoea
• Sounds – cough/vomit etc
• Pulse and BP SaO2
• Live defibrillation
What happens?
• Orientation
• Scenario
– assessment (ABCDE) /
management
– team working / communication
• Reflection
• Feedback
Results
• 100% agreement that scenarios were a useful learning
experience
• 100% agreement that the simulation exercise would have a
positive influence on ability to perform in clinical practice
• 100% agreement that the scenarios using the HPS was a
useful way of testing physical assessment skills
Results
“Excellent learning experience; I would be happy to do it
again”
“Great for learning clinical skills; for a mental health nurse
this experience was very worth while”
“I feel more confident now that I have participated in this”
“I think this has given me more confidence in my clinical
skills that I do not get to practice in a mental health
setting”
“although I found the scenario stressful I found it to be a
valuable experience”
Challenges
• To offer simulation in both year 2 and year 3 of the nursing
programme for all fields of nursing.
• To have shared learning in a simulation context across all
fields of nursing in an undergraduate programme.
Contact Details
Marian Traynor [email protected]
Fiona Martin [email protected]