Video Enhances Nursing & Interprofessional Healthcare Education

video enhances nursing education

Freelance writer Marcia Frellick recently shared this article on Nurse.com entitled “Video enhances interprofessional education”, and in an age where an estimated 400,000 patient deaths occur to due to medical error in the United States alone each year — we need every tool possible to help improve the educational process. Simulation obviously plays a huge role with professional healthcare education, and the importance of utilizing video recordings should never been undermined. Frellick shares that using the video systems, learners reflected on their own performance and realized “I need to speak up” and “I need to find my voice.”

Nurse.com Article Excerpt

Interprofessional training has gained prominence in the RN-to-BSN program at Drexel University in Philadelphia with a 10-week program launched in fall 2015 focusing on patient safety. Nurses watch video scenarios with actors including anesthesiologists, surgeons and other care providers from several disciplines, and use online simulation to respond as a nurse in a specific emergency.

Gloria F. Donnelly, PhD, RN, FAAN, dean and professor at Drexel’s College of Nursing and Health Professions, provides an example from the course: A patient arrives for a routine procedure. A nurse is working with an anesthesiologist who can’t access the airway but brushes aside the nurse’s concerns that the patient has been hypoxic for too long. The nurse sees the anesthesiologist is not following protocol. The nurse must use the TeamSTEPPS model — a system developed by the Agency for Healthcare Research and Quality that encourages open communication and calling out procedure violations.



Nurses in the class videotape themselves and submit their responses. Members comment as a group and rate the responses. “A problem with claims and suits against nurses is failure to act,” Donnelly said. “This program raises the nurse’s level of awareness of her obligation to speak up. Your license is on the line.”

Video is the Future

Consider that the costs associated with a/v recording and video performance analysis will continue to decrease as the technology continues to improve. Mix that with research that proves that video recording increases provider performance and the future of healthcare starts to become more clear. Read our post about the JAMA research which showed a 31% increase in surgical performance with video recording. More on this important topic shortly!

Read the full article on Nurse.com!


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TODAY: 11AM PT / 2PM ET Live Hangout With Social Media Savvy Nurses!

social media nursing

In just 20 minutes you can “Hangout Live” with +Marsha Battee,+Beth Boynton,+Kathy Quan and+Donna Maheady during our next LIVE Google Hangout, with a little tech help from Nerdy Nurse Brittney Wilson!

These nurses will discuss the ups and downs of social collaboration online and share how you can get the most out of it. If you’re a nurse, nurse educator, or support nurses, this event is for you!

Be sure to also check out these communities and links to continue the social collaboration:

Beth Boynton says about the event “I never planned on being a Social Media expert, but alas I have acquired some expertise! No one can know everything about Social Media or probably any healthcare diagnosis, technology, or treatment options, right? I’m looking forward to this Friday’s Google Hangout at 2pm ET sponsored by Next Wave Connect (NWC), because it will be fun to share some insights and experiences I’ve had AND learn from other nurse experts!”

Join them now by clicking here!

abcdeSIM Serious Game Provides Immersive Simulation Learning Environments

abcdeSIM serious game

Today we look at AbcdeSIM, a successful “serious game” out of the Netherlands. Serious gaming technology not only gives us the tools to create such an immersive environment, it also allows us to train various clinical situations in a relatively short period of time. To ensure the highest quality learning experience, skilled clinicians at Erasmus University Medical Center and other institutions worked together with serious game developers at abcdeSIM and IJsfontein (software developer).

simulating abcde

About AbcdeSIM:

AbcdeSIM is an online simulated emergency department with virtual patients. In an online realistic and immersive emergency department environment doctors and nurses are challenged to care for the sickest patients. Mistakes made in online patients are not fatal as in real-life, but important learning points, thereby improving everyday patient care. Doctors learn to accurately assess the medical condition of each patient, recognize life threatening illnesses and injuries, and resuscitate and stabilize in agina 2 / 6 ordered priority. AbcdeSIM includes a high-fidelity physiological model that contains more than 200 parameters for circulation, respiration and consciousness. This model creates a very realistic and immersive experience in which the trainee can see the direct results of their chosen diagnostics and treatment. Just like flight-simulators have increased airline safety, abcdeSIM aims to cost-effectively increase patient safety.

There are currently three different versions of abcdeSIM available:

  • For emergency room doctors
  • For nurses
  • For GPs

Each game has its own elearning module prior to the serious game should be played. Also, the Serious Game has an online tutorial that explains the operation of the game and a dummy level where the equipment can be tested on a manikin. Each game then has five game levels and you can gain credits by playing the game.

The abcdeSIM module consists of 3 parts:

  1. The e-learning consisting of 7 chapters (the ABCDE-method, communication and in-hospital transportation of critically ill patients)
  2. A test for which the student must receive a score of 75% or higher to be able the virtual emergency department (the game part of the module)
  3. The Virtual Emergency Department where the student must attend to 6 seriously ill patients. Four patients are treated separately and the 5th and 6th patient are treated at the same time (the learning objective here triaging the severely of illness)

You can view the translated abcdeSim website here, and visit their english page for more english translated resources.


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Recent Simulation Articles from the Journal of Nursing Education

journal of nursing education simulation articles

Today we are sharing a few of this year’s articles from the Journal of Nursing Education regarding simulation. Note, you will need to purchase these articles or have a subscription to access them fully.

Using Simulation Technology to Identify Gaps Between Education and Practice Among New Graduate Nurses by Ruth Everett-Thomas, PhD, RN; Beatriz Valdes, MSN, MBA; Guillermo R. Valdes, DNP, MSN-HCS, RN-BC; Ilya Shekhter, MBA; Maureen Fitzpatrick, MSN, ARNP-BC; Lisa F. Rosen, MA; Kristopher L. Arheart, EdD; David J. Birnbach, MD, MPH. Applied knowledge was observed among nurse groups from a medical–surgical residency program to measure clinical performance during simulation training. Twenty groups of new graduate nurses were observed during five simulated clinical scenarios, and their performances were scored on a 24-item checklist. Nurse groups showed significant improvement (p < 0.001) in applied knowledge in four clinical domains from week 1 to week 5, and the results provided valuable information of the groups’ overall performances. In two of the five scenarios, poor decisions and prioritization of competing tasks were factors associated with lower performance group scores. Complex patient conditions may pose a challenge for new graduate nurses, and standardized training during the residency program may help instructors recognize specific factors to address during the transition from education to practice.

When Is It Okay to Cry? An End-of-Life Simulation Experience By Jennifer L. Bartlett, PhD, RN-BC, CNE; Jenny Thomas-Wright, MSN/Ed, RN; Holly Pugh, MSHA, RN-BC, CHSE :: This article details how a small college of nursing affiliated with a faith-based health care corporation integrated the education of end-of-life care into a megacode simulation. Students participated in a high-fidelity simulated megacode scenario in which the simulator died. Following de-briefing, student groups participated in an additional scenario in which faculty coached them through postmortem care and interaction with a family member and a hospital chaplain. As a result of this multidimensional, interprofessional simulation, students developed heightened skill in applying basic life-saving measures, increased knowledge of and comfort with postmortem care, and increased awareness of the emotions elicited by the experience. [J Nurs Educ. 2014;53(11):659–662.]

Life of a Caregiver Simulation: Teaching Students About Frail Older Adults and Their Family Caregivers By Merle E. Mast, PhD, RN; Erika Metzler Sawin, PhD, RN; Kathleen Anne Pantaleo, BA :: The number of older adults with caregiving needs is rapidly escalating, and the majority of these adults are cared for at home by unpaid family members. Nurse educators must better prepare nurse graduates to meet the needs of this population, as well as to include family caregivers as part of the health care team. This article describes the design, implementation, and preliminary outcomes of a unique learning experience, the Life of a Caregiver Simulation, which uses narrative pedagogy to increase students’ awareness and understanding of the needs of older adults, their family caregivers, and the community services they use. Subjective data from students (N = 25) indicated the simulation served as an effective catalyst for students to experience first-hand and understand the stress and burdens of caregiving.

Effect of Simulation on Knowledge of Advanced Cardiac Life Support, Knowledge Retention, and Confidence of Nursing Students in Jordan By Loai I. Tawalbeh, PhD; Ahmad Tubaishat, PhD :: This study examined the effect of simulation on nursing students’ knowledge of advanced cardiac life support (ACLS), knowledge retention, and confidence in applying ACLS skills. An experimental, randomized controlled (pretest–posttest) design was used. The experimental group (n = 40) attended an ACLS simulation scenario, a 4-hour PowerPoint presentation, and demonstration on a static manikin, whereas the control group (n = 42) attended the PowerPoint presentation and a demonstration only. A paired t test indicated that posttest mean knowledge of ACLS and confidence was higher in both groups. The experimental group showed higher knowledge of ACLS and higher confidence in applying ACLS, compared with the control group. Traditional training involving PowerPoint presentation and demonstration on a static manikin is an effective teaching strategy; however, simulation is significantly more effective than traditional training in helping to improve nursing students’ knowledge acquisition, knowledge retention, and confidence about ACLS. [J Nurs Educ. 2014;53(1):38–44.]

Learn more at the JNE Website!

Smart Pump Training Simulator Through ‘HealthScholars.com’ of CSE Software

smart pump simulator cse software

Earlier this week I posted about the CAT Heavy Equipment Simulators from CSE Software, and today I am sharing about their mobile training simulator products for healthcare providers including a Heparin Adjustment Trainer and Smart Pump Training Apps. According to a report by CareFusion, 70% of heparin errors are caused by the wrong dose, omission and prescribing errors. The majority of heparin errors (47.6%) originate in administering the medication, followed by 18.8% in transcribing the order, 14.1% in prescribing the product, 13.9% in dispensing functions and 5.4% in patient/lab monitoring activities. These simulators can help train away these very errors! After reading the below information visit the “News->Videos” section of the Health Scholars website for more coverage of these apps.

Smart Pump Training Simulator
In this interactive app (shown above), hospital professionals will learn the proper operation of the Smart Pump and supporting software program used for patient safety. The actual pump has a built-in computer and it is constantly collecting and monitoring data. The system helps improve patient safety and reinforces best practices. Through the simulation of this device, healthcare professionals can ensure training on the infusion pump is delivered consistently and efficiently to personnel. The interactive app allows training to take place in a patient care environment, and in the presence of a preceptor. In addition, process and procedures can be covered to help personnel get a full understanding of the device.

heparin simulator

Heparin Simulator

In this interactive app, hospital professionals will learn how to properly administer the medication Heparin through a Smart Pump. Heparin is most often used as an anti blood clotting medication, and can be fatal if administered incorrectly. The app will take the user through several scenarios where he/she must correctly figure and administer the medication. Results can be saved for Internal viewing by administration.

So who is this innovative simulator company CSE Software?

cse software

CSE Software Inc. is located in the heart of the warehouse district in Peoria, Illinois. A technology company Founded in 1990 by Ken Pflederer, our current client base consists of large, Fortune 500 companies and small, family-owned businesses.  No company is too large or small to reap the benefits of our comprehensive services. They have developed over 2200 projects to more than 260 clients for 110 languages spoken around the world. As they are in Peoria, IL they have also started working with the awesome folks at JUMP Trading Simulation Education Center:

“In a strategic partnership between CSE Software Inc. and OSF Healthcare at the Jump Trading Simulation & Education Center, Peoria, Ill., CSE is developing simulations for both medical devices and medicine administration. The correct use of medical devices and proper administration of medication is critical to patient care and safety. The ability to train with realistic tools and environments ensures that medical professionals learn the same techniques as they will use in a real-world medical situation. CSE Software Inc. is proud to be a partner in this endeavor with OSF Healthcare.”

Visit HealthScholars.com to learn more about these Smart Pump Training Simulators and CSEsoftware.com to learn more about this innovative company!


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Professional Nurse Educators Group List-Serv

Through INACSL.Org, I learned about another great email list-serv for nurses called the Professional Nurse Educators Group List-Serv.

What is the PNEG?

“The Professional Nurse Educator Group (PNEG) is a virtual network of educators from all over the United States that are dedicated the lifelong learning of professional nurses.  This network is open to all educators in the field.  While there is no formal process to join, membership list or dues, we welcome those interested in network participation to come to the special PNEG networking session at the annual PNEG Conference to participate in discussions and future conference planning.  The network includes faculty from nursing schools, continuing nursing education professionals, entrepreneurs and nursing staff development professionals interested in being part of the network.  Discussions also occur on our listserv and in the PNEG LinkedIn group (now with >2000 members).”

PNEG

PNEG is celebrating 40 years of their annual conference next October 17th-20th in Westin Kansas City, Missouri.  At the completion of the PNEG conference participants should be able to:

  • Discuss critical issues and concerns facing professional nursing education and development.
  • Explore how those in education and practice can successfully sustain competent learners and practitioners.
  • Develop practical strategies for effectively managing the challenges encountered in the work environment.
  • Network with colleagues in academic, staff development and continuing education roles.

Meeting with other Nurse Educators will help us learn how others are integrating medical simulation into program curriculum! Abstracts can be submitted until April 1st, 2013 – so check out PNEG today!

Sim Tech Series – The Profession of Nursing

Sim Tech Series – Article 1

The Profession of Nursing

This article is part of a series of HealthySimulation.com posts written by Nursing Educator Kim Baily for Healthcare Simulation Technology specialists (Sim Techs) who may have plenty of IT experience but little or no experience in the healthcare field.  The articles cover various topics such as understanding healthcare professions, theories that govern practice and basic physiology.

Image of Nursing:

What images do you conjure up when you hear the word “nurse”? Perhaps you envisage Florence Nightingale pictorialized in the newspapers as the “Lady of the Lamp”, flitting from one Crimean War victim to another bringing hope and healing.  Or perhaps you see Nurse Ratched, from One Flew Over the Cuckoos Nest, hassling Jack Nicholson. Or perhaps you see the more contemporary junky Nurse Jackie from SHOWTIME.   What ever your image, plenty of stereotypes abound.

The International Council of Nurses definition of Nursing:

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (1).  As you can see from this lengthy definition, Nursing encompasses many different roles for the modern nurse.  Nurses care for patients at the bedside, in the emergency depart, the OR, physician’s offices, home health care setting, schools, camps, correctional facilities, military facilities, and national, federal organizations and so on.  Some nurses continue their education and obtain masters degrees becoming nurse practitioners or nurse anesthetists, others clime the ranks of academia with masters and/or doctoral degrees. (Continue reading through the link below).

Read the rest of this entry »


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