South Street clinic_Summit_final

South Street Clinic

A Virtual Non-Acute Care: Clinical Replacement Simulation

Jone Tiffany DNP, MA, RNC

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I have nothing to disclose

1. Describe the implementation of a non-acute care clinical experience using Virtual Reality Simulation.

2. Discuss the results of this study including how it increased student awareness of the challenges of chronic illness self-management in diverse populations.

South Street Clinic:

Kathy Tilton

Jone Tiffany DNP, MA, RNC-OB

50% in US have at least 1 chronic illness

70% of deaths per year are related to chronic illness

An increase in chronic illness care knowledge and participation is necessary within the structure of ACA

(CDC, 2013)

Self-Management Support A primary role for the RN

Does not include “telling” patients what to do

Support the patients’ efforts to daily manage

Provide information as needed/desired – remember that the most important assessment for patient education is the readiness to learn

Emotional support – might just need to listen

Problem solving strategies – different for each person

Interprofessional teamwork

Management and care of patients with chronic

illness

Ambulatory care

Local community clinic

Care of patients with chronic disease acute

care focused

Shortage of clinical sites

Competition for clinical

sites

Inconsistent

quality of ambulatory

sites

Patient interaction

Inconsistent & unpredictable

Variety of patients

Various levels of self-management ability

Comorbidities that impact self-management

Self-management of more than one chronic illness

Focus illnesses: diabetes and chronic heart failure

This is not a new concept

Internet-based computer applications in

which simulated environments are

created.

Active learning out of the gaming world

“Residents” in the form of Avatars

communicate, attend meetings and take

part in simulations.

(Skiba,2009; Robbins-Bell, 2010)

New Generation of learners

Application of Teamwork and Collaboration

Universities and Healthcare Practice Facilities all over the world - using VR for their everyday classes, meetings and seminars.

Over 150 Higher-Ed institutions

Virtual Simulation

Anthony Martino

Emma Olson

Angela Hanson

Isaac Benjamin

Anthony Martino

Emma Olson

Isaac Benjamin

Angela Hanson

What are some challenges in the ambulatory care

environment?

Chronic illness in ambulatory vs

acute care?

Why is it important to use motivational

interviewing techniques?

What did you learn about chronic

illness from your patients?

How do psychosocial issues affect

patient outcomes

Pre-and post simulation knowledge quiz.

Self-efficacy in Self-management support survey

Anecdotal comments from students

Debriefing

1St year: Grad student with low computer self-efficacy - students on one day rated experience with grad student low and students working with experienced faculty on another day rated their experience high.

2nd year: Changed the Virtual Simulation modules, pre/post test, and self-efficacy survey.

Students felt better prepared for discharge teaching

Statistically significant increase in student self-efficacy for providing support to patient/client for self-management of chronic disease.

Students learned and increased self-efficacy from Role Playing

Student Feedback

Felt more confident – using avatar

No one was watching them like in traditional simulation

Opportunity to practice self-management support

Applied what they learned in clinical

Innovative ideas – student experience in community/ambulatory care

Students report that role-playing increases their self-efficacy

Can be developed for the simulation lab – set up like a clinic room – use standardized patients for role-playing

Carr, D. (2008). Learning to Teach in Second Life, report for Learning from Online Worlds; Teaching in Second Life. Institute of Education/Eduserv Foundation, 32-45.

Centers for Disease Control and Prevention (CDC). (2010). Chronic disease prevention and health promotion. Retrieved from http://www.cdc.gov/chronicdisease/overview

Clint, M. (2007, August 10). Educational Uses of Second Life [Video file]. Video posted to http://www.youtube.com/watch?v=qOFU9oUF2HA

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Tiffany, J., Hoglund, B. (2013). Teaching/learning in Second Life: Perspectives of future nurse-educators. Clinical Simulation in Nursing, e1-36. doi:dx.doi.org/10.1016/j.ecns.2013.06.006

Email: [email protected]

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