setting the stage for effective simulation · setting the stage for effective simulation nichole...
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Setting the Stage for Effective SimulationNichole Jackson, DNP, MSN, RN, CNE, CHSE
OHCWC 12th Annual Simulation Conference
May 22, 2018
Conflict of interest disclaimer
� The presenter has no conflicts of interest to disclose at this time.
Objectives
� Explore the essential nature of establishing a shared mental model regarding simulation amongst stakeholders within an organization.
� Demonstrate understanding of the facilitation role within evidence-based simulation processes.
� Cultivate individualized, professional simulation practices in alignment with evidence-based standards and recommendations.
After completion of this session, the participant will be able to:
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Simulation works!
kahoot.it
What is your why?
Video: Watch Me
Using your why…to establish a shared mental model
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Sifting through the standards…
� INACSL Standards of Best Practice: SimulationSM
� Simulation Design� Outcomes & Objectives� Facilitation� Debriefing� Participant Evaluation� Professional Integrity� Simulation-Enhanced Interprofessional Integrity
(Sim-IPE)� Operations� Simulation Glossary
to operationalize your organization’s shared mental model
Practice time
INACSL Standards of Best Practice: SimulationSM
Facilitation
Simulation structure…implementing the operational plan
� Needs Assessment
� SMART Goals & Objectives
� Simulation Format
� Scenario Design
� Appropriate Fidelity
� Facilitative Approach
� Simulation Walk Thru (Pilot)
� Provision of Preparation Materials to Participants
� Briefing/Pre-briefing� Psychologically Safe
Container
� Simulated Clinical Experience
� Debriefing
� Evaluation� Participants, Facilitators,
SCE, Facility, Support Team
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Need to know information…
� INACSL Standards of Best Practice: SimulationSM
� Teaching-learning theories & frameworks
� Simulators & equipment specifics
� Institutional practices & policies
the springboard to further development
Continuing the journey…
� Association of Standardized Patient Education (ASPE).� http://www.aspeducators.org
� Center for Medical Simulation.� https://harvardmedsim.org
� Laerdal: Simulation User Network (SUN).� http://www.laerdal.com/us/learn/sun/
� METI: Human Patient Simulation Network (HPSN).� http://www.hpsn.com/#sec_1
� Simulation Innovation Resource Center (SIRC): An Interactive Global Simulation Community.
� http://sirc.nln.org
� NLN: SIRC Faculty Development Toolkit of Simulation Resources.� http://sirc.nln.org/pluginfile.php/18733/mod_page/content/23/Faculty%20DevelopTo
olkitFINAL%2002-16.pdf
� Society for Simulation in Healthcare (SSIH).� http://www.ssih.org
� The International Nursing Association for Clinical Simulation and Learning (INACSL).
� http://www.inacsl.org/i4a/pages/index.cfm?pageid=1
through seeking further development & quality improvement
Continuing the journey…
� NLN Simulation Leadership Program
� CAE-INACSL Simulation Fellowship
� Simulation certifications
� Simulation certificates & degrees
� Additional thoughts…
at the next level
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Keeping the team on track…
� Establishing a shared mental model among stakeholders
� Theoretical foundations & frameworks for simulation practices & associated processes
� Safe space mentality that extends to facilitators and participants
� Policies & procedures for simulation
� Objectives & scenarios that fit curriculum needs assessment
� Clearly defined roles & expectations
� Uniform understanding & use of simulation terminology
� Standardized forms & processes
� Pre-recorded briefing videos & orientation materials
� Scenario walk thru times
� Additional thoughts…
tips to maintain consistency across the simulation curriculum
Summary of ideas
� Find your why.
� Facilitate your what.
� Further your way.
Plan of action… identifying areas of needed clarification & prioritizing next steps
Muddiest PointsNeed More Information
� 1.
� 2.
� 3.
Action ItemsIdeas for Integration
� 1.
� 2.
� 3.
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References
� Alexander, M. (2015, October). NCSBN simulation guidelines for prelicensure nursing programs. Journal of Nursing Regulation, 6(3), 39-42.
� INACSL Standards Committee (2017, December). INACSL standards of best practice: SimulationSM: Operations. Clinical Simulation in Nursing, 13(12), 681-687. https://doi.org/10.1016/j.ecns.2017.10.005.
� INACSL Standards Committee (2016, December). INACSL standards of best practice: SimulationSM. Clinical Simulation in Nursing, 12(S), S1-S50. http://dx.doi.org/10.1016/j.ecns.2016.09.005.
� Jeffries, P. R., Dreifuerst, K. T., Kardong-Edgren, S., & Hayden, J. (2015, January). Faculty development when initiating simulation programs: Lessons learned from the national simulation study. Journal of Nursing Regulation, 5(4), 17-23.
� Rutherford-Hemming, T., Lioce, L., Kardong-Edgren, S. S., Jeffries, P. R., & Sittner, B. (2016, January). After the National Council of State Boards of Nursing simulation study-Recommendations and next steps. Clinical Simulation in Nursing, 12(1), 2-7. http://cx.doi.org/10.1016/j.ecns.2015.10.010.
Additional resources
� Harder, N. (2015). Replace is not a four letter word. Clinical Simulation in Nursing, 11, 435-436.
� http://dx/doi.org/10.1016/j.ecns.2015.07.001
� Jeffries, P. R. (2016). The NLN Jeffries simulation theory. Philadelphia, PA: Wolters Kluwer.
� National League for Nursing (2015). A vision for teaching with simulation: A living document from the National League for Nursing.
� http://www.nln.org/docs/default-source/about/nln-vision-series-(position-statements)/vision-statement-a-vision-for-teaching-with-simulation.pdf?sfvrsn=2
� Oklahoma Board of Nursing (2016). Simulated patient care experience (SPCE) for registered and practical nursing programs guidelines.
� http://nursing.ok.gov/spcegl.pdf
� Rudolph, J.W., Raemer, D. B, & Simon, R. (2014). Establishing a safe container for learning in simulation: The role of the presimulation briefing. Simulation in Healthcare, 00(00), 1-11. doi: 10.1097/SIH.0000000000000047
Additional resources…continued
� Debrief2Learn Website.� https://debrief2learn.org
� Jeffries, P. R. (2007). Simulation in nursing education: From conceptualization to evaluation. New York, NY: National League for Nursing.
� Levine, A. I., DeMaria, Jr, S., Schwartz, A. D., & Sim, A. J. (Eds.). (2013). The comprehensive textbook of healthcare simulation. New York, NY: Springer.
� Lopreiato, J. O. (Ed.), Downing, D., Gammon, W., Lioce, L., Sittner, B., Slot, V., Spain, A. E. (Associate Eds.), and the Terminology & Concepts Working Group. (2016). Healthcare Simulation Dictionary. Retrieved from:
� http://www.ssih.org/Dictionary
� Palaganas, J, Maxworthy, J.C., Epps, C., & Mancini, M.A. (Eds.). (2014). Defining excellence in simulation programs. Philadelphia: Wolters Kluwer.
� Simulation Innovation Resource Center (SIRC): Resources.� http://sirc.nln.org/mod/page/view.php?id=843#toolstips
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Questions & Commentsnichole.jackson@okbu.edu
Thank You � Please fill out your evaluations. Your feedback is essential and appreciated!
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