Lorrie Wong RN PhD CHSE-A
University of Hawaii-Manoa Nursing
Translational Health Science Simulation
Center
E Komo mai
Aloha
Consortium Curriculum
 Year 1 and 2 common curriculum among all partner
schools
 Year 3 focus on community global health and
leadership/management
Clinical sites
 Decreased availability for acute care clinical sites
 Especially for pediatrics
 Competing with other schools of nursing and new
programs within our own school.
 Solutions:
 Increased use of long term care facilities
 Increased integration of simulation

Ensure all students have exposure to select clinical situations.
Simulation: THSSC Mission
To improve health outcomes by providing programs
which promote and enhance safe, quality healthcare
through clinical competence, teamwork and interprofessional collaboration.
Purpose or Goal for use of
simulation :
 Deliberate Practice of
a skill- low/mid
fidelity manikins
 Clinical experiencehigh fidelity and
Simulated Patient
experience
Determined Curricular threads
(concepts) –high fidelity
 key threads
 Critical thinking
 Communication
 Safety
 Teamwork
 Priority setting & delegation
 Culture
Determined Selected Critical
incidents (mega cases)
 Determined selected critical incidents that every
student is guaranteed to be exposed to:
 Department of Health vital statistics and NCLEX

Most common health issues and ethnic desparities
 Hawaiian and Pacific Islanders have high incidence of
 Asthma and COPD common Resp
 AMI
 Diabetes type 2
SONDH:
THE VILLAGE: Overview
A village of 7 families who reflect the
rich cultural diversity of the Hawaiian
Islands is currently being created to be
used as a framework for simulation and
case studies within the curriculum
Location: The families reside in a mix of
both rural and urban settings on the
islands of Oahu, Kauai, Maui, and the Big
Island of Hawaii.
Ethinicity/culture: Groups represented
include Portuguese, Hawaiian,
Chinese/Japanese, Filipino, Caucasian,
Micronesian, and African American.
SONDH:
THE VILLAGE (Building)
The Process
1. Storyboards, history and physicals,
ecomaps, genograms and community
surveys are developed for family member.
2. Disease states were selected based on
vital statistics obtained from the Hawaii
State Department of Health.
3. Content validation: through
consultation with at least 2 identified
medical experts and cultural leaders.
4. Students encounter these families in
simulation activities over the three years
of their undergraduate curriculum. Each
year the families will evolve and present
with new challenges and issues
Key conceptual threads:
Concepts threaded into the simulation
scenarios include:
• clinical judgment
• communication,
• Safety
• interdisciplinary teamwork
• Culture
• priority setting and delegation
• ethics.
SONDH:
THE VILLAGE: The Families
Hawaii Island
“The Big Island”
The Kahue Family are a Hawaiian family
living in Milolii on the Big Island of Hawaii.
The family consists of:
• Mrs. Makana Kahue (tutu), her son Keoki
Kahue, his wife Makuahine , their two daughters Haunani 16yo and Leimomi. Haunani has a child
named Keoki Jr (1mo).
The Kahue’s have strong Hawaiian cultural ties
and practice many of the traditional healing
methods. Encounters with the family allow
students to about the Hawaiian culture as well as
access to care issues for rural communities.
Diseases seen in this family include DM 2 with its
many complications, Asthma, and obesity. The 16
yo daughter will have a child out of wedlock and
they will also “hanai” –unofficially adopt- a child
SONDH:
THE VILLAGE
Kauai
The Garden Isle
The Gomes family is of Portuguese
descent. Mr. Gomes is 54yo and is a
smoker who develops COPD and
eventually requires home oxygen.
Mrs. Gomes is a smoker and develops
Pancreatic cancer. They have a son
who is “hanai’d” to the Kahue Family.
They have two teen children who are
in the rebellion phase and experiment
with drugs and car racing.
The Russo’s are a Caucasian
couple and they dealing with
infertility and skin cancer.
SONDH:
THE VILLAGE
Staff Sergeant Tyron Jones lives in
Schofield Barracks Military housing with his
wife Ashley and their two young daughters
Tamika (3yo) and Turrell (1yo). Sgt Jones is
African American and his wife is Caucasian.
Year 1: Staff Sgt. Jones is deployed and his
wife and two children are faced with issues of
deployment
Year 2: Staff Sgt returns from deployment
suffering from posttraumatic stress disorder
and traumatic brain injury
Year 3: students work with Mr. Jones as a
divorced vet navigating the VA system.
A Micronesian family are homeless living in
Kakaako Park. Their 3 children suffer from poor
nutrition, failure to thrive and inadequate access
to health care.
Oahu: The Gathering Place
Simulated Patients
Interprofessional Education
 Sessions based on IPEC (2011) Core Competency
Domains
 These domains are informed by seminal IPE documents
prepared by the IPE workgroup (2011) and others. The
four competency domains include:
 Values and ethics.
 Roles, responsibilities, and leadership within the
interprofessional team.
 Interprofessional communications.
 Interprofessional team work and team-based care.
HIPSTER Course Description
 Using patient simulation, the setting of common
hospital medical emegencies are used to train a mixed
group of nursing, pharmacy, respiratory therapy and
medical students in the skills required to work in an
optimal interprofessional team.
HIPTCS
 Hawaii Interprofession Team Collaboration
Simulation
 Nursing, Pharmacy, Social work and Medical Students
collaborate to create a culturally appropriate, patient
centered discharge plan for a geriatric fall patient.
Number of hours designated for
simulation
 Clinical hours vs didactic (lecture hours)
 Hawaii has no Board of Nursing regulations


Many states in the US have limitations of 25% of clinical hours
can be in simulation
Maintain 25-30% maximum (more in first 2 years and
decreased in last year)