The Value of Simulation in Health Care Education-Thusitha aka

8/8/2019 The Value of Simulation in Health Care Education-Thusitha aka

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The Value of Simulation inHealthCare Education

Akain Dissanayaka


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What is simulation?

Simulation is the act of imitating a realobject, incident or procedure.

Simulation is a person, device or set ofconditions which present evaluationproblems realistically. The student

responds to the problems as they wouldunder natural circumstances.


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Simulation education is....

A method to teach the application of criticalthinking skills, communication and team

interactions.(Nehring and Lashley, 2004)

When scenario-based teaching is introducedit provides a key role in training responses tohigh-risk, low-frequency clinical events.

(Nunn, 2004)

Clinical skills relevant to clinical practice can

be taught and successfully mastered bytrainees in a risk-free learning environmentwhere errors can be allowed to occur.

(Paparella et al, 2004)


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Use of simulation education

qSimulation is valuablewhen on-the-jobtraining is expensive orrisky

qqSimulation has been

adopted for training

where consequencesof error expose manypeople to risk or thecost of error is high, forexample:

AerospaceHealthcareMilitaryNuclear power

plants


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qTeach Others90% Collaborative Simulations

qLearn By Doing75% Simulations

qDiscussion Groups 50% Web Seminars, chat

qDemonstration30% Animation

qAudio Visual 20% PowerPoint Slides

qLecture 5% Streaming media

RETENTION

Source: Andersen Consulting(http://www.andersonconsultinggroup.com/)
http://www.andersonconsultinggroup.com/http://www.andersonconsultinggroup.com/


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Simulation varieties

qStandardized Patients

qImprovised Technology

qScreen Based SimulationqTask Trainers

qLow/Mid/High Fidelity Mannequins

qVirtual Reality


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qCase Scenarios with role playing

qComputerized Case Scenarios

qProgrammed Patient Training

qSurgical Box Trainer

qMannequin based Simulation SimMan (Laerdal) or

METI HPS (SimMan3G, SimBaby)

qAnesthesia OR Simulations

qVR Surgical Simulations

qMIST-VR, ES3, GI Mentor, etcqHigh-Fidelity Endovascular Simulators

qFlight Simulators for Airline Industry

Common SimulatorsLow

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THE MULTIPLE GOALS OF THESIMULATION TRAINING INCLUDE

qPromote patient safety through realistic simulated training.qEnhance efficiency and competency of providers.qIncrease communication, teamwork and critical thinking skillswith Crisis Resource Management (CRM) training.qIncrease confidence and skill levels in medical treatment for

deploying medical personnel.qProvide cutting-edge Graduate Medical Education training forresidents in multiple specialties.qRe-establish skills for returning providers Host AdvancedCardiac Life Support, Advanced Trauma Life Support, PediatricAdvanced Life Support, Trauma Nursing Core Course, and

Emergency Nursing Pediatric Course training programs.qTake the training to sites within the hospital and clinics, as wellas off-site


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Advantages of simulation training

qProvide feedbackqGive opportunities for

repetitive practiceqIntegrate simulation

into overall curriculum

qProvide increasinglevels of difficultyqProvide clinical

variation in scenariosqControl environmentqProvide individual and

team learningqDefine outcomes and

benchmarks

qDetermine what you want

to assess.qDesign a simulation that

provokes thisperformance.

qObserve/record theperformance.

qAnalyze the performance

using some type of rubric:checklist, etc.

qDebriefing, feedback andteaching.


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Literature review Evidence supports the use of simulation in healthcare

education to be an effective teaching strategy to assessand strengthen the skills and competences inhealthcare Simulation as a teaching method is complex,multifaceted and challenging.

Simulation becomes an essential component ofeducation, training, assessment and maintenance ofprofessional certification throughout healthcare

qSimulation training has a positive impact on inter-professional training and could be effective inreducing medical error

qIt allows participants to focus on skills, organisation andproblem solving within a team, rather than individuallylearning facts in isolation


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DeVita, M. A., Schaefer, J. L,. Wang, H. & Dongilli, T. (2005)Improving medical emergency team (MET) performance using

a novel curriculum and a computerized human patientsimulator. Quality and Safety in Health Care, 14, 326-331Ker, J., Mole, L. & Bradley, P. (2003) Early introduction to inter-professional learning: a simulated ward environment. MedicalEducation, 37, 248-255Shapiro, M. J., Morey, J. C., Small, S. D., Langford, C. J.Kaylor, C. J., Jagminas, l., Suner, S., Salisbury, L., Simon, R. &Jay, G. D. (2004)Simulation based teamwork training foremergency department staff: does it improve clinical teamperformance when added to an existing didactic teamworkcurriculum? Quality and Safety in Health Care, 13, 417-421

qShowed simulated-training improved inter-professional teamperformance and patient safetyqResults indicate students felt the Simulated ClinicalExperience to be an effective teaching method


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Bremner, M. N., Aduddell, K., Bennett, D. N. &VanGeest, J. B. (2006) The Use of Human PatientSimulators: Best Practices With Novice Nursing

Students. Nurse Educator, 31(4), 170-174.

Schoening, A. M., Sittner, B. J. & Todd, M. J. (2006).Simulated Clinical Experience: Nursing StudentsPerceptions and the Educators Role. Nurse

Educator, 31(6), 253-258.qProved simulated clinical experiences improved

confidence and competence in nursing studentsand prepare them for real practice.

qQualitative data analysis showed students foundsimulation a positive experience.q61% felt the experience gave them increased

confidence


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Shepherd, I. A., Kelly, C. M., Skene, F. M. & White, K. T. (2007). EnhancingGraduate Nurses Health Assessment Knowledge and Skills Using Low-Fidelity Adult Human Simulation. Simulation in Healthcare, 2(1),16-24.

Alinier, G., Hunt, B., Gordon, R. & Harwood, C. (2006) Effectiveness of

intermediate-fidelity simulation training technology in undergraduate nursing

education.Journal of Advanced Nursing, 54(3), 350-369Jefferies, P. R., Woolf, S. & Linde, B. (2003) Technology-based vs. Traditional

Instruction: A Comparison of Two Methods for Teaching the Skill ofPerforming a 12-Lead ECG. Nursing Education Perspectives, 24(2), 70-74

qThese researchers showed that simulation based trainingsare more effective than traditional teaching strategies inhealthcare education.

qThis evaluates combination of simulation training and arelevant educational framework offers a significantalternative over traditional teaching methods in preparingnew health professionals to the practice.

qMixed Simulations, Physical Simulations, StandardizedPatients, Virtual Humans and Virtual Simulations


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Current Simulation Scenarios

Thousands of clinicians, educators,administrators, and managers havebenefited from simulation training programs.These cover a range of healthcare areas,including anaesthesia, emergencymedicine, intensive care, labor and delivery,pain service, radiology, surgery, code, EMSand transport teams, and crisismanagement response in many domains.


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In conclusion, researches show the use of simulation inhealthcare education to be an effective teaching strategy toassess and strengthen the skills and competences in medical

practice. Simulated clinical scenarios provide a realistic safelearning environment that more closely represents clinicalcare, beneficial to both graduate and undergraduate studentin the transition from theory-to-practice. Improve teamperformance managing the at-risk patient with the potential

to improve patient outcome and reduce medical errors.In comparison with traditional teaching methods, simulationappears to be more effective in developing and refiningclinical skills along with non-technical skills such as

communication, clinical analysing, decision-making and inter-professional teamwork training. Used within an educationalframework with learning objectives relating to clinicalobjectives, simulation can become essential to healthcarestudies and continual professional development of health

professionals.


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Future of simulation training

However, using simulation as a teaching method iscomplex, multifaceted and challenging. Facilitatorsneed to be appropriately trained and haveadequate resources to design, develop and plansimulation training. Further research studiesshould focus on measuring the impact simulationtraining has on clinical practice and patientoutcomes to validate its use. Healthcare educationand practice have to embrace the use of simulation

training and support its use in order to continue toadvance.


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http://news.icanhascheezburger.com/2009/07/07/political-pictures-simulators-realistic/


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References ( )Bristol Medical Simulation Centre 2010 Simulation ( ) :Online Available at :// . . . /http www bmsc co uk ,

( / / )Accessed on 15 11 2010

( )CAE 2010 Healthcare( )WWW :// . . / / / . .http www cae com en healthcare resource centre asp, (Accessed on

/ / )14 11 2010 - ( ),e Learning for Healthcare 2010 Healthcare( ) : WWW Available at :// - . . / .http e lfh org uk index html,

( / / )Accessed on 15 11 2010

, ., , ., , ., , . ., , ., , . . , . ( ),Laschinger S Medves J Pulling C McGraw D R Waytuck B Harrison M B and Gambeta K 2008, ,Effectiveness of simulation on health profession students' knowledge skills confidence and

satisfaction. - , : , : International Journal of Evidence Based Healthcare Vol 6 pp 278 302

, . ( )McGuire F 2007 , : , ,Simulation in Healthcare in Handbook of Simulation Principles Methodology, ,Advances Applications and Practice ( . ), & , ., , , .ed J Banks John Wiley Sons Inc Hoboken NJ USA

, . ., & , . . ( ). .Nehring W M Lashley F R 2004 Using of the patient simulator in nursing education Annual. .Review of Nursing Education Vol 2, - .163 181

, . ( ). .Nunn A 2004 Almost the real thing ,Nursing Management 11( ), - .7 7 14 18

( )OMNI Architects 2010 Medical Simulation( ) : WWW available at:// . - . / . = - - - #http www omniarch ny com index php? section institute for medical simulation 2slideShow1,

( / / )Accessed on 14 11 2010

, , , , , , . ( )Paparella D Galeone A Venneri MT Coviello M Scrascia G Marraudino N et al 2006 Activation of.the coagulation system during coronary artery bypass grafting operation comparison between on

. ., , : -pump and off pump techniques J Thorac Cardiovasc Surg vol 131 290 29

( )( ) :The Society for Simulation in Healthcare 2010 WWW available at:// . . / / / / .http www ssih org SSIH ssih Home Default aspx, ( / / )Accessed on 15 11 2010

:// . - . / / /http www sesam web org centers bristol

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Thank you !

The Value of Simulation in Health Care Education-Thusitha aka

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