Simulation: Best Practice: A Case Study

Superior Essays
The Use of Simulation: Best Practice
Major movements in healthcare created a change in clinical experiences, the shortening of education time, and working restrictions all created medical personnel with deficiencies in their learning. Universities struggle with ways to best prepare clinicians. The Institute of Medicine’s report of patient safety issues has come to the forefront of educators and healthcare providers. Because of this lack of critical thinking, medical staff fails to recognize the deterioration of a patient, which results in poor patient outcomes (Robert, Tilley, & Peterson, 2014). Simulation is a valuable teaching tool for both new and seasoned nurses. For the new nurse, the labs provide practice time so they become comfortable
…show more content…
As Brenner stated, a nurse may be an expert in one area but a novice in another. The development of an expert, intuitive nurse in the simulation lab is much like Benner’s model of novice to expert.
For the last decade, simulation labs and debriefing have become the norm in the teaching-learning continuum. Debriefing after the lab simulation is highly valued as the facilitator of transitioning learning into knowledge. Evidence has proven that debriefing enhances clinical practice by transferring the practiced skill to future situations; but, there is a lack of global evidence-based research on the best scenarios of simulation practices and debriefing session (Forneris, Neal, Tiffany, Kuehn, & Meyer, 2015).
Description and Significance of Practice Problem
Major movements in healthcare have created a change in the clinical experience. Shortening of education time and working
…show more content…
There are few research studies examining the debriefing techniques. They intent was to validate the Guide for Reflection tool that was created by Nielson, Stragnell and Jester, which consist of questions that explore self-reported clinical judgment processing. Reflection allows a variety of cognitive functions from analytical to intuitive. The purpose of this study was to test teaching interventions combining both simulation and reflective debriefing. The small convenience sample where orienting to an intensive care unit of a teaching hospital. During the study the orienteers managed simulated manikin that was recovering from a surgical procedure and developing post-op complications. The simulation required them to assess, monitor, and collaborate while the manikin deteriorated. This simulation lasted forty five

Related Documents

  • Improved Essays

    “…we practice on the very patients that we are delivering care to.” (Weinstock, 2016, 3:35). Which is why Peter Weinstock and a team of specialists work together to create simulations that will better prepare the surgeon and his assistants before the…

    • 1025 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    1 Background Preparation of medical and nursing students to enter into clinical practice has for a long-time been based on clinical clerkship program; where students are allowed to learn and practice various clinical skills under the supervision of a qualified health practitioner, in their respective clinical fields (Prince et al. 2005; Jalili, Mirzazadeh and Azarpira 2008; Kim & Myung 2014). Real encounters with patients in hospital setting are a critical component for preparing medical students to apply their pre-clinical knowledge and skills in real clinical practice. Importantly, it allows students to develop stable clinical thinking, communication skills, and professional attitude (Kim & Myung 2014). However, data from extensive surveys…

    • 1146 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    High-quality handoffs between highly trained professionals can reduce medical errors and prevent adverse events in patient care, but learn how to effectively manage handoffs requires a special skill of its own (Soo-Hoon, Phan, Dorman, Weaver, Pronovost, & Lee, 2016). It improves the learning environment for healthcare professionals the quality, safety, and experience of care delivered to the institution patients. The handoff has long been a weak link in the chain of care that can lead to patient injury and a malpractice suit and physicians are often confused about who is responsible for such a major error (Soo-Hoon, Phan, Dorman, Weaver, Pronovost, & Lee, 2016). Hospitals, surgery departments, and organ institutions need to address their…

    • 317 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    With the transition from student to practicing registered nurse comes a change in scope and personal accountability (Mellor & Greenhill, 2014). Upon entry to practice, the graduate nurse is expected to meet the Nursing and Midwifery Board of Australia’s 10 National Competency Standards for the Registered Nurse which are encompassed by the four domains of professional practice; critical thinking and analysis; provision and coordination of care; and collaborative and therapeutic practice upon entry to the workforce (El Haddad, Moxham & Broadbent, 2013; NMBA, 2010) The use of the clinical simulation provides students with the opportunity to apply theoretical knowledge to clinical situations and gain experience in a ‘safe’ learning environment…

    • 2124 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    To address these challenges, for example, I applied the use of simulation as a bridge to link theoretical learning and practice learning in the clinical lab which developed critical reasoning and self-reflection in students in preparation for clinical placement at the…

    • 252 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Conference time includes lectures given by EM faculty, faculty from other areas of medicine, guest speakers and residents. Another thing the residency entails is Simulation and Procedure Labs. Simulations teach residents management of critically ill patients, treatment algorithms, and team leadership skills. Procedure labs are given throughout the residency to teach he procedural skills that residents get during clinical practice. Clinical practice gives a variety of services that teach skills essential to the practice of Emergency Medicine.…

    • 1042 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    In this report I will be reflecting and analysing my first two weeks of placement at a orthopedics ward. Within this two weeks I was able to learn, observe, and carry out different tasks. I will be using Driscoll (2007) reflection model as I believe it will enable me to expand my knowledge whilst gaining experience and maximis my learning opportunities. This model consists of 3 main stages which are; what: discribing the details of the situation, so what: evaluating and analysing what happened and why it was important and now what: identifying what I have learnt and what action will be taken in the future, as well as identifying areas of new skill development and learning. I will be on a reflecting mainly on the morning l assised a patient…

    • 1875 Words
    • 8 Pages
    Great Essays
  • Decent Essays

    Reflective Accounts

    • 231 Words
    • 1 Pages

    Conclusion: The process of writing reflective accounts is a vital tool by which student paramedics can question, make sense of and clarify experiences to develop knowledge and improve performance as clinicians (Turner 2015). Whilst reflecting on this patient care episode I have learned about pulmonary oedema secondary to left ventricular failure and how these conditions afflict the patient. I have also learned how personal autonomy in practice when exercised safely, with justification and for better patient care can shape individual practice, that is to say there is no “one size fits all” protocol for patient care.…

    • 231 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Leadership Reflection Jerri Jo Sterna Influential Nursing Leadership Leadership Reflection Learning and research are integral to the role of a healthcare professional. It is therefore convenient if providers derive satisfaction from acquiring knowledge. This is much easier to do if the provider can realize and quantify what they’ve learned. Reflection is the vehicle by which providers can realize progression in learning (University of Kent, 2012). The Gibb’s Reflective Cycle is useful for leaders to understand the strengths and weaknesses of certain situations in self-reflection as well as subordinate coaching (MindTools, 2018).…

    • 2115 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    I use role modeling as the main teaching strategy in the clinical area, and I find it is an effective method of teaching nurse students how to become caring professionals in their future nursing practice. I view learning as a life-long process. As a nurse educator, I also try to stay current in my specialty in order to convey the up-to-date knowledge to my…

    • 1101 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to Jackson and Mannix (2001) nursing students had the opportunity to integrate theoretical knowledge which develops clinical skills during practical placement hence it is important that they learnt a variety of clinical skills to provide high quality of patient care, clinical skills development occurs in a wide variety of clinical settings. However, the overcrowded of the structure of the clinical setting can hinder the process of learning within the clinical practice. Thus, clinical experience is essential to nursing education and it is the foundation for bridging the gap between theory and practice (Benner et al.,…

    • 846 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    IPE Reflection and Evaluation Over the past few weeks we have been working on learning about interprofessional education, or IPE. Within these training modules, there were four main topics that were discussed, known as the IPEC competency domains; values/ethics, roles/responsibilities, interprofessional communication, and teamwork/team-based care. All four of these domains are parts, making up one larger goal. This goal is to train future medical professionals to work together more fluidly, resulting in statistically fewer errors and higher success rates of care in hospitals and other settings. On top of briefly discussing what the four IPEC competency domains are, I will also be revealing the two most important IPE skills that I have learned…

    • 796 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The student’s lack of exposure to situational experiences decreases their chances of making appropriate judgments in clinical situations. This leads to mistakes that can have bad outcomes for patients or staff. Tension and negative attitudes may develop that will threaten the student’s development. Furthermore, if students do not identify with the nursing profession, they will leave and cause a greater shortage in the nursing…

    • 1058 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Reflection and reflective practice are increasingly described as essential attributes of competent healthcare professionals who are prepared to address clinical challenges1. The iSAP scenario provided the opportunity to develop a Clinical Action Plan (CAP) to identify client needs and discuss professional behaviours of clinician’s involved affecting the quality of healthcare received. An expert CAP was then released identifying the main issues to be considered. This report will compare and contrast these two reports to improve my clinical practice. Rationale…

    • 1088 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Health care professionals function in complex and changing environments that requires a continual learning mind set and a passion to update and enhance knowledge and skills in order to solve complex patient and healthcare problems by the best effective and efficient means. Reflective thinking is described as thinking that is purposeful and working towards a conclusion (Musolino & Mostrom, 2005). I discovered that my reflection began as I experienced difficulty, a challenge or a problem. Pre-conceived ideas, beliefs, values…

    • 1425 Words
    • 6 Pages
    Great Essays