Simulation in undergraduate education: The Canadian Perspective Edulearn Conference 2014

1. Simulation in undergraduate education: The Canadian Perspective Edulearn Conference 2014 Leslie Graham RN MN CNCC CHSE University of Ontario, Institute of Technology-Durham CollegeNicole Harder RN PhDUniversity of Manitoba

2. Learning Objectives • 1.Define the high fidelity, mid-level fidelity and low fidelity simulation. • 2. Describe the use of simulation in undergraduate education in Canada. • 3. Identify barriers to integrating simulation across the curriculum in Canadian undergraduate education.

3. CanadaResponse Rates 3% 3% 5% 26% 26 % 18% 3%

4. Purpose • The purpose of this study was to examine the current state of simulation utilization within Canadian undergraduate education. • Simulation is emerging as both a patient safety initiative and a teaching /learning strategy.

5. Methods

6. results Different Modalities for Simulation

7. Definitions • Low fidelity are ‘experiences such as case studies, role-playing, using partial task trainers to immerse participant in a clinical situation…” • Midlevel fidelity are experiences that are more technology sophisticated such as computer based self-directed learning systems in which participant relies on a two-dimensional experience” ie a manniquin with breath sounds but the chest doesn’t rise • High fidelity “ are experiences using full scale computerized patient simulators, virtual reality or standardized patients that are extremely realistic and provide a high level of interactivity for the learner” • Meakim, C., Boese, T., Decker, S., Franklin, A., Gloe, D,. Loice, L., Sando, C, Borum, J. (2013). Standards of Best Practice: Simulation Standard I: Terminology. Clinical Simulation in Nursing, 9(6S), S3-S11

8. What type of patient simulation tools are used at your institution?

9. In what capacity are these used?

10. Do you conduct interdisplinary simulations? If so, please indicate all disciplines that are involved.

11. Do you conduct interdisplinary simulations? If so, please indicate all disciplines that are involved.

12. How do you share best practices in simulation with your colleagues in your institution?

13. How do you share best practices in simulation with your colleagues in your institution?

14. How do you obtain your information regarding simulation?

15. How do you obtain your information regarding simulation?

16. What are the average hours per week that your simulation centre is used?

17. What is the average number of hours per week that you spend preparing for simulation?

18. What is the average number of hours per week that you spend conducting simulation?

19. What do you consider the biggest barriers to using simulation? Do you have any suggestions on how these can be overcome.

20. What do you consider the biggest facilitators to using simulation? Can you think of ways to capitalize on this?

21. What percentage of hours would you consider acceptable for clinical replacement?

22. What percentage of hours would you consider acceptable for clinical replacement?

23. Do you use simulation for summative or formative evaluation?

24. Do you ever use simulation to replace clinical hours due to student absence in situations such as clinical faculty illness or agency outbreaks (e.g. C-difficile?)

25. Does your simulation lab receive adequate resources to facilitate meaningful and quality simulated learning experiences?

26. Would you or your delegate join a national consortium to advance the science of simulation?

27. How is faculty prepared for delivering simulation?

28. How is faculty prepared for delivering simulation?

29. Conclusions • Faculty development and financial barriers identified as barrier to fully integrating simulation across the curriculum • Other barriers included lack of IT support, lack of space, expense, and limited knowledge about simulation • Professional development and faculty support are required to fully implement simulation

30. Thank you for your time Leslie Graham, MN, CNCC, CHSE Leslie.Graham@durhamcollege.ca Tel: 905.721.2000 x3716 Nicole Harder, RN, PhD Nicole.Harder@umanitoba.ca Tel: 204.474.6714 Contact information