1. Integrating Simulation into Clinical Education in Nursing: Effectiveness of Workshops to Prepare Clinical Faculty for their New RoleOshawa November 2009
Presented by: B. Nicole Harder, RN, PhD(c)

2. Session Agenda
Brief background regarding use of simulation in nursing education
Role of faculty development in simulation education
Survey conducted at the University of Manitoba on the simulation seminars for new instructors
Results
Impact for future faculty development needs
3. Background - Physical Environment
Many simulation centres developed with research and budget surrounding types of mannequins/fidelity
Planning into the physical space where the mannequins will be housed
Human resources and required faculty development are not always part of the plan
4. Background - Use of simulation
Integration of simulation into the curriculum
Planning/committees looking at placement of simulation
Many include simulation in clinical practice courses
5. Faculty Development
Initial faculty development can include:
Familiarity with the high-fidelity mannequins
How to choose appropriate scenarios
Might include how to run through a chosen scenario
While there are many similarities, teaching with this technology is different than teaching in a lecture, lab or clinical setting.
6. Desire for more
Workshops and conferences began to come up (e.g.)
We Bought the Mannequin Now What?
Simulation Conferences
International Nurses Association for Clinical and Simulated Learning
Downside
Not everyone can attend, may be expensive
.. But many people are teaching with simulation mannequins..
7. Our experience
After 2 years of investigation, purchased high-fidelity simulators (HFS) in 2005
HFS sat in box for 6 months while we figured out both how-to and what-to do with these
Received product specific workshop (4 days total) with approximately 8 staff
Decided to use simulation as part of a clinical course
8. Faculty Development Needs
Instructors who were part of the product specific workshop were going to be responsible for the mannequin
Coordinator responsible scheduling and simulation implementation
Clinical instructors were told to do what they do best: to teach the students
9. Faculty Development Needs
HOWEVER
Quickly became apparent that not everyone knew how to teach
Created a workshop for the clinical instructors that:
How to facilitate during simulation experiences
Where do I stand?When do I jump in?What is the student role?What is my role?
Making the use of cueing during the simulation
Debriefing tips
10. Survey Questions
Created a survey to evaluate whether the workshop addressed their needs or not
Questions included:
Initial reactions to simulation
Usefulness of simulation demonstrations
Feelings of preparedness to facilitate a simulation independently
Additional items they believed they would have helped them
11. Survey Results
Response rate:n=25 (46% response rate)
84% had 16 years or more as a nurse however 72% had 5 years or less of teaching experience
Less than half came to the training sessions with a positive attitude towards simulation and the majority felt stressed about the training session (56%)
12. Survey Results - continued
80% found that the demonstrations increased their comfort level in using HFS
Overall, 71% felt that that the workshop adequately prepared them to leada simulation
13. Implications of survey results
Found that while we were helping the clinical faculty, there was much more that we needed to do
Created a DVD for the instructors titled How to successfully facilitate a simulation experience
14. Implications of survey results
Mandatory workshop attendance for all new clinical instructors
Newsletter put out once or twice a term that includes activities in the simulation centre and tips for facilitating in this environment.
15. Ongoing faculty development needs
We need to go beyond the basics that we have been providing
Other research being conducted has shown that there is a disconnect between what the students believes help with their learning and what faculty believe.
16. Faculty development
17. Questions???
Thank you for your time