1. Simulation CenterDevelopment Project
Simulation Clinical Education Training for PNCI
Coppin State University: Helene Fuld School of Nursing
Baltimore, Maryland 21216
Simulation Strategies for Partnerships in Clinical Education
Together They Stand For Success
Faculty Organization Meeting
January 22, 2010
Dr. Rena Boss-Victoria, Director Simulation Center

2. INTRODUCTION
The transition from a didactic environment into clinical practice is reported as a time of fear and uncertainty among nursing students.
Simulation Education Methodology can lessen the fears and anxieties in students.
Ham and ORourke, 2004 and Shepherd et al, 2007.
3. Objectives
Define OUTCOMES in the context ofstrategic planning components for simulation clinical experiences.
Present the design of infrastructure, processes and measurable statements for application of clinical practice simulation education methodology for simulation clinical experiences in core clinical courses of the undergraduate and graduate nursing programs.
3.Facilitate discussion of faculty on nursing clinical skill acquisitions that can be validated as desired clinical practice simulation teachingoutcomes using simulation education methodologies.
4. CSUs Strategic Goals Aligned to HFSON Strategic Plan (May 2009)
CSU Strategic Goals
Ensure student success through graduation
Enhance the Academic Core of the University
Strengthen the Institution Infrastructure
HFSON Strategic Goals
Explore new opportunities for clinical simulation education
Develop a simulation practice and teaching matrix for expansion of approaches to clinical curriculum integration
Implement simulation laboratory faculty orientations, training workshops and development plans based on clinical simulation evidence-based approaches
5. To be established across the curriculum
Written and Oral Communication
Analytical Reasoning
Information Literacy
Social and Self Awareness
Reflective Practitioner
Responsive Citizenship
Graduates demonstrating prescribed clinical competencies outlined in the HFSON mission, goals and objectives
CSUs Student Learning Outcomes and HFSONs Terminal Objectives
6. Curriculum Terminal Objectives
CSUs Strategic Goals

Written and Oral Communication

7. Analytical Reasoning 8. Information Literacy 9. Social and Self Awareness 10. Reflective Practitioner 11. Responsive CitizenshipSynthesize knowledge
Apply leadership concepts, skills and decision making
Demonstrates clinical judgment
Demonstrate proficiency
Collaborate to improve the delivery of health care.
Demonstrate knowledge of health care policy and regulations.
Integrates health promotion and disease prevention strategies
Demonstrates professional, ethical and legal responsibility

Demonstrate synthesis of the nursing process

12. Synthesize critical thinking strategies and communicationsSimulationClinical Experience GoalsFaculty Derived
13. HFSON PR/AWARD CONGRESSIONAL GRANT OBJECTIVE FOR SIMULATION
Objective 3: Through the use of laboratory simulation technology, educate nurses who
will maintain safe patient care and decrease the student faculty ratio from 10:1 to 20: 1.

Subobjective 2.1: Using Learning Modules give students meaningful learning

experiences with real time applications.

Subobjective 2.2: Students will perform in the lab where a regular hospital bed is

placed in a true room like area with bedside tables, telephone, wall "oxygen", air,
and suction available.

Subobjective 2.3: Use of the Human Patient Simulator to create a realism

appearance. Have students talk to the simulator and not to the instructors and all
responses coming via the simulator (via wireless communication to a speaker in
the simulator).

Subobjective 2.4: Debriefmg activities to be at least 50% of laboratory time to

Allow students the opportunity to share experiences, evaluate their performance,
and receive feedback from instructors.
PRlAward #
14. Mission/Purpose
Vision
Values
Goals
Objectives
Implementation:Strategies, Tasks, Methods
Expected Results and Process Measures (Indicators)
Outcomes, Outcome Indicators
KEY COMPONENTS LEADING TO OUTCOMES
15. Vision
To expand the role of professional nursing simulation teaching practices for health profession workforce development, clinical education and the integration of new simulation proof of concept research for quality and safety in care practices.
Mission
Dedicated to the authentic replication of clinical nursing experiences in a virtual hospital environment to advance the commitment for innovations to develop a simulation curriculum and lead simulation clinical experiences for the pre-licensure, experienced, and graduate practice competency-based nursing programs.
SIMULATION CENTER
16. THE GOAL OF THIS PROJECT
Implement simulation laboratory faculty orientations, training workshops and development plans based on evidence-based simulation clinical teaching practice approaches /educational methodologies.
17. CHALLENGES AS EDUCATORS
Literature highlights the challenges nurse educators face in embracing simulation technology
Hughes,D., 2004 ;Jefferies, 2005.
18. CHALLENGESof Simulation Education Methodology
Faculty competency
Time management
Learning new technology
Teaching new technology
Staffing the labs
Affordability
Policies/Procedures
Compliance
19. RESULT FROM STUDIES
The purpose of this study was to compare the effectiveness of two instructional methods to teach
specific nursing education content.
Results of this study suggest that use of a teaching strategy involving the HPS method made a
positive difference in the nursing students' ability to answer questions on a test of cognitive skills.
Use of a human patient simulator (HPS) as a tool for learning provides a mechanism by which students can participate in:

clinical decision making

20. practice skills 21. observe outcomes from clinical decisionsSinclair, B., Ferguson, K. 2009.
22. RESEARCH RESULTS
Theresults of a mixed-methods study integrating the use of simulations in a nursing theory course in order to assess students' perceptions of self-efficacy for nursing practice are presented
Nursing students were exposed to a combination of lecture and simulation
This study provides data to suggest:

Students' self-confidence for nursing practice may be increased through the use of simulation as a method of teaching and learning.

23. Students also reported higher levels of satisfaction, effectiveness and consistency with their learning style when exposed to the combination of lecture, simulation and audio-visual technologies.Brannan, J.D., White, A., &Bezanson,J. L. 2008;
24. SIMULATION CENTEROBJECTIVES
Care management-oriented and indicated as a need for action in curriculum integration planning
Development of the HFSON Program for Curriculum Integration and timeline.
Establishment of the HFSON Simulation Integration Faculty Training Team that broadly represents all clinical courses.
Present and implement the Simulation Center policies and procedures as guidelines for operations.
25. Dr. T. Murray
Dr. D. Raley
Prof. C. Wood
Prof.V. Robinson
Prof.C. Day-Black
Prof. D. Watties-Daniels
Prof. J. Reinckens
Adjunct Prof. A. Cooper
Adjunct Prof. D. Saunders
Simulation Staff IT Specialist, Mr. R. Clark
RECOMMENDED SIMULATION INTEGRATION FACULTY TEAM 2010
26. To provide the use of state of the art simulation technology such as the HPSs, ECSs and Istans to increase accessibility to clinical course specialty content for undergraduate and graduate students enrolled in HFSON
To actively engage in trainings, hands-on experiences and consults to provide the opportunity to peer faculty in clinical specialty course to prescribe simulation clinical experiences (SCEs)
To develop the simulation curriculum integration plan and timeline as a roadmap for measuring OUTCOMES and the related essential components that lead to desired outcomes
SIMULATION FACULTY ROLE, FUNCTION, RESPONSIBILITY
27. SOMEPOLICIES FOR ACTION IN SIMULATION INTEGRATION PROCESS
August 2009 policy guidelines defined for cross reference in clinical nursing programs for annual review and faculty handbook revisions to integrate simulation education approaches:

Clinical attendance

28. Clinical Dress Code 29. Confidentiality