In Situ: A Mobile Simulation Journey
Stacy Seay Capel RN, MSN
Culver Nursing Education Lab
Novant Health Presbyterian Medical Center
Charlotte, NC
April 30, 2014
Making healthcare remarkable
Objectives:
•
Describe the Culver Nursing Education Lab
(NEL) and its mission.
•
Provide information and logistics regarding
mobile, in situ simulation.
•
Discuss challenges, successes and the NEL’s
plans for the future.
Our History.
Understanding the foundation.
Making healthcare remarkable
Novant
Health
Presbyterian
Medical
Center
Professional
Practice
Model
Quality-Caring Model:
•
Dr. Joanne Duffy
•
“It was designed as a middle-range theory to support the
understanding of the connections between quality health
care and caring” (Duffy, 2009, p.35)
•
“The major proposition of the model is that caring
relationships influence attainment of positive health
outcomes…” (Duffy, 2009, p.35)
School
of
Nursing
Margaret
Jean
Norwood
Culver
Donation:
•
$500,000 donation was given toward “nursing education for
Novant Health Greater Charlotte Market (NH GCM)
employed nurses, PHSON Alumni and Charlotte area
nursing students.”
•
Alumni & NH Presbyterian nursing administration advocated
for patient simulation opportunities.
•
It was determined that the Nursing Education Lab (NEL)
would provide hands on training for NH GCM employees
and area students.
Proposal:
•
Culver Nursing Education Lab would serve NH Presbyterian
Medical Center, NH Matthews Medical Center,
NH Charlotte Orthopedic Hospital, NH Huntersville
Medical Center and students in the community.
•
Program overseen and supported by NHPMC
Nursing Administration and provided with a .5 FTE
funded by the Culver Estate.
•
Infant, Pediatric, and Adult Simulators were purchased.
•
In situ approach was chosen.
Our Plan.
Building on the foundation.
Making healthcare remarkable
Why in situ?
•
Partnership with stationary simulation
lab
•
Space and funding concerns
•
Population that will be served
•
Duffy
•
Knowles
Knowles refresher:
•
Knowles describes adult learners as:
Autonomous and self- directed
Having accumulated life experiences and knowledge
Practical
Goal and relevancy oriented
•
Barriers for the adult learner:
Lack of time, money, confidence or interest
Scheduling problems
Red tape
Problems with child care and transportation
Motivation
Mobile Simulation Top Ten
Mobile Simulation Top Ten:
10. Define your mission.
The Margaret Jean Norwood
Culver Nursing Education Lab
exists to support the
GCM nursing staff,
students and community
through the use of
in situ simulation experiences
that enhance patient safety and
promote nursing education.
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
8. Start small.
7. Culture relationships.
6. Set boundaries, be flexible and go with it.
Taylor’s first day at school.
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
8. Start small.
7. Culture relationships.
6. Set boundaries, be flexible and go with it.
5. Plan your ingress and egress.
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
8. Start small.
7. Culture relationships.
6. Set boundaries, be flexible and go with it.
5. Plan your ingress and egress.
4. You will be physical.
3. Don’t forget the cord.
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
8. Start small.
7. Culture relationships.
6. Set boundaries, be flexible and go with it.
5. Plan your ingress and egress.
4. You will be physical.
3. Don’t forget the cord.
2. Use your resources.
We believe that everyone
participating in activities at the
Culver Nursing Education Lab
is intelligent, well-trained,
cares about doing their best,
and wants to improve
Adapted from Center for Medical Simulation at Harvard
Mobile Simulation Top Ten:
10. Define your mission.
9. Choose your equipment wisely.
8. Start small.
7. Culture relationships.
6. Set boundaries, be flexible and go with it.
5. Plan your ingress and egress.
4. You will be physical.
3. Don’t forget the cord.
2. Use your resources.
1. Don’t forget why you chose this journey.
Our Story.
Written and unwritten.
Making healthcare remarkable
Challenges:
•
Educator skepticism toward simulation
•
Staff attitudes related to new equipment
during hard economic times
•
Not being a techie
•
Packing, loading, unloading. Packing, Loading
•
Changes in NH’s IT infrastructure
Successes:
•
Since March 22, 2013:
29 locations
250 SCE’s
704 learners
•
Powerful moment with the NNP’s.
•
Onboarding of Dimensions
•
Awarded a gift from the Nalle Clinic
Foundation
Margaret
Jean
Norwood
Culver
Nursing Education Lab
Plans for the Future:
•
Working with two other departments to
purchase CAE Fidelis Maternal Simulator
•
Education of Simulation Champions
•
Menu
•
ROI Plan
References:
Clapper, T. C. (2013). In Situ and mobile simulation: Lessons learned… authentic
and resource intensive. Clinical Simulation in Nursing, 9(11), e551-e557.
Duffy, J. (2009). Quality caring in nursing: Applying theory to clinical practice, education,
and leadership. New York, NY: Springer Publishing Company.
Jeffries, P.R. (2007). Simulation in nursing education. New York, NY: NLN.
Knowles, M.S. (1980). The modern practice of adult education: From pedagogy to
andragogy. Englewood Cliffs: Prentice Hall/Cambridge.
The INACSL Board of Directors (2013, June). Standards. Clinical Simulation in Nursing,
9(6S), s3-s32. doi:10.1016/j.ecns.2013.04.001
Contact Information
Stacy Seay Capel RN, MSN
scapel@novanthealth.org
704.384.5597
Making healthcare remarkable