1. Simulation-Based Learning: Bringing Clinical Rotations to Campus
Challenged with providing nursing students with rich clinical experiences in a safe environment, Lone Star College System is using simulation mannequins and software to help future nurses save lives. Learn how the creation of a SIM Hospital improves student performance and facilitates active learning.
Lee Jerls MSN, RN
Professor
Oscar Ramos
Executive Director,
Technology Services

2. Presentation Overview
Introduction to Lone Star! Simulation Overview Technology Overview Literature Review A Day in the Life of a Student Nurse Questions

3. Overview LSCS - Enterprise
13 Locations across 1,400 square miles
5 Colleges
2 University Centers
5 Instructional Centers
Systems Office and Training Center
21 new buildings this year
5 new geographic locations
Our Customers (90,000 strong)
69,363 Credit Students
21,000 Non Credit Students
Average 25% growth per semester
Over 4,800 employees
Supported by 152 OTS staff members

4. Definition
Simulation
An attempt to mimic essential aspects of a clinical simulation with the goal of understanding and managing the situation better when it occurs in actual clinical practice.
A technique that uses a situation or environment created to allow persons to experience a representation of a real event for the purpose of practice, learning, evaluation, testing, or to gain understanding of systems or human actions

5. Why Simulation?
“Carnegie Foundation for the Advancement of Teaching Report” (Benner, Sutphen, Leonard, & Day, 2009)
“ From focus on covering decontextualized knowledge…to sense of salience, situated cognition and action in a particular situation;
From a sharp separation of clinical and classroom teaching to integration of classroom and clinical teaching;
From an emphasis on critical thinking to clinical reasoning and multiple ways of thinking that include critical thinking; and
From an emphasis on socialization and role taking to an emphasis on formation.”

6. Learning Theories
Constructivism learning theory
Adult-learning theory
Brain-based learning theory
Social-cognitive learning theory
Experiential learning theory
Novice-to expert theory

7. Definition: Fidelity
Fidelity
The degree to which either a simulation encounter or simulation equipment approaches reality ( )
Types:
Low fidelity manikins
Medium fidelity manikins
High fidelity manikins

8. Appreciative Inquiry (early 2008)
The Journey….LSC-Kingwood
History (2007)
Appreciative Inquiry (early 2008)
Lack-of-realism
Roles and responsibilities
Orientation to the unit and equipment
Faculty continuity
Scenario development

9. Nursing and OTS became partners early on in the SIM Hospital Project
Nursing and Technology Partnership
Nursing and OTS became partners early on in the SIM Hospital Project
Planning
Site Visits
Presenting

10. Advanced Video System

11. Setup is a collaborative process which include
Station setup and location
Camera and Microphone location
Software views
Secondary classroom for observation

12. Literature Review

13. Jeffries Simulation Model (2005)

14. Simulation Take Educator Preparation (Jeffries, 2008)
S.T.E.P. Educator Preparation Plan
S.T.E.P.
Simulation Take Educator Preparation (Jeffries, 2008)
Standardized Materials
Train the Trainer
Encourage the development of a simulation design and integration team
Plan to coordinate the simulation development and implementation activities

15. Strengths Weakness Opportunities Threats
S.W.O.T. Method (Rothgeb, 2008)
Strengths
Weakness
Opportunities
Threats
Simulation specialist
Debriefing facilitator
Curriculum development
Curriculum intergration
Scenario writing
Scheduling
Equipment
Audiovisual (Seropian et al, 2004a, p. 173)

16. Identification of a champion Scheduling Simple first steps Flexibility
Integration Into the Program
Identification of a champion
Scheduling
Simple first steps
Flexibility
Debriefing (Leigh & Hurst, 2008)

17. Simulation Design
Objectives
Planning
Fidelity
Complexity
Cues
Debriefing (Jeffries, 2005)

18. Evaluation Process
Debriefing
Reflection
Tools

19. National League for Nursing
The Simulation Design Scale (student version), a 20-item instrument using a five-point scale, was designed to evaluate the five design features of the instructor-developed simulations used in the NLN/Laerdal study.
Educational Practices Questionnaire (student version), a 16-item instrument using a five-point scale, was designed to measure whether four educational practices (active learning, collaboration, diverse ways of learning, and high expectations) are present in the instructor-developed simulation, and the importance of each practice to the learner.
Student Satisfaction and Self-Confidence in Learning, a 13-item instrument designed to measure student satisfaction (five items) with the simulation activity and self-confidence in learning (eight items) using a five-point scale.
SIRC - National League for Nursing
Simulation Innovation Resource Centers

20. Lone Star Kingwood College Hospital
A day in the life of a student nurse…
Lone Star Kingwood College Hospital
Mission: to deliver safe and prudent quality care while maintaining ethical, professional, and culturally acceptable standards through utilization of evidence-based practice an innovative technology
Vision: to facilitate the growth of the novice learner to the expert clinician, enhancing critical thinking skills and self-confidence in a safe, realistic, and non-threatening environment.

21. LSC-K Hospital- High Acuity Center
Orientation Process
LSC-K Hospital- High Acuity Center
Roles and responsibilities
Patient information
Confidentiality form
Scavenger hunt
Equipment
Crash carts
Paging system
Documentation
EMAR

22. Patient Census Level Roles and responsibilities Report Primary nurse
Secondary nurse
Family member
Observer
Interdisciplinary team

23. IMCU Medical Surgical OB/GYN ICU Multi-Patient Unit
Things to discuss: Unique to LSC-K Hospital
Time limit
Objectives
General and instructional
OB/GYN
ICU

24. Debriefing Discuss: Length of time Questions to facilitate discussion
Bringing it all together here

25. References
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2009). Educating nurses: A call for radical transformation. San Francisco: Jossey-Bass.
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives ,
Jeffries, P. R. (2008). Getting in S.T.E.P. with Simulations: Simulations Take educator Preparation. Nursing Education Perspectives ,
Leigh, G., & Hurst, H. (2008). We have a high-fidelity simulator, now what? making the most of simulators. International Journal of Nursing Education Scholarship , 1-10.
Rothgeb, M. K. (2008). Creating a nursing simulation laboratory: a literature review. Journal of Nursing Education ,

26. Wrapping it up
OTS and Nursing…life long relationship…commitment Research driven Competency Student-centered focus Limitation…is the lack of ability to “dream”