ICT Role in 21st Century Education & its Challenges.pptx
A new twist lk 03-26-12
1. Niki Fogg, MS, RN, CPN
Laura Kubin, PhD, RN, CPN, CHES
Texas Woman’s University
T. Boone Pickens Institute of Health Sciences – Dallas Center
Houston J. and Florence A. Doswell College of Nursing
2. Simulation in Education
• Simulation used for years in many disciplines
– Engineering
– Bio sciences
– Military
– Aviation
– Medicine
• Use in nursing steadily increasing and evolving
– Institute of Medicine (IOM) Report
• Problem of limited opportunities for clinical
experience
– QSEN Competencies
• Patient-Centered Care, Teamwork &
Collaboration, Safety
– National Council of State Boards of Nursing (NCSBN)
• Looking at use of simulation as % of clinical hours
3. Group vs. Individual Sim
Group Simulation Individual Simulation
• Large groups • Must rely upon individual
• Group dynamics knowledge and abilities
• Difficulty evaluating • Each student must
individual performances participate
• Faculty involvement • Faculty can easily
evaluate each student’s
individual performance
• Faculty involvement is
minimal and controlled
4. "A Season for Simulation"
• Set in the pediatric ER
• Diagnoses related to current season
• Each simulation increases in degree of
difficulty
– Cystic fibrosis hyponatremia → near drowning
– Diabetic shock → anaphylaxis
– Asthma attack → medication poisoning
– Minor head injury → severe head injury
– Sunburn → burn
– Focus of each simulation changes
– Allows for assessment of individual
student
5. Overview
• Each student is assigned to one
simulated patient
• Each patient is equipped with:
– Video report
– Background information related
to the patient
– Relevant chart information
– Useful resources relevant to the
case
• Students have 30 minutes
– Assess individual patients
– Give report (using SBAR) to
faculty or video
• Students debrief in groups of 5
– Report on individual patients to
each other
– Prioritize all 5 patients from
highest to lowest priority
• Faculty debrief key concepts
6. Foci of Simulations
First Simulation Focus Second Simulation Focus
• Report • Report
• Assessment • Assessment
– Recognition of abnormal – Analysis of data
findings – Planning care
• SBAR • SBAR
• Prioritization of multiple • Prioritization of multiple
patients patients
+ Identifying priority problems
and interventions
+ Family interaction;
therapeutic communication
7. Third Simulation
• Evolving scenario where the situation
changes
– Assessment
– Intervention
– Evaluate
– Alter intervention to changing status
• Debriefing
– Faculty & Peer Feedback
15. Simulation Across Disciplines
• Simulation used in:
– Architecture
– Business
– Civil Engineering
– Geography
– History
– Law
– Marketing
– Mechanical
– Medical Education
– Military Training
– Psychology
– Sociology
• Concepts can be applied across disciplines
16. Application to Other Disciplines
• Business/Customer Service
– Group of customers with varying issues
– Each participant given a different
customer
• Role play/dialogue
• Intervene
– Debriefing
• Discuss scenarios
• Prioritize/escalate as needed
• Peer feedback
• Revise approach
17. Resources
• Baldwin, K. B. (2007). Friday night in the pediatric
emergency department: A simulated exercise to
promote clinical reasoning in the classroom. Nurse
Educator, 32(1):24-29.
• Lasater, K. (2007). Clinical judgment development:
Using simulation to create an assessment rubric.
Journal of Nursing Education, 46(11), 496-503.
• McMillan, L. R. (2011). Utilizing SBARR: Using peer
reviewers in a low-fidelity lab exercise. Retrieved
from
http://www.qsen.org/teachingstrategy.php?id=153
Large groupsConfusionDifficulty assigning and staying in rolesGroup DynamicsFew studentsact; others fade into backgroundDifficultyevaluatingindividual performancesFacultyInvolvementStudentsasktoomany questionsFaculty interruptions during scenarios
First Sim: Report Receiving GivingAssessment (recognition of abnormal findings)SBARSituationBackgroundAssessmentRecommendationsPrioritization of multiple patients Second Sim: ReportReceivingGivingAssessmentAnalysis of dataPlanning careIdentifying priority problems and interventionsFamily interaction; therapeutic communicationPrioritization of multiple patients
First Sim: Report Receiving GivingAssessment (recognition of abnormal findings)SBARSituationBackgroundAssessmentRecommendationsPrioritization of multiple patients Second Sim: ReportReceivingGivingAssessmentAnalysis of dataPlanning careIdentifying priority problems and interventionsFamily interaction; therapeutic communicationPrioritization of multiple patients