Teaching with Simulation:
Creating a Faculty Workshop
Valerie Herbert, MSN, RN, CNE
Tracey Arno, BSN, RN
Healthcare Simulation?
1. Attempt to mimic a clinical situation
2. Goal of understanding and managing situations
in actual clinical practice
3. Technique that represents a real event
4. Facilitates Problem Based Learning (PBL)
Why Simulation?
• Changes in Healthcare Environment
• Focus on Patient Safety and Quality
• Bridge from Static Lab to Clinical
• High Stakes—Low Exposure
• Platform for all students same experience
Faculty Development
• Faculty Development—mostly on the fly
• Mentoring by Peers
• Attending National Conferences
• Identified as a major Barrier for Effect Simulation
Implementation
Should Simulation Replace Clinical?
1. Yes
2. No
Percentage of Clinical Replacement
with Simulation?
1. None
2. 10%
3. 25%
4. 50%
5. 75%
NCSBN 2010 SURVEY
• 1060/1729 for 62% response rate
• 83% thought we should be using more simulation
• 76% reported more faculty need to be trained to facilitate
simulation
• 30% of clinical time could be substituted with simulation
• 69% report not enough staff to run simulation controls and
oversee students
Does Simulation Count as Time in Clinical?
NCSBN Survey
No, simulation is a
supplement to
clinical
Yes, simulation is
used as a
substitute for
clinical
Yes, simulation has
been used as a
substitute on
occasion
Overall
29%
46%
18%
Associate
29%
47%
17%
Baccalaureate
27%
48%
18%
Diploma
21%
53%
21%
Prelicensure MSN
16%
51%
22%
State Board of Nursing
• Phase II Study by NCSBN
 National, multi-site study in prelicensure nursing programs
 5 ADN and 5 BSN
 3 Groups
10% Clinical Replacement
25% Clinical Replacement
50% Clinical Replacement
• Phase III: Follow up of new graduates into first year of practice
Simulation Developments….
Today and Future
NCSBN Study
Standards of Best Practice
High Stakes Assessment
Medical Simulation
Workshop
• Faculty from 4 Nursing Programs
• Immersive 2-Day educational program
• Best practice standards, simulation framework,
and current evidence
• Focused on knowledge, skills, and abilities in
simulation teaching strategies
Program Agenda: Day 1
• Introduction to Simulation—Teaching
Strategy
• Buttonology
• Debriefing
• Designing Individual Simulation Case
• Troubleshooting the Equipment
Program Agenda: Day 2
• Simulation Case Development
• Assessment and Evaluation Strategies
• Moulage
• Networking & Support
• Curriculum Integration
• Future Trends for Nursing Education
Workshop Evaluation
Following participation of the 2-Day course, I can:
1
2
Strongly
Disagre
e
1.
2.
3.
4.
5.
6.
7.
8.
9.
3
4
5
6
Neutral
Describe clinical simulation in nursing education, and the theoretical
framework for simulation design.
Identify current best practices in simulation teaching strategies.
Determine simulation approaches based on student learning objectives
and course outcomes.
Understand basic operation of mid- and high-fidelity manikins.
Develop a basic simulation experience.
Demonstrate different moulage applications for simulation.
Plan a debriefing approach.
Assess at least one type of student outcome from simulation.
Understand future trends and implication in clinical simulation.
1.
Overall how satisfied are you with the simulation as a learning experience?
2.
What was the best or most useful part of the simulation course? Least?
3.
What parts of the simulation course would you change/expand?
4.
Are you interested in further simulation educational activities? If so, which areas?
7
Strongly
Agree
N/
A
Questions?