effectiveness of simulation based training

1. Presented By
Mr. Edwin Raj, MSc N, MBA
Clinical Instructor
Medanta The Medicity

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Activity 1

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Activity 2

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Brain Power
Brainpower is intelligence or the ability to think.
Hand Power
Ability to do or act; capability of doing or accomplishing
something

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Curriculum is what you teach
Pedagogy is how you teach it
Nursing Educational system

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What do we need to change about the
Indian Education System?
• Our Education system is geared towards
teaching and testing knowledge at every level
as opposed to teaching skills. “Give a man a
fish and you feed him one day. Teach him how
to catch fishes and you feed him for a
lifetime.”
• I believe that if you teach a man a skill, you
enable him for a lifetime.

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Cont…
• Transforming the health care system to
provide safe, quality, patient-centered,
accessible, and affordable care will require a
comprehensive rethinking of the roles of
many health care professionals, nurses chief
among them. To realize this vision, nursing
education must be fundamentally improved
both before and after nurses receive their
licenses.

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Why we need hands on practice?????
“A knife is no more dangerous than a tiny needle
in the hands of an untrained nurses”.

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• It is enormously important because , in a class
of 50 student nurses, There might be only 15
students who have the capability of
understanding concepts in abstract. The other
35 just end up not really understanding - hence
being forced to mug up.
Is teaching concepts in a practical manner important?

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• It is important that students gain valuable
hands-on experience before caring for
patients in a real-world healthcare setting.
For example,
The American Heart Association Guidelines for CPR & ECC state
high-quality cardiopulmonary resuscitation (CPR) training for both
healthcare providers and bystanders to help them feel more confident
to act and to provide better CPR to cardiac arrest victims.
Cont…

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• Connecting onsite lab work and clinical
rotations, both work together to teach
students how to safely put nursing theory
concepts they’ve already learned into
experimental practice.
• Containing the same tools and equipment you
would find in a hospital setting, labs give
students the chance to overcome any fears or
insecurities while running through a variety of
patient care scenarios.
Hands on practice

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Modalities of transforming brain power to
hand power

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• As you walk into the skills lab, you can expect to see
an assortment of complex nursing equipment, such
as syringe pumps, medication carts, feeding pumps &
more. The equipment and supplies may seem
overwhelming at first, but as you advance through
the program, you will begin to know them like the
back of your hand.
• Skill lab can be viewed as an open discussion – as you
identify each piece of equipment, your instructor will
explain when, where, and how to use it effectively.
I. Nursing skill labs

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• This will train you to have the confidence to
collaborate with hospital staff, fellow nurses,
and doctors during your in-hospital clinical
rotations.
• Effective communication plays a vital role
throughout a patient’s whole healthcare
experience, and a vast piece of the
responsibility falls on registered nurses.
II. Role Play

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• Simulation lab, This is where you can put the
equipment you’ve learned in skills lab into
practice, using a simple task trainer, a high
fidelity medical mannequins, or a classmate
(depending on the severity of the activity).
• Tasks may include administering injections,
checking vital signs, monitoring blood
pressure, and more.
III. Nursing simulation labs

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• Simulation is the imitation of the operation of
a real-world process or system.
Simulation

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• The use of computerized mannequins that
exhibit a wide range of patient conditions. In
contrast, Example 3G simman
High-fidelity simulation

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• Computerized mannequin “patients” can
range in age from neonate to adult,
• Can be assigned names and medical histories,
along with anatomically correct features like a
pulse, specific pupil responses, a voice, and
even spurting blood.
• They respond to the “care” provided by
students and to “medications” in a
physiologically correct manner,
Hi-fidelity simulation labs

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These high-fidelity simulation labs are an
effective way for nurses to practice the skills
needed to manage complex, high-acuity
patients; drill for emergency preparedness; or
practice teamwork and collaboration with
other providers.
Cont..

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It includes,
• practicing injections on an orange,
• Role playing, static mannequins,
– part task trainers (like a model “arm” designed for
practicing IV insertion)
Low-fidelity simulation

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• Provide a risk-free environment for student learners that
reinforce critical thinking and decision making
• Increase clinical competence through selected critical thinking
scenarios
• Improve performance, communication, and efficiency in clinical
setting.
• Promote empowerment of the student in preparation for the
clinical setting
• Encourage students to self-analyze their performance and use
critical thinking
Goals

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• Staff will have the opportunity to make
mistakes, learn from them, and try again,
under the guidance of trusted instructors.
• Once you become competent in performing
these skills, your instructors will then take
notes from the observation room, and
monitor how you handle a specific patient
care scenario on your own
How simulation really works???

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• Providing more experiential learning
opportunity than instruction
• Increased use of learning technology
• More emphasis on outcome-based then
process-based education
• More evidence-based education strategies
and curriculum
Trends in Nursing Education

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• Should be driven by the educational
goal/objective
• Should match the level of the student
• The higher the realism, the more effective it is in
engaging the student
Principles of Selecting Type of Simulation to Use

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• Developing health professionals knowledge, skills,
and attitudes.
• Protecting patients from unnecessary risks.
• Simulation-based medical education can be a
platform for learning to mitigate ethical tensions and
resolve practical dilemmas.
• Simulation based training techniques, tools, and
strategies can be applied in designing structured
learning experiences.
• Used as a measurement tool linked to targeted
teamwork competencies and learning objectives
Purpose

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The skills requirement which can be enhanced
with the use of simulation include:
A.Technical and functional expertise training
B.Problem-solving and decision-making skills
C.Interpersonal and communications skills or
team-based competencies
Cont…

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Reasons why Practical is more Important than
Theory
• It does not require mug up
• Knowledge retains in our brain

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• Develops a better Understanding
•Includes practice

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• Involves application and deals with real life situations
•Improves skills

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•Interesting => Easy
• It is more interesting

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• Can motivate team
work
•Interactive education creates deeper Impact

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Research shows that…
Simulation modalities are numerous in nursing education, with a need to reveal their range and
impact. We reviewed current evidence for effectiveness of medium to high fidelity simulation as an
education mode in nurse education. A state-of-the-art review and meta- analyses was conducted
based on a systematic search of publications in English between 2010 and 2015. Of 72 included
studies, 43 were quantitative primary studies (mainly quasi-experimental designs), 13 were qualitative
studies and 16 were reviews of literature. Forty of 43 primary studies reported benefits to student
learning, and student satisfaction was high Simulation programs provided multi-modal ways
of learning. A meta-analysis (8 studies, n = 652 participants) identified that simulation programs
significantly improved clinical knowledge from baseline.

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Simulation lab

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Nurses should also deviate a part of their focus towards
evidence based practice. Various practices have related
researches practice of nurses and thus can have a huge
positive effect of patient health care and curative care too.
Conclusion

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