Cynthia Francis Bechtel, PhD, RN, CNE

NLN Simulation Leader

Simulation is not a fad

Simulation is a technique not a technology

Simulation is a teaching methodology Comments from the Debra Spunt lecture at

2011 NLN Summit

Simulation

“Activities that mimic the reality of a clinical environment and are designed to demonstrate procedures , decision making, and critical thinking through techniques such as role playing and use of devices such as interactive videos and manikins” (Jeffries, 2005).

NCSBN survey of 1060 pre-licensure nursing programs

87% use high or medium fidelity simulation

55% use simulation in more than 5 courses

81% think they should use more simulation, but feel need for more faculty training

(Hayden, 2010)

Systematic review in JAMA 2011

609 studies with 35, 226 trainees

To what extent are simulation technologies for training health care professionals associated with improved outcomes in comparison to no intervention?

How do outcomes vary for different simulation instructional designs?

(Cook et al., 2011)

Time

Training

N/A or attitude

Lack of space and equipment

Funding

Staffing

Engaging all students (Jensen, et al., 2009)

Fear failure or looking foolish

Misperception that simulation is more risk than benefit

(Blazeck, 2011)

I feel simulation is a valuable teaching and learning approach for nursing students. Nursing students enjoy being interactive in simulations which give them valuable skills to utilize in the clinical area, while aiding them to understand concepts of patient care. I feel if nursing faculty are given the time to learn, either by simulation user networks, peer teaching, or formal classes, they will begin to understand the value and richness it adds to the students experience in their nursing program.

• Bill Deane MassBay CC

NURC 915

Advanced technology and informatics

Includes introduction to simulation

NURE 991

Application of technology to education

Includes preceptorship in simulation

National League for Nursing (NLN)

The Simulation Innovation Resource Center (SIRC) http://sirc.nln.org/

ACES http://www.nln.org/facultydevelopment/facultyresources/aces/index.htm

NLN Simulation Leader

HITS scholars

NLN technology conference

International Nursing Association for Clinical Simulation and Learning (INACSL)

http://www.inacsl.org/INACSL_2010/index.php

Standards of best practice

Journal: Clinical Simulation in Nursing

Listserv

Annual June conference

Society for Simulation in Healthcare (SSH) https://ssih.org/

Interdisciplinary

Journal

Annual conference in January

National Council of State Boards of Nursing Simulation Study

https://www.ncsbn.org/2094.htm

Attend conferences

Join professional organizations

Read journals

Role model for colleagues

Write about your experiences

Do research studies

Precept students

Blazeck, A. (2011). Simulation anxiety syndrome: Presentation and treatment. Clinical Simulation in Nursing, 7(2), e57-e60. doi:10.1016/j.ecns.2010.05.002

Cook, D.A., Hatala, R., Brydges, R., Zendejas, B., Szostek, J.H., Wang, A.T., … Hamstra, S.J. (2011). Technology-enhanced simulation for health professions education: A systematic review and meta-analysis. JAMA, 306(9), 978-988. doi: 10.1001/jama.2011.1234

Griffin-Sobel, J.P. (2009). The ENTRÉE model for integrating technologically rich learning strategies in a school of nursing. Clinical Simulation in Nursing, 5(2), doi: 10.1016/j.ecns.2009.01.008

Hayden, J. (2010). Use of simulation in nursing education: National survey results. Journal of Nursing Regulation, 1(3), 52-57.

Jeffries, P.R. (2008). Getting in S.T.E.P. with simulation. Simulation takes educator preparation. Nursing Education Perspectives, 29(2), 70-79.

Jeffries, P.R. (Ed.). (2009). Simulation in nursing education: From conceptualization to evaluation. New York, NY: National League for Nursing.

Jeffries, P.R., & Battin, J. (2012). Developing successful health care education simulation centers. New York, NY: Springer Publishing.

Jensen, D. A., Johnson, N., Larson, G., Berry, C., & Benner, G.H. (2009). Nursing faculty perceptions of obstacles in utilizing manikin-based simulations and proposed solutions. Clinical Simulation in Nursing, 5(1), doi: 10.1016/j.ecns.2008.09.004

King, C., Moseley, S., Hindenlang, B., & Kuritz, P. (2008). Limited use of the human patient simulator by nurse faculty: An intervention program designed to increase use. International Journal of Nursing Education Scholarship, 5(1), 1-17.