What is high fidelity simulation?
An educational strategy that has been
gaining traction within nursing over the
last five to ten years (Goldsworthy & Graham,
2013).
mimics the practice setting
encourages transfer of learning (theory
to practice)
allows students to practice in a safe
setting where the repetition of skills can
occur along with reflective debriefing
Is Simulation Effective?
Simulation:
Increases competence (Cant & Cooper,
2010)
Significantly increases critical care self-
efficacy(Goldsworthy, 2014)
Decreased medication errors in nurses
receiving a simulation intervention (Forde et al., 2010; Sears, Goldsworthy & Goodman,
2010).
Things to consider…Preparing
Students Level of the student
Learning Objectives
Pre-tests
Discussion
Pre-reading
Virtual Simulations
Simulation best practices (INACSL, 2013)
Things to consider…Instructor
Preparation
Resources (human/equipment)
Skill sets of instructors/mentoring
How simulation fits into larger curriculum
Equipment list + props
Size of class/numbers in actual simulation
Type of simulation? High fidelity/Virtual/Standardized
Patients
Creating Realism in Simulation
How do you do it? ‘suspending disbelief’
Psychological fidelity
How ‘real’ does it need to be?
Tips
Stick to the objectives
Timing/Phases
Consider roles carefully
Standardized patients and scripts…
Running ‘on the fly’ vs. pre-programming
‘Pauses’
Repetition (to build self-efficacy and competency)
Competency Checklists
Action Evidence Met Unmet
When patient is
experiencing angina:
1. Performs focused
cardio-respiratory
assessment
Correct actions chosen
during virtual simulation
2. Elevates head of
bed
Correct actions chosen
during virtual simulation
3. Administers oxygen
2 to 5 L by nasal
cannula
Correct actions chosen
during virtual simulation
4. Obtains vital signs Correct actions chosen
during virtual simulation
5. Administers
nitroglycerin
sublingual every 5
minutes to a maximum
of 3 doses while patient
has angina
Correct actions chosen
during virtual simulation
6. Re-evaluates
patient’s
discomfort/pain,
symptoms and vital
signs prior to each
Correct actions chosen
during virtual simulation
ResourcesGoldsworthy,S. Graham,L.(2013).SImulatıon Sımplıed: A guıde forcrıtıcal care educators, Lıppıncott, Phıladelphıa.
Goldsworthy, S., Graham, L.(2013) Sımulatıon Sımplıfıed: A labmanual for students, Lıppıncott, Phıladelphıa.
Goldsworthy, S. (2012). High fidelity simulation in critical care: A Canadian perspective, Collegian Journal, 19(3), 139-143.
Sears, K., Goldsworthy,S., Goodman,W. (2010) The Relationship Between Simulation and Medication Safety. Journal of Nursing Education, 49 (1).
Rose, L., Goldsworthy, S., O’Brien-Pallas, L., Nelson, S. (2008) Critical care nursing education and practice: Differences in the Canadian and Australian context. International Journal of Nursing Studies, Volume 45, Issue 7, Pages 1103-1109.
Top Related