Using simulation to develop person-centred care leaders

1. Using simulation to develop person-centred care
leaders
Learning Leaders in Higher Education Conference
(6 June 2018)
Stream: Leading learning and teaching in the
disciplines
By
Dr Lee Meng Lim (lim.leemeng2@gmail.com)
Mr Bijo Kunnumpurath (Bijo@hcigroup.com.au)
Associate Professor Anthony Welch (a.welch@cqu.edu.au)
Dr Brian Zammit (brianzammit@bigpond.com)
Acknowledgement
Ms Aruna Akkireddi (Academic Advisor, IHM)

2. Outline…
• Introduction
• What is person-centred care in nursing?
• Why do we need person-centred care
leaders? How can we integrate leadership
styles with the four principles of person-
centred care approach?
• Why do we use simulation to develop
person-centred care leaders?

3. Diagram 1: Person- centred care principles
Person -
centred
care
Valuing the
person as a
unique individual
Respecting
Health beliefs
and values
Valuing Life
Story
Focusing on
Strengths within
context of
limitations

4. Person-centred care
• A philosophical approach to the provision of
quality, holistic and safe care in nursing;
• Brings the importance of the individual in not
only being the recipient of quality care but
also being able, within the constraints of the
illness experience, to play a central role in the
identification of their health care needs and
the planning, implementation and evaluation
of how, when, where and by whom their
health care needs are met.

5. Key Principles underpinning this
approach:
• Valuing the person’s health care beliefs,
personal values, rights and health care
preferences; (in other words valuing the individual as a unique
individual)
• Respecting the need of the person to be able to
make choices about how best to meet their
health care needs within a context of balancing
risks with responsibility; (respecting health beliefs and
values)

6. Key Principles…
• Focusing on the person’s strengths in terms
of abilities within the context of limitations as
a means optimising opportunities for personal
control and independence; (focusing on strengths
within context of limitations)
• Valuing the person’s life history including the
person’s socio-cultural and spiritual heritage
along with the individual’s future hopes within
the context of their current health-illness
experience.(valuing life story)

7. Diagram 2: Requirements of Nursing….
Requirements of
Nursing
Knowledgeable
and skilled
Respective of
the rights of
individuals
Working in
partnership
Collaborative in
providing
quality health
care

8. Why do we need person-centred care leaders?
• To promote person-centred care approach;
• To promote empowerment among staff and clients;
• To provide safe and quality care;
• To provide supportive environment;
• To increase satisfaction (staff and clients);
• To achieve above, we need leaders who have:
- knowledge and skills of person-centred care
approach;
- the capability to engage as role model;
- a high levels of motivation and morality

9. Diagram 3:Transformational leader….
…is defined as a leader who motivates followers to perform to their
full potential over time by influencing a change in perceptions and by
providing a sense of direction (Huber, 2014, p.14-15)
Using charisma, inspiration, and
intellectual stimulation, causes
followers to rise above their own
needs and thus changing the
culture, obtains higher levels of
efforts and satisfaction
Institutional
culture
Performance
beyond
expectation and
altered institutional
culture

10. How can we integrate transformational leadership
styles with the four principles of person-centred care
approach?
Person-centred care approach
• Valuing the individual as
a unique individual;
• Respecting the health
beliefs and values;
• Focusing on the strengths
within context of
limitations;
• Valuing life story
Transformational leadership styles
• Visionary
• Charismatic and ethical
• Trustworthy
• Thoughtful
• Considerate
• Confident

11. How can we integrate transformational leadership
styles with the four principles of person-centred care
approach?
Person-centred care approach
• Valuing the individual as
a unique individual;
• Respecting the health
beliefs and values;
• Focusing on the strengths
within context of
limitations;
• Valuing life story
Transformational leadership styles
• Visionary
• Charismatic and ethical
• Trustworthy
• Thoughtful
• Considerate
• Confident

12. Diagram 4: Person-centred care leaders
Person-centred care
leaders
Person-centred care
principles
Key characteristics of
Transformational
leaders

13. Why do we use simulation to develop person-centred care
leaders?
• Simulation as an educational method has been shown to have
a positive effect on learning when compared with other
educational modalities – an example of a simulation
framework or theory (NLN Jeffries Simulation Theory (2015);
• Plan and create the environment and simulation scenario;
• Evaluate learner knowledge and abilities;
• Direct interaction between facilitator and learner;
• Multiple opportunities to attempt the simulation, with
assistance to improve as needed;
• Peer review;
• Pre and post briefing.

14. Diagram 5: NLN Jeffries Simulation
Theory

15. Sample: Simulated Scenario
• Simulation Activity (5 people in a group)
• During a patient care conference, nursing staff members complain that
Mrs Tan’s family is “really getting in the way.” One nursing staff
member says, “They try to do everything.” Mrs Tan has recently
suffered a stroke, leaving her with left-sided paralysis. Her family
plans to take her home following discharge. Indira, the nurse manager
is determined that the staff should become more sensitive to the
needs of the family, which involves empathy and compassion.
•
• Simulation of the leadership process using role play: nursing staff (2),
Indira (nurse manager), Mrs Tan, family member (1)
• Demonstration of the patient care conference about Mrs Tan
• Demonstration of nursing staff members complain about Mrs Tan’s
family
• Demonstration of teaching staff by nurse manager about affective
communication (empathy and compassion)
• Demonstration of a nursing staff member communicating with a family
member in an affective behaviour regarding discharge planning.
•

16. Bibliography
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Williams & Wilkins, Philadelphia
• Huber, DL 2014, Leadership and nursing care management, 5th edn, Elsevier, St Louis, Missouri
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pp.57-68