Cultural Humility in Simulation Education: A Missing Standard? – INACSL Journal Article

cultural diversity in healthcare education

Just read this interesting article from the Journal of Clinical Simulation In Nursing (operated by INACSL) entitled ‘Cultural Humility in Simulation Education: A Missing Standard?‘. I agree with the sentiments in the paper that call for a greater diversity in manikin skin tones to better represent the realities of healthcare. The article summary includes:

  • Cultural humility warrants consideration as a future International Nursing Association for Clinical Simulation standard.
  • Cultural humility should be interpreted in the broadest sense in simulation—from addressing differences in ethnicity to differences among professions.
  • Students must be prepared to be competent in a multicultural world.

Article Excerpt:

“Creating inclusive environments is a broad term and must be viewed from many angles. Anecdotally speaking, in touring many simulation centers, most high-fidelity simulators are Caucasian. Although unintentional, this reality sends a powerful unspoken message to students of color. This glaring inequality appears relatively easy to rectify through purchase of diverse manikins, but the problem may be unnoticed when most educators are of the same racial background. Diversity is much deeper and broader than race alone. A comprehensive, variety of simulations must be offered and evaluated throughout the curriculum to ensure that diversity is represented in terms of patient’s ages, weights, ethnicity, gender, level of disability, religion, sexual orientation, and profession. Similarly, simulation team members should include diverse faculty members, and faculty members should demonstrate cultural humility when working with students. Concepts of diversity including values, health beliefs and practices must be addressed in every debriefing as a standard. Discussing these differences in every simulation normalizes the process and increases experience and comfort with diversity. Students must be prepared to be competent in a multicultural world.

To increase opportunities to learn cultural humility, interprofessional simulations should be prevalent throughout the curriculum. The different disciplines involved in the simulation may be present physically in person, by phone, virtually, or by Web conference, with the goal in mind to simulate actual practice conditions. Emphasis on communication and flattening egos and hierarchies between disciplines is recommended in the interest of patient safety.”

This article is a must read for simulation champions making the case for stronger cultural diversity in their educational programs.

Read the full article here and Visit INACSL’s Journal Website for more great research!


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Victorian Simulated Patient Network Website Provides Free Simulation Resources

vspn simulation

Debra Nestel is the Professor of Simulation Education in Healthcare at Monash University, Australia. She is also the Editor in Chief of the new Advances in Simulation, a new open access journal associated by the Society in Europe for Simulation Applied to Medicine (SESAM). More on that soon!

Recently Debra shared with HealthySim about The Virtual Simulated Patient Network (VSPN) website, which was established to create a network of individuals with a special interest in simulated patient (SP) methodology. The VSPN offers online modules on various aspects of working with SPs involved in health and social care professional education. The modules are likely to be of interest to simulation educators, technicians, SPs and to some extent learners involved in undergraduate and postgraduate training in all health professional disciplines.

The VSPN aims to provide individuals interested in simulated patient (SP) practice with a network to share with and from each other. SPs are individuals trained to portray real patients. SPs contribute to health professional education in many ways. There is a spectrum of SP practices that are expanding. The VSPN aims to connect SPs, educators, students, clinicians and others through this website.

The website is free and aims to share information about this modality from many simulation champions in the field. Earlier this year the VSPN crossed over 500 members who come from every continent!

Visit the VSPN website for all these free resources and to learn more!

Who is Your Local Legend? A New Docu Web Series Featuring Food, Music, & History

local legends bo stevenson

Today I am going slightly off topic to share a new web series called “Local Legends” from a good friend of mine Bo Stevenson. Bo and I worked together back in my Hollywood production days and he just sent me a link to this amazing new show sharing historical local legends across America. It is a travel show featuring food, music, and history from small towns and cities across the nation. As HealthySimulation is a collection of local stories for the international community, I know you will appreciate this series — which was made possible by Cheerwine.

About the Show: Our fans told Bo which local legends to visit using #cheerwinelocallegends and we made it into a documentary series. From the juke joint in a ravine in Bessemer, AL, to an artist who sculpts entirely out of crayons in Nashville, TN, all the way to the mouth-watering barbecue restaurants that will make you lick your lips… It’s time to say hi to all of the one-of-a-kind characters and places in The Local Legend Project!

Bo & Cheerwine want to hear from you! Have a local legend that people ought to know about? Nominate and vote for your town favorite!

Watch the full Local Legend series here!

NCSBN Simulation Guidelines for Prelicensure Nursing Programs

ncsbn simulation

The NCSBN Simulation Guidelines for Prelicensure Nursing Programs was just released! Check out this comprehensive list of guidelines for simulation programs! This document made available from the Journal of Nursing Regulation.

About this Document: The National Council of State Boards of Nursing (NCSBN) published the results of the largest, most comprehensive study to date concerning the use of simulation as a substitute for traditional clinical experience. Results of the study, which were published in 2014, demonstrated that high-quality simulation experiences could be substituted for up to 50% of traditional clinical hours across the prelicensure nursing curriculum. An expert panel convened by NCSBN evaluated the data gathered through this study, examined previous research and the International Nursing Association for Clinical Simulation and Learning Standards of Best Practice: SimulationSM, and used their collective knowledge to develop national simulation guidelines for prelicensure nursing programs. This article presents those guidelines, evidence to support the use of simulation, and information for faculty and program directors on preparation and planning for using simulation successfully in their nursing programs.

Written By: Maryann Alexander, PhD, RN, FAAN; Carol F. Durham, EdD, RN, ANEF, FAAN; Janice I. Hooper, PhD, RN, FRE; Pamela R. Jeffries, PhD, RN, FAAN, ANEF; Nathan Goldman; Suzan “Suzie” Kardong-Edgren, PhD, RN, ANEF, CHSE; Karen S. Kesten, DNP, APRN, CCRN, PCCN, CCNS, CNE; Nancy Spector, PhD, RN, FAAN; Elaine Tagliareni, EdD, RN, CNE, FAAN; Beth Radtke; and Crystal Tillman, DNP, RN, CPNP

Read the Full NCSBN Simulation Guidelines here!

Using Simulators to Teach Patients – Nemours Children’s Hospital Leads the Way

using simulators to train patients

Parents dealing with new clinical care of their child requires a relaxed and safe learning environment. Nemour Children’s Hospital is brilliantly utilizing the power of simulation to safely train parents on clinical procedures for such child care. Using manikins provides stressed out parents with a calm way to practice new skills without the worry of hurting their child. Genius!

“The Nemours Center for Clinical Excellence uses high and low fidelity models to teach a parent how to care for her daughter’s tracheotomy. They also use the medical simulation tools to train school nurses on how to be prepared to care for students in public schools in Central Florida.”

Learn more about the Nemours Center for Clinical Excellence!

Johnson College Simulation Conference Recaps Suzie Kardong-Edgren Keynote on Why Simulation is so Important for Nursing

suzie kardong edgren

At the 8th annual Johnson County Community College Simulation Conference, Clinical Simulation in Nursing Journal Editor Suzie Kardong-Edgren PhD provided a keynote address which was highlighted on the college’s website. Suzie is one of the leading simulation champions in the world and is driving the future of our profession.

Article Excerpt:

To a packed house in the Capitol Federal Conference Center, Suzie Kardong-Edgren said, “We are all in this room concentrating on moving simulation forward.” Kardong-Edgren, internationally known for her research in simulation as a way to teach healthcare professionals, spoke as part of the Healthcare Simulation Conference Sept. 11 at Johnson County Community College.

The conference, now in its eighth year, allows healthcare professionals and healthcare educators explore and expand their understanding of simulation as a teaching/learning strategy that immerses the learner into the healthcare role as they provide care for the patient situation. Educating students to become nurses needs to change, she said, not only to respond to students’ needs but also to meet the expectations of patients.

“In the informal analysis, there’s nothing really new there (in nursing),” she said. A reliance on classroom settings, basic instruction and problems from textbooks isn’t preparing nurses for the world in which they’ll be employed, she said. Students also have started asking questions about the value of their education, she said. “There are rumblings of, ‘What are we getting for all this money we’re spending?’” Kardong-Edgren said. “And yet we are rearranging the deck chairs on the Titanic…why do we keep doing the same things over and over?”

Kardong-Edgren is professor and director of the Regional Research and Innovation in Simulation Education (RISE) Center at Robert Morris University in Moon Township, Pennsylvania. She also is editor-in-chief of the journal “Clinical Simulation in Nursing. She urged those in attendance to continue to lobby for even greater use of simulation in nursing education and other healthcare preparatory programs.

“Often we are the lone pioneers trying to drag (our fellow) faculty into the 21st century,” Kardong-Edgren said.

Read the Full JCCC article on Suzie here!

First Ever Research Specific to Healthcare Simulation Technology Specialists Published This Month in SSH Journal

sim tech research

Just received word from Sim Tech Rachel Bailey that the first ever research article about Healthcare Simulation Technology Specialists (Simulation Technicians) has been published in the latest edition of the Society for Simulation in Healthcare. “Defining the Simulation Technician Role: Results of a Survey-Based Study” was written by Rachel Bailey. Regina Taylor MA, CCRP, CPM, Michael FitzGerald PhD, Benjamin Kerrey MD, MS,Thomas LeMaster MSN, MEd and Gary Geis MD. You will need to be an SSH member to read the full article online, but the highlights are shared below:


Introduction: In health care simulation, simulation technicians perform multiple tasks to support various educational offerings. Technician responsibilities and the tasks that accompany them seem to vary between centers. The objectives were to identify the range and frequency of tasks that technicians perform and to determine if there is a correspondence between what technicians do and what they feel their responsibilities should be. We hypothesized that there is a core set of responsibilities and tasks for the technician position regardless of background, experience, and type of simulation center.

Methods: We conducted a prospective, survey-based study of individuals currently functioning in a simulation technician role in a simulation center. This survey was designed internally and piloted within 3 academic simulation centers. Potential respondents were identified through a national mailing list, and the survey was distributed electronically during a 3-week period.

Results: A survey request was sent to 280 potential participants, 136 (49%) responded, and 73 met inclusion criteria. Five core tasks were identified as follows: equipment setup and breakdown, programming scenarios into software, operation of software during simulation, audiovisual support for courses, and on-site simulator maintenance. Independent of background before they were hired, technicians felt unprepared for their role once taking the position. Formal training was identified as a need; however, the majority of technicians felt experience over time was the main contributor toward developing knowledge and skills within their role.

Conclusions: This study represents a first step in defining the technician role within simulation-based education and supports the need for the development of a formal job description to allow recruitment, development, and certification.

Congrats to Rachel and the team this is fantastic work!

Read the Full Sim Tech Research Article on the Journal of the Society for Simulation in Healthcare Website

Low Cost DIY Healthcare Simulation Recording / Debriefing AV System

low cost av system

The “Low Cost Sim” Team that brought you “Free Vital Sign Simulator” also has a DIY buildout for an affordable A/V recording & debriefing system. If you have a bit of tech experience and looking for a low cost temporary, or pilot, A/V system then this might be the solution for you. Remember, tech support will be limited during your installation, operation, and repair so keep that in mind when experimenting with new technologies that are “DIY”.

About the System:

“If you don’t have the big money, but are not satisfied with just a video camera, here’s the solution for you: The LoCo-A/V system! For a total cost of about 1000-2000$ you will get a four angle “quad-split” video recording plus audio. You can even add your vital sign monitor to the quad-split. The system is built out of widely available hardware and free video capture software. In my experience it works very well without any glitches so far!”

What you need:

  • Hardware:
    • A fast computer, preferably a multi-core processor
    • Up to four webcams (you should use different makes and models to avoid conflicts)
    • USB-extension cables
    • A microphone with extension cables (optional)
    • A video capture card (optional, should be supported by FFsplit)
  • Software
    • FFSplit for recording (free)
    • VLC Media Player for playback (free)

The page goes into detail with links to the components you need, and a tutorial on how to set it all up. Learn how to build this affordable AV setup today by visiting

The Low Cost Sim Website

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SimAssess Medical Simulation Performance Evaluation Tool From KbPort

sim assess

I just learned of KBPort’s SimAssess which was created to bridge the gap between clinical simulation and visual debriefing. SimAssess provides educators with the means to assess each simulation experience quantitatively. The data-driven debriefing capability of SimAsses helps educators identify strengths and weaknesses individually, across an entire class, and across multiple classes.  This rubric-based assessment toolkit also increases efficiency, reducing the time it takes to evaluate by allowing educators to refer to a substantive description eliminating the need for writing long, descriptive comments. SimAssess eliminates uncertainty in grading and offers evaluative consistency across time, class groups and multiple graders. Learners benefit from exposure to performance expectations and standards, receipt of consistent feedback to improve performance and self-directed recognition of performance strengths and weaknesses.

The cloud-based, easy-to-use, flexible, rubric-based format of SimAssess offers educators and training personnel, the most efficient, powerful technology, that can be customized to fit any teaching style and fully leveraged to maximize learner potential.

Key Features:

  • Assessment – Effective assessment with RUBRIC scoring guide for timely and meaningful feedback. Automated scoring and comprehensive data analytics on learner’s key performance factors.
  • Easy Access – Assess on the fly with fast & easy R-CODE access for respondents. Eliminates scheduling to let educator / administrator focus on the complex task of running simulation.
  • In The Cloud –  Always accessible in the CLOUD and on any web-enabled device. Quick setup and easy to use. Includes latest firewall and encryption for privacy and data protection.

KbPort is a software and hardware development company. Their main focus has been in the medical training community where our founder has been designing recording, debriefing, and simulator solutions since 1994. They have a team of cutting edge engineers who have developed the next generation of simulation teaching tools. Along with their experienced sales team, they have cultivated teaching tools that are simple, realistic and most of all, functional.

Learn more at the SimAssess website today!

Level 3 Healthcare SimGHOSTS USA 2015 Keynote Address By Dr. Alistair Phillips Posted!

level 3 healthcare

At SimGHOSTS 2015 USA at Cedars-Sinai in Los Angeles this August, Level 3 Healthcare sponsored the opening keynote address by Dr. Alistair Phillips, MD, FACC, FACS Co-Director, Congenital Heart Program Chief, Division of Congenital Heart Surgery and Co-Director of Cedars-Sinai’s Congenital Heart Program and the Chief of the Division of Congenital Heart Surgery within the Cedars-Sinai Heart Institute. He is board-certified in surgery, thoracic surgery and congenital heart surgery. Dr. Phillips is interested in developing quality improvement programs with a family-centric approach. He spoke on the benefits of simulation, and the futuristic technologies Cedars-Sinai is using NOW to branch out into various departments within the medical center to support innovation and performance improvement.

About Level 3 Healthcare: 

Level 3 Healthcare provides advanced multimedia solutions in surgical environments, OR’s, ER’s, ED’s and simulation centers. This healthcare engineering group has pioneered designs in large simulation centers, digital operating rooms, telehealth, live HD video distribution, 3-D surgical theaters, recording, archiving, content management and video media retrieval systems. Level 3 Healthcare’s core competency is integrating the myriad of healthcare, simulation, broadcast and professional technology into a seamless, easy to use system, curriculum or application. Our approach is to work directly with our clients to understand their use and curriculum and then apply technology to improve efficiency, work flow and learning. Examples of our applications include; intraoperative surgical suites, digital O.R.’s, nursing simulation centers, procedure rooms, 3-D visualization facilities, clinical AV networks, campus-wide central recording systems and video conferencing initiatives for collaboration and critical decision making.

Learn more about Level 3 Healthcare, SimGHOSTS, and Cedars-Sinai!