High-fidelity Patient Simulation in Nursing Education

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2009-05-14
  • Publisher: Jones & Bartlett Learning
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High Fidelity Patient Simulation in Nursing Education is a comprehensive guide to developing and implementing a high-fidelity patient simulation in a clinical setting. It is a necessary primer for administrators and nursing programs starting out with this technology. It includes examples for setting up a simulator program for nurses, developing and implementing this technology into particular clinical and laboratory courses, and setting up refresher courses in hospital settings. The text features appendices and case scenarios. Key topics include: History of simulation in Nursing Education Setting up a simulation program in a variety of settings Evidence-based research on high-fidelity simulation Integrative review of the existing nursing research and a discussion of theories used with high-fidelity patient simulation studies Debriefing Evaluation using high-fidelity patient simulation The future of high-fidelity patient simulation in nursing

Table of Contents

Prefacep. xiii
Contributorsp. xvii
Foundationsp. 1
History of Simulation in Nursingp. 3
Factors Influencing the Use of Simulationp. 3
The Continuum of Simulationp. 8
Conclusionp. 19
A Synthesis of Theory and Nursing Research Using High-Fidelity Patient Simulationp. 27
Theoretical Frameworks Used in Nursing Simulationp. 27
Nursing Research Involving High-Fidelity Patient Simulationp. 29
Recommendations for Future Nursing Researchp. 51
Conclusionp. 53
Setting up a Simulation Programp. 57
Developing and Implementing a Simulation Program: Baccalaureate Nursing Educationp. 59
The BYU Experience: Planning and Integrationp. 61
Suggestions for Successful Implementationp. 65
BYU Evolution and Future Plansp. 73
Developing and Implementing a Simulator Program: Associate Degree Nursing Educationp. 75
Environmental and Space Concernsp. 75
Progress with Environmental and Space Concernsp. 77
Faculty Education and Simulator Usep. 79
Planning for a Second Set of Tripletsp. 80
Initial Costsp. 82
Ongoing Costsp. 84
Maintenancep. 84
Student Involvementp. 84
Evolution and Future Plansp. 85
Graduate Nurse Anesthesiap. 87
Introductionp. 87
Enhancing Patient Safetyp. 88
Nurse Anesthesia Program Use of Simulated Learningp. 90
Valid Outcome Measures/Evaluation Plansp. 91
Clinical Simulation Consortiap. 92
Role of Accreditation Agencies Related to Simulated Activitiesp. 93
Simulation in Continuing Education and Credentialingp. 94
Simulation in a Nurse Anesthesia Curriculump. 95
Summaryp. 104
Statewide Nursing Simulation Programp. 115
Introductionp. 115
Background: Statewide Nursing Simulation Programp. 117
Staffingp. 118
Equipmentp. 121
Environment and Space Considerationsp. 127
Evolution and Future Directionp. 130
Creating an Interdisciplinary Simulation Centerp. 133
Introductionp. 133
Identifying the Needp. 133
Identifying Stakeholdersp. 134
Establishing Goalsp. 137
Faculty Selectionp. 138
Faculty Developmentp. 140
Curriculum Developmentp. 142
Going Forwardp. 146
An Interdisciplinary Simulation Training and Education Program for an All-Hazards Responsep. 149
Introductionp. 149
Center for Public Health Preparednessp. 149
The Center for Public Health Preparedness at Burlington County Collegep. 150
Planning: The Road to Preparednessp. 151
What Are Simulators?p. 154
Simulation Resource Managementp. 156
See How It Runsp. 159
A Nurse Is a Nurse Is a Nurse...Not!p. 162
Future Directionsp. 163
Hospital-Based Competency Developmentp. 167
Planningp. 167
Number and Types of Personnel for Staffingp. 170
Faculty Educationp. 173
Developing Scenariosp. 176
Costsp. 176
Environmental/Space Concernsp. 179
Maintenancep. 180
Involving Learnersp. 181
Continuing Educationp. 182
Evolution and Future Plansp. 182
Acknowledgmentsp. 185
Developing and Implementing Scenariosp. 187
Baccalaureate Nursing Educationp. 189
Incorporating Simulation into the Curriculump. 190
Development of Clinical Scenariosp. 192
Orientation to High-Fidelity Patient Simulationp. 197
Methods of Presenting the Scenariop. 198
Evaluation of Clinical Scenariosp. 201
Faculty Developmentp. 201
Summaryp. 202
Student Version of the Scenario of the Patient with a Cardiac Conditionp. 205
Facility Version of the Scenario of the Patient with a Cardiac Conditionp. 207
Associate Degree Nursing Educationp. 211
Place of Simulation in the Curriculump. 211
Evaluating the Student Using Simulationp. 212
Identifying the Topic of the Scenariop. 213
Why and How the Scenario Was Developedp. 214
The Implementation Processp. 215
Successes and Challengesp. 217
Use of Simulation Using Different Levels of Fidelityp. 218
Student Evaluations for the Simulation Experiencep. 218
Future Changesp. 219
Advice for Faculty Who Want to Replicate the End-of-Life Scenariop. 220
End-of-Life Scenariop. 221
Preparation for Patient Scenariop. 222
Skills Required to Prepare for the Scenariop. 222
Scenario Outlinep. 223
Debriefingp. 226
Equipment Setupp. 227
Scenario Backgroundp. 228
Acute Care for Advanced Practice Nursesp. 233
Selecting a Learning Scenariop. 234
Determining a Framework for Problem Solvingp. 237
Scenario Developmentp. 247
Student Preparation for Simulationp. 259
Implementing the Simulationp. 261
Optimizing the Simulation Environmentp. 263
Maintaining a State-of-the-Art Simulation Labp. 268
Challenges in Acute Care Advanced Practice Simulationp. 269
Regional Nursing Simulation Programp. 273
Statewide Collaborationp. 273
Regional Collaborationp. 274
Use of Collaboration to Develop Specific Scenariosp. 275
Ensuring an Effective Simulationp. 298
Hyperglycemia Protocol (Subcutaneous Insulin Orders)p. 299
Interdisciplinary Simulation Centerp. 303
The Hospital-Based Interdisciplinary Simulation Center: Simulation for Practitionersp. 304
The Academic-Based Interdisciplinary Simulation Center: Simulation for Studentsp. 305
Interdisciplinary Infused High-Fidelity Clinical Simulation Scenariosp. 305
Summaryp. 321
Planning and Creating a Scenario: The Institute of Technical Education Experiencep. 323
Identifying Developersp. 323
Identifying Learnersp. 324
Identifying Learning Needsp. 325
Identifying Learning Objectivesp. 325
Scenario Craftingp. 327
Storyboardingp. 332
Conclusionp. 339
Simulation in the Hospital Settingp. 341
Targets for Scenario or Course Development for Professional Nursesp. 342
Developing Scenarios for Use within a Professional Nursing Simulation Coursep. 343
Scenario QuickView Toolp. 350
The Development Triangle Toolp. 350
Alpha Testing and Instructor Preparationp. 356
Beta Testing: Scenario Flow and Final Content Validationp. 358
Final Development Phase: Is The Scenario Ready for Use?p. 358
Conclusionp. 358
Simulation Scenario: Hemolytic Blood Transfusion Reaction in The Acute Care Hospital Settingp. 363
Student Level: Entry Level Professional Nurse (Orientation) to Experienced RN (Competency)p. 363
Facilitated Debriefingp. 369
Historical Origins of Debriefingp. 370
Importance of Debriefingp. 370
Effective Debriefing Techniquesp. 378
The Process of Verbal Debriefingp. 381
Summaryp. 384
A Curriculum for the Pre-licensure Nursing Programp. 387
Challenges Facing Nursing Educationp. 388
Pattern Recognition and Learningp. 389
Simulation as a Teaching Strategy to Address These Challengesp. 391
The Program for Nursing Curriculum Integrationp. 391
Simulation Across the Curriculump. 394
Conclusionp. 402
Evaluationp. 405
The Evaluation Plan and Processp. 406
Setting Up an Evaluation Planp. 408
Objectives/Informationp. 413
Problem Solving (Complexity)p. 415
Student Support (Cueing)p. 415
Debriefing (Guided Reflection)p. 416
Evaluation Instrumentp. 417
Evaluating the Implementation of the Simulationp. 418
Evaluating Student Learning Outcomes When Implementing Simulationsp. 418
Summaryp. 421
The Futurep. 425
Using High-Fidelity Patient Simulation: What Does the Future Hold?p. 427
Indexp. 433
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