Simulation and its Future in Education Shahzad Waheed, MD, FAAP, FRCP(C)

Simulation and its Future in EducationShahzad Waheed, MD, FAAP, FRCP(C)

Objectives

History of simulation

In Situ simulation

Role of simulation in nursing education

Communication and team work

Patient safety and simulation

Retention of Knowledge

Janeway simulation program

What is Simulation

Experimental Learning

Opportunity to realistically experience a given task or situation while minimizing Or eliminating the normally associated risks to the operator, equipment, environment, or others involved

Advantage of providing a safe learning environment, standardized and reproducible content

The ability to demonstrate problems of various levels of complexity

History of simulation

Early 1960’s

Standardized patients

Resuscitation manikins with spring loaded chest for CPR training (Resusci Annie)

Late 1960’s

SimOne: 1st computer controlled manikin

Blinking Eyes

Reactive pupils

Opening jaw

Palpable pulses

Chest rise and fall

Formula One

Flight industry

War Games

Off site vs In Situ simulation

Off Site:

There are two main types of learning to target

The individual and the team

All other factors are controlled and considered part of the simulated environment

Off site vs In Situ simulation

In Situ Simulation:

Health care delivery system are potentially subject to evaluation, reflection, and improvement and, thus, sites for learning

Four components:

Individual learning

Team Learning

Unit level learning

Organizational Learning

The role of simulation in nurse education

Descriptive survey to evaluates the role of medium to high fidelity simulation in the preparation for clinical nursing practice

Valuable method of learning

Experience with high fidelity simulators enhanced the safety of their practice

C.S. McCaughey, M.K. Traynor / Nurse Education Today 30 (2010) 827–832





Communication and

Team Work

Communication/Team Work

Descriptive study

Team consisted of Pediatric residents, one junior nurse, one senior nurse and once nurse from critical care area

Exposed to three Life threatening scenarioApnea-Bradycardia with respiratory compromise

Near drowning

Head injury with increased ICP

The Journal of Continuing Education in Nursing · July 2008 · Vol 39, No 7

Communication/Team Work

Nurses and physicians can collaborate as a team to decrease medical errors and improve patient outcomes

Improved their communication with each other and appreciation of one another's contribution

Greatly improve the multidimensional complexity of the nurse-physician relationship over time

The Journal of Continuing Education in Nursing · July 2008 · Vol 39, No 7

Allan 2010

Patient Safety

SIMULATION-BASED TRAINING FOR NURSES IN STERILE TECHNIQUES DURING CENTRAL VEIN

CATHETERIZATION

Prospective study over the period of 12 months

46 nurses completed assessment and training in assessment and training in sterile technique skills

AMERICAN JOURNAL OF CRITICAL CARE, January 2014, Volume 23, No. 1




Improved Patient Outcome



Mean scores for CPR cognitive knowledge Nurse Education Today (2006) 26, 218–227


Pass scores in CPR cognitive knowledge

Nurse Education Today (2006) 26, 218–227

Skidmore 2001

Simulation Program in Janeway

Multidisciplinary Simulation every Thursday Afternoon that include

Residents, Nurses, Respiratory

ER simulation every Thursday in AM

Pediatric anesthesia have started running simulation sessions for their nurses

NICU does Bi Weekely Simulation Session

Medical surgical ward Just started running simulation sessions for nursing staff

Simulation sessions:

2013 : 72 sessions

674 Participants

2014: 64 sessions

436 Participants

Future plan is to take simulation to different hospitals with in the provinces

Any Questions?

Documents

Simulation and its Future in Education Shahzad Waheed, MD, FAAP, FRCP(C)