Winds of change: Donna Ricketts, MSN, RN, CNE, OCN Cindy Frazer, MS, RN-BC, CNE, CMSRN Kristina Petrey, MSN, RN Yalanda Baker-Scalf, MSN, RN A struggle to win buy-in and build a strong simulation program

Objectives 1.Describe a process used to ensure that a simulation program was thoughtfully integrated into an ADN curriculum. 2.Discuss the literature regarding the use of simulation in nursing education. 3.Discuss techniques to obtain faculty buy-in for simulation in a nursing education program. 4.Determine specific questions that must be answered regarding development of simulation in a curriculum.

THE SIMULATION TASK FORCE Donna Ricketts, MSN, RN, CNE, OCN

Rationale for Task Force Clinical Inconsistency Limited clinical sites Recognition of emerging trends

Formulation of Task Force Grant funding Simulation Task Force committee members Choice of clinical release time/overtime pay

Original Goal Department Chair envisioned a formal simulation program to start in the Spring of 2011 Task force considering space, faculty & staffing issues, and equipment needed for a “simulation center”

Changes in Focus Progressed to incorporating simulation into curriculum. Concepts that may be better taught using simulation Opportunity for faculty to use simulation to meet student learning outcomes

Process and Timeline September 3: Feedback from colleagues and seek programs to tour September 17: Literature search and feedback of each level October 1: Formulate a vision, review student learning outcomes

Process and Timeline October 15: First draft of simulation plan, continue to tour facilities January 2011: Report to faculty

Vision Simulation will be utilized throughout the ADN curriculum to enhance didactic content and as a method to provide equitable client experiences for all students.

REVIEW OF THE LITERATURE Cindy Frazer, MS, RN-BC, CNE, CMSRN

Literature Review Method 4 independent reviews Results integrated

Definition of simulation No one clear definition of simulation We defined simulation as: the act of imitating a nursing situation or process for the purposes of performance optimization including clinical reasoning, affective processing, and psychomotor skills.

Efficacy of simulation for nursing education Simulation is effective – more research needed Gains in – Knowledge – Critical thinking – Confidence Debriefing is critical

Uses of simulation in nursing education Student’s perceptions – Increased confidence – Enjoy the experience Topics Amount of simulation – NCSBN study

Simulation for evaluation Minimal research Subjectivity – Evaluation may not be equitable High-stakes assessment via simulation – Employment – Licensure?

FACULTY BUY-IN Kristina G. Petrey, MSN, RN

Faculty Buy-In Why do you need the faculty on board? Is it possible to bring in a stray faculty member or group?

Faculty Buy-In Poll the faculty Identify the change agents Know your team members

Faculty Buy-In Some faculty members might say: – “I don’t want to give up clinical time” – “I am not good with technology” – “Students won’t value it”

Faculty Buy-In Expand the vision of simulation – Gather like minds together – Define simulation – Literature review

Faculty Buy-In Expand the vision of simulation – Pilot simulation in one course – Involve as many faculty in process as possible

Faculty Buy-In IDEAS Where do I start? – Educate faculty members about simulation – Remind faculty that this is not a new process

Faculty Buy-In IDEAS Where do I start? – Expose faculty to simulation – Experiment with faculty during faculty development events

Faculty Buy-In IDEAS Advertise – Give student success feedback to faculty – Invite faculty members to simulation experiences

Faculty Buy-In IDEAS Advertise – Gather detailed student feedback – Suggest various uses of simulation

WHAT WILL WORK FOR YOUR PROGRAM? YALANDA BAKER-SCALF, MSN, RN

Curriculum Goals Accomplish student objectives Enhance patient safety Develop critical thinking Promote communication skills Increase emergency experiences Equalize clinical experiences

To Use for Student Evaluation, or Not? Will the simulation be used for practice sessions only? Will the simulation be used for a graded check-off?

Resources Needed Simulation Equipment Physical Space for Lab Other Supplies and Equipment Cost of Training of Faculty Faculty Time to Develop Scenarios Pre-packaged scenarios

Objectives 1.Describe a process used to ensure that a simulation program was thoughtfully integrated into an ADN curriculum. 2.Discuss the literature regarding the use of simulation in nursing education. 3.Discuss techniques to obtain faculty buy-in for simulation in a nursing education program. 4.Determine specific questions that must be answered regarding development of simulation in a curriculum.

References Bambini, D., Washburn, J., & Perkins, R. (2009). Outcomes of clinical simulation for novice nursing students: Communication, confidence, clinical judgment. Nursing Education Perspectives, 30, Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Book highlights from educating nurses: A call for radical transformation. Retrieved from highlights#summary. Cant, R.P., & Cooper, S.J. (2009). Simulation-based learning in nurse education: Systematic review. Journal of Advanced Nursing, 39 (2), Cato, M. L., Lasater, K. & Peeples, A. I. (2009). Nursing students’ self- assessment of their simulation experiences. Nursing Education Perspectives, 30,

References Crimlisk, J.T., Johnstone, D.J., & Sanchez, G.M. (2009). Evidence-based practice, clinical simulations workshop, and intravenous medications: Moving toward safer practice. MEDSURG Nursing, 18, Decker, S. (2007). Simulations: Education and ethics. In P. R. Jeffries (Ed.), Simulation in nursing education: From conceptualization to evaluation. (pp ). New York, NY: National League for Nursing. Dreifuerst, K.T. (2009). Essentials of debriefing in simulation learning: A concept analysis. Nursing Education Perspectives, 30, Gantt, L.T. (2010). Using the Clark simulation evaluation rubric with associate degree and baccalaureate nursing students. Nursing Education Perspectives, 31, Havanscek, M.T. (2007). Using simulations in nursing education. In P. R. Jeffries (Ed.), Simulation in nursing education: From conceptualization to evaluation. (pp. 1-9). New York, NY: National League for Nursing.

References Medley, C. & Horne, C. (2005). Educational innovations. Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44 (1), National Council of State Boards of Nursing (NCSBN). (n.d.). The national simulation study. Retrieved from Shepard, C.K. (2010). Investigating the use of simulation as a teaching strategy. Nursing Standard, 24, Shiavenato, M. (2009). Reevaluating simulation in nursing education: Beyond the human patient simulator. Journal of Nursing Education, 48, Smith, S. J. & Roehrs, C. J. (2009). High-fidelity simulation: Factors correlated with nursing student satisfaction and self-confidence. Nursing Education Perspectives, 30,

References Smith-Stoner, M. (2009). Using high-fidelity simulation to educate nursing students about end-of-life care. Nursing Education Perspectives, 30, Smith-Ward, P. (2008) The effect of simulation learning as a quality initiative. Urologic Nursing, 28, Task Force on Academic Health Centers, The Commonwealth Fund. (2004, February) Envisioning the future of academic health centers. Retrieved from Reports/2003/Feb/Envisioning-the-Future-of-Academic-Health- Centers.aspx Tuoriniemi, P. & Schott-Baer, D. (2008). Implementing a high-fidelity simulation program in a community college setting. Nursing Education Perspectives, 29,

Presenters Donna Ricketts, MSN, RN, CNE. OCN – Cindy Frazer, MS, RN-BC, CNE, CMSRN – Kristina Petrey, MSN, RN – Yalanda Baker-Scalf, MSN, RN – Eastern Kentucky University, Richmond, Kentucky