Simulation in Schools of Nursing: Integrating Simulation Into Nursing curriculum - PowerPoint Presentation

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Simulation in Schools of Nursing: Integrating Simulation Into Nursing curriculum

Joanie Selman, MSN, RNMed-Surg Course CoordinatorDeWitt School of NursingStephen F. Austin State University

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Background

DeWitt School of Nursing at Stephen F. Austin State UniversityNacogdoches, Texas Joanie Selman, Med-Surg Instructor

9,000 square foot simulation lab opened Jan. 2010 *10 room Med-Surg

lab

*4 room OB/

pedi

lab and Nursery

*ER with 12 gurney spaces

*Assessment lab with 10 exam tables

*14-station control room

5-3Gs, 1-SimMan, 1-SimNewB,2-SimBaby,

17

VitalSims

, 6-Virtual IVs,

SimMom,SimKid

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Stephen F.

austin State University

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Why do we need simulation?

Shortage of clinical opportunitiesMany schools competing same clinical sites/timesLimited cases in smaller hospitalsFew deliveriesNo NICUNo neuro, head traumaFaculty shortage, students/instructor No patients with diseases you want your students to experience

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Why do we need simulation?

Up to 30% of students are Tactile/Kinesthetic learners.

Simulation Enhances Learning

Lecture is not enough, Reading is not enough

Case studies are not enough

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Why do we need simulation?

Control Instructor has control over what disease patient exhibitsWhat complications the patient developsWhich student practices with that patient

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Courses which benefit

Practically All Collaborate with other coursesBasic courses in beginning semester(s)Health assessmentBasic Med-SurgPharmacology Scenario……..Elderly man s/p

surg after he fell and broke his hip needs assessment of surgical incision, inhaler, repositioning, IS, PO antibiotics and teaching about proper protein intake for proper healing.

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Courses which benefit

Mid-way CoursesOB/PEDIMed-SurgMental HealthScenario…. Schizophrenic pregnant woman with a 2 year old child brought to ER after a MVA. She has a broken leg and is awaiting surgery.

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Courses which benefit

Last semester coursesCritical CareCommunity HealthLeadership/ManagementScenario…..Shortage of nurses in ICU, manager must delegate &

prioritize pt assignments then take the most critical patient herself for the day. s/p major stroke with paralysis and concussion from fall. Wife has meeting with home health nurse to discuss at home care after discharge.

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Courses which benefit

If you can only do limited simulation….Med-Surg and Pedi/OB courses are your best bet b/c you can incorporate concepts from other courses into the scenario.

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Laerdal

ConferencesBook Visit other schools Get ideas from othersSIRC-Simulation Innovation Resource Centerhttp://sirc.nln.org/SUN websitehttp://www.laerdal.com/us/SUN

NLN scenariosScenarios from textbook publishersCase studies

How do I start this?

Simulation in Nursing Education

Author:

Pamela Jeffries

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How do I start this?

Start simple. Do not overwhelm yourself.

Only one scenario the first semester you start

Common scenario from your practice.

Choose problem that is it crucial students know

Not readily available in your area

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Little nuggets for success

Lecture on the topicHelp students prepare Assignment to complete on topic before the sim

article in a journalcase study

Worksheet

“dress rehearsal” with other students or faculty

Before

simulation day

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Little nuggets for success

During simulationMake room and mannequin as realistic as possiblePre-brief students a learning exercise not a punitive evaluationact exactly like a real life settinggive them report – like at a hospital

Give a few minutes after report for them to plan as a team before starting scenarioAs mannequin voice

give “hints” if student

is really struggling.

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Little nuggets for success

After simulationDe-brief immediatelyIdentify gaps in knowledgePraise students for positive interventionsRedirect students away from poor choices.Post-scenario assignment to

re-enforce clinical concepts coveredCare plan

Assessment values with nurse notes

Taking and writing telephone orders on order sheet

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Faculty buy-in

First person to convince is your Director or Dean of the nursing school.As a grouppresent a video-taped scenarioHave students share their experience Discuss the benefits

TeamworkDelegation

Communication

Decision-making

Time management

Critical thinking

Med administration

Infection control

Assessment

Physician orders

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Faculty buy-in

Individual courses meet with the team have them “attend” one of your simulations.Offer to assist them in developing a simulation.Tell them you will “run” the first one with themShare your ideas, forms, etc

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Measurable objectives

General for all scenariosExample…Student demonstrates appropriate infection control techniques. ….Student identifies client with two identifiers Specific for individual scenario Example….Student assesses blood pressure before administering nitroglycerin tablet.

http://www.laerdal.com/us/SUN

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Measurable objectives

Faculty Objectives for SIMFailure rate will decrease .Does SIM help students learn the important concepts in my course?Since SIM the failure rate in the Med-Surg I teach dropped from an average of 10% to 6%.

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Student evaluation of SIM

Very important to survey the studentsQuestionDisagreeNo opinion

Agree

1. I understand the purpose and objectives of the simulation.

0.00%

0.00%

100.00%

2. The scenario(s) resembled a real-life situation.

1.33%

0.00%

98.67%

3. The simulation provided a variety of ways to learn the material.

0.00%

5.33%

94.67%

4. I had a chance to work with my peers during the simulation.

0.00%

5.33%

94.67%

5. The simulation helped me learn to prioritize.

0.00%

1.33%

98.67%

6. The debriefing session was helpful as a learning activity.

1.33%

0.00%

98.67%

7. I was able to participate in the debriefing session.

1.33%

1.33%

97.33%

8. The feedback was constructive.

0.00%

2.67%

97.33%

9. The simulation will help me better care for healthcare clients.

0.00%

0.00%

100.00%

10. The simulation made me feel more confident in caring for healthcare clients.

2.67%

4.00%

93.33%

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Student evaluation of SIM

Have a free text comment section on the evaluation. Actual student comments…….I really enjoy SIMs and I always learn a lot from them. I wish we had more and I will continue to learn and feel more comfortable when entering a patient's room. I always learn things that I know I won’t forget. It is good to have these simulations because we don't always come across some of these situations when we are actually in clinicals. Because of these simulations, I know i

will be prepared when I come across the same problems.. T

he feedback in the debriefing session was very informative without being condemning. Good job

!

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Why Go to the hassle of using Simulation in your course?

Short answer --- IT’S WORTH IT !!To the instructor To the studentsTo the future employer

To the client

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questions

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Thank You So much !

Contact informationJoanie Selman, MSN, RNselmand@sfasu.edu936-674-7896DeWitt School of NursingStephen F. Austin State UniversityNacogdoches, Texas