Cynthia Francis Bechtel, PhD, RN, CNE NLN Simulation Leader
Simulation is not a fad
Simulation is a technique not a technology
Simulation is a teaching methodology Comments from the Debra Spunt lecture at
2011 NLN Summit
Simulation
“Activities that mimic the reality of a clinical environment and are designed to demonstrate procedures , decision making, and critical thinking through techniques such as role playing and use of devices such as interactive videos and manikins” (Jeffries, 2005).
NCSBN survey of 1060 pre-licensure nursing programs
87% use high or medium fidelity simulation
55% use simulation in more than 5 courses
81% think they should use more simulation, but feel need for more faculty training
(Hayden, 2010)
Systematic review in JAMA 2011
609 studies with 35, 226 trainees
To what extent are simulation technologies for training health care professionals associated with improved outcomes in comparison to no intervention?
How do outcomes vary for different simulation instructional designs?
(Cook et al., 2011)
Time
Training
N/A or attitude
Lack of space and equipment
Funding
Staffing
Engaging all students (Jensen, et al., 2009)
Fear failure or looking foolish
Misperception that simulation is more risk than benefit
(Blazeck, 2011)
I feel simulation is a valuable teaching and learning approach for nursing students. Nursing students enjoy being interactive in simulations which give them valuable skills to utilize in the clinical area, while aiding them to understand concepts of patient care. I feel if nursing faculty are given the time to learn, either by simulation user networks, peer teaching, or formal classes, they will begin to understand the value and richness it adds to the students experience in their nursing program.
• Bill Deane MassBay CC
NURC 915
Advanced technology and informatics
Includes introduction to simulation
NURE 991
Application of technology to education
Includes preceptorship in simulation
National League for Nursing (NLN)
The Simulation Innovation Resource Center (SIRC) http://sirc.nln.org/
ACES http://www.nln.org/facultydevelopment/facultyresources/aces/index.htm
NLN Simulation Leader
HITS scholars
NLN technology conference
International Nursing Association for Clinical Simulation and Learning (INACSL)
http://www.inacsl.org/INACSL_2010/index.php
Standards of best practice
Journal: Clinical Simulation in Nursing
Listserv
Annual June conference
Society for Simulation in Healthcare (SSH) https://ssih.org/
Interdisciplinary
Journal
Annual conference in January
National Council of State Boards of Nursing Simulation Study
https://www.ncsbn.org/2094.htm
Attend conferences
Join professional organizations
Read journals
Role model for colleagues
Write about your experiences
Do research studies
Precept students
Blazeck, A. (2011). Simulation anxiety syndrome: Presentation and treatment. Clinical Simulation in Nursing, 7(2), e57-e60. doi:10.1016/j.ecns.2010.05.002
Cook, D.A., Hatala, R., Brydges, R., Zendejas, B., Szostek, J.H., Wang, A.T., … Hamstra, S.J. (2011). Technology-enhanced simulation for health professions education: A systematic review and meta-analysis. JAMA, 306(9), 978-988. doi: 10.1001/jama.2011.1234
Griffin-Sobel, J.P. (2009). The ENTRÉE model for integrating technologically rich learning strategies in a school of nursing. Clinical Simulation in Nursing, 5(2), doi: 10.1016/j.ecns.2009.01.008
Hayden, J. (2010). Use of simulation in nursing education: National survey results. Journal of Nursing Regulation, 1(3), 52-57.
Jeffries, P.R. (2008). Getting in S.T.E.P. with simulation. Simulation takes educator preparation. Nursing Education Perspectives, 29(2), 70-79.
Jeffries, P.R. (Ed.). (2009). Simulation in nursing education: From conceptualization to evaluation. New York, NY: National League for Nursing.
Jeffries, P.R., & Battin, J. (2012). Developing successful health care education simulation centers. New York, NY: Springer Publishing.
Jensen, D. A., Johnson, N., Larson, G., Berry, C., & Benner, G.H. (2009). Nursing faculty perceptions of obstacles in utilizing manikin-based simulations and proposed solutions. Clinical Simulation in Nursing, 5(1), doi: 10.1016/j.ecns.2008.09.004