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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!