Integrating High Fidelity Simulation into Clinical Orientations

1
Integrating High Fidelity Simulation into
Clinical Orientations

• INTEGRIS Baptist Medical Center
• Nursing Education Research

2
Objectives

• Describe methods for assessing learner needs.
• Discuss the elements of developing a simulation
  plan for orientation.
• Discuss how to incorporate simulation into
  dept-based orientation.
• Evaluate outcomes of an Orientation Simulation
  Strategy.

3
Establishing the Need to Change!

• Impact Evaluation
• critical thinking issues
• early recognition issues
• Course Evaluations
• Too much information...
• Some speakers topics are boring....
• Prefer hands-on....
• Simulation Survey Results
• 98 of participants indicated strong interest in
  attending programs that incorporated simulation.
• 98 of participants indicated that the using
  clinical simulation in education programs would
  enhance their learning experience and improve
  critical thinking.

4
Simulation Survey

• I would be interested in attending programs to
  enhance my clinical knowledge, critical thinking
  and clinical skills using clinical simulation.
• Using simulation mannequins will enhance my
  learning experience and help me to improve both
  critical thinking and clinical skills.
• Participating in continuing education activities
  that use clinical simulation will assist me to
  provide safe, high quality patient care
  especially when learning new skills/procedures
  and protocols.
• The simulation manikins provided a more realistic
  clinical training experience than traditional
  mannequins.
• The simulation manikins would be easy to use and
  transport for in-service education and dept-based
  competency validation.
• I would use a hospital-based simulation lab to
  teach skills and scenarios to healthcare
  providers and /or students that I am orienting
  and/or precepting.
• How often would you utilize a hospital simulation
  lab for your own development or to assist with
  other healthcare providers development?
• Scale 5 Strongly Agree 4 Agree 3 Neutral
  2 Disagree 1 Strongly Disagree

5
First Evidence (and if that fails...), Then
Learning Theory Dales Cone of Learning Kolbs
Learning Styles)
6
Simulation Strategy Define Your Goals

• Increase Learning Retention
• Adoption of learned skills and integration of new
  concepts into clinical practice.
• Improve Critical Thinking Skills
• Increase early identification of a DUC
  (Determining Underlying Conditions).
• Reduce failures to rescue.
• Increase Learner Satisfaction
• Improved program evaluations.

7
Developing Implementing the Simulation Plan

• When What ?
• Nurse Residency Seminars
• Nurse Externship Program
• Clinical Emergency Courses
• Adult Pediatric Advanced Life Support Courses
• Nursing Department Orientations
• Clinical Debriefings
• Medical Staff Continuing Education

8
Developing Implementing the Simulation Plan

• Where?
• Physical space
• Dedication simulation room
• Patient room
• Storage
• Manikins Equipment
• Low, Mid High Fidelity manikins
• Video, headwalls, sink, monitors, crash carts,
  beds, medical supplies

9
Developing Implementing the Simulation Plan

• Who?
• Identify your simulation coordinator champion!
• Identify your technical support expert
• Identify your facilitators
• Provide education.... and more education ... and
  then some more education!

10
Developing Implementing the Simulation Plan

• How?
• Purchased scenarios versus developing your own
  scenarios.
• Consider when you will use simulation and what
  objectives you want the participant to
  accomplish.
• Consider your human and financial resources.

11
Evaluating the Simulation Plan

• Lessons Learned
• Start small, think big!
• Identify secure necessary resources
  equipment, technical support, facilitator...
• Provide the necessary training....and then more
  training!
• Seek opportunities to partner.
• Create a wish list.
• Educate your Leaders, your Board your
  Foundation!.
• Measure share your results.