Gloria F. Donnelly, Ph.D., RN, FAANDean and Professor

College of Nursing and Health ProfessionsDrexel UniversityPhiladelphia, PA

Collaborative Family Healthcare Association 13th Annual ConferenceOctober 27-29, 2011 Philadelphia, Pennsylvania U.S.A.

Session A4October 29, 201110:30 AM to Noon

Need/Practice Gap & Supporting Resources

The use of simulation to educate health professionals is a growing enterprise. There is an

expanding body of literature and research demonstrating that using simulation with deep

debriefing, mixed method evaluation and constructive feedback is preparing more

collaborative, safer and more confident health professionals.

ObjectivesAt the end of the presentation participants should

be able to:

1.Identify the rationale and benefits of simulation in the preparation of safe and collaborative health professionals.2.Describe human and technological tools used in trans-disciplinary simulation.

Expected OutcomeThis presentation should stimulate further interest

in using simulation for inter professional education and for documenting its results in the

improvement of patient care.

Faculty DisclosureI have not had any relevant financial relationships

during the past 12 months.

G. F. Donnelly

Drivers of Change: Trans-disciplinary Health Professions Education

Defining the nature of quality care vs. safe careReducing adverse patient events - preventing

error.Shifting the emphasis of care from “illness” to

health promotion and prevention.Cost containment through efficient deployment of

health professionals and error reduction.Aging and diverse population – shift to health

promotion and chronic care.Disasters and emergent epidemics.Technological shifts in care, cure and education –

dealing with the knowledge explosion.Growing shortages among health professions

groups particularly faculty shortages.

Hospital Infections as Preventable ErrorAug. 14, 2008 article in the Wall Street Journal predicted that

‘Hospital infections will cause the next wave of class-action lawsuits bigger than the litigation over asbestos’.

WHY?Doctors, nurses and other hospital staff are too busy, too

distracted — or, sometimes, too arrogant — to wash up.They are the target of a growing movement aimed at cutting

rates of hospital-acquired infections that kill nearly 100,000 people in the U.S. each year, according to federal estimates.

If an auto mechanic accidentally broke your windshield while trying to repair the engine, he would never get away with billing you for fixing his mistake.

Trans disciplinary simulation builds in the opportunity to recognize, prevent and retrospectively analyze the adverse events and not to harm patients while learning is taking place.

Goals of Inter-professional Education

Faculty and health care professionals must commit themselves to teaching, learning, and working across disciplinary boundaries;

They must exchange information, knowledge, and skills;

They must have a full understanding and respect of the facets of each discipline

(Derry & Fischer, 2005)

Drexel University, CNHP, IPE Simulation Scenarios

Outpatient (Standardized Patients) 3 Scenarios in 10 rooms 2 emergent gynecological histories 2 gravid history 3 giving bad newsInpatient (Standardized Patients/High Fidelity

Patient Simulation) 2 Scenario Rooms 1 Ectopic (code) 1 Delivery and Neonatal Care

Drexel University, Inter-Professional Education Scenarios (Nursing and Medicine)

Outcomes and Future FocusIPE simulation experiences among OB/GYN

healthcare students (nursing, medicine, PT, PA) enhances mutual support and communication and promotes better patient outcomes as documented by research. Future research will focus on mechanisms to identify those prone to error, clarify decision making styles and parameters and facilitate improvements in collaborative behaviors and attitudes in team structure, leadership, and situation monitoring among multidisciplinary healthcare students.

Learning AssessmentA learning assessment is required for CE credit.

Questions and Discussion

Session Evaluation

Please complete and return theevaluation form to the classroom monitor

before leaving this session.

Thank you!