Is Simulation the Future Is Simulation the Future
of Nursing Education?of Nursing Education?
Nigel Wynne
National Teaching Fellow
Senior Academic Learning & Teaching
Senior Academic Learning & Teaching
Birmingham City University
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Simulation in Nursing Education: Future Skills Training at Birmingham City Uni, Schemes and Mind Maps of Nursing
An insight into the use of simulation in nursing education at Birmingham City University. The author, Nigel Wynne, discusses the milestones and achievements of the BCU Simulation platform, the benefits of simulation-based learning, and the challenges and future directions of simulation in healthcare education. The document also includes references to various studies and theories that support the use of simulation in nursing education.
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Is Simulation the FutureIs Simulation the Future
of Nursing Education?of Nursing Education?
Nigel Wynne
National Teaching Fellow
Senior Academic Learning & TeachingSenior Academic Learning & Teaching
Birmingham City University
Disclosure
Project Lead for the Virtual Case CreatorO
li
Si
l ti
k t
d
Online Simulation workstream – madeavailable to HEI and Health CareOrganisations Under LicenseOrganisations Under LicenseNo Personal Financial GainNo Personal Financial Gain
Birmingham City
g
y
F
lt
f H
lth
F
aculty of Health
•^
Approx
7000 students
•^
Approx
. 7000 students - Nursing (4 branches),
SLT, Radiography, Social Work, ODP
’s,
Midwifery
- Centre for Defence• Centre for Defence
Medicine
- 3000 pre-registration
nursing stds
- 300 staff
BCU Simulation
•^
2004 Online simulation
BCU Simulation
Milestones
platform (VCC)
-^
January 2005 CETL Status
-^
May 2005 International
ay
005
e^
a^
o^
a
Council of Nurses conf.Taiwan
-^
March 2006 Pitt visit
-^
Sept 2006 NMC Pilot
-^
June 2006 QAA rating
-^
April 2007 Installation of
-^
April 2007 Installation ofVERT
The Pendulum That Swung
Too Far?Too Far?
th
century -Practice
Based LearningE
l^
P2K
- Early 1990’s – P2K
and HE
- Peach Report 1999 –
Peach Report 1999Damming Critique
P
ti
M k
P
f^
t
P
ractice Makes Perfect
Practice Makes PermanentPractice Makes Permanent
Only well supervised practice withconstructive feedback that makesconstructive feedback that makesgood practice permanent
(Nichol, 2006)
Defining Simulation
g
Simulation is a technique - not a technology – toamplify experiences that evoke or replicateamplify experiences that evoke or replicatesubstantial aspects of the real world in a fullyinteractive manner.
Gabba (2004)
C
ll d
d
i k f
h
li
Controlled and risk free encounters that replicatereal life scenarios allowing students to learnrehearse and apply skills before transferring these
pp y
g
to clinical practice.
Morgan(2006)
Nurse/Simulation Publications
Nursing&Simulation Publications
140
CINAHL PlusLiterature Search
99
132
126
120 100
Literature
Search
49
70
80
73
80 60
Frequ
46
33
27
49
39
40 20
Over 4 foldincrease inSimulation/NursingP^
bli
ti^
f 2000
0
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Year
Nov
Publication cf 2000
NMC Pilot
Background • Nursing and Midwifery Council
- regulator for 682,000 nurses and
midwives in UK
- Commissioned Simulation and Practice• Commissioned Simulation and Practice
Based Learning Project in 2006
- 13 pilot sites selected to capture a wide
ange of app oaches to sim
lation
range of approaches to simulationfocussed learning within pre-reg. nursingonly
NMC Pilot
• Aimed to identify what is required to
ensure that simulation can developskills as safely as practice experience
• Potential Outcome: Changes in the
proportion of time learners need top
p
spend in practice during their course
OutcomeOutcome
Th
i^
ifi
h
i^
UK
- The most significant change in UK nurse
education in the past 15 years
- Up to 300 hours of the 2300 hours• Up to 300 hours of the 2300 hours
practice component to provide clinicaltraining within a simulated practicelearning environment in support ofproviding direct care in the practicesetting
NMC Circular 36/2007)
setting.
NMC Circular 36/2007)
What is the key challenge facingthe field of simulation in healththe field of simulation in health
care?
50%
1
Promoting patient safety
24%
22%
Promoting patient safety
Improving the fidelity ofsimulation scenarios
3
Maximising the
y
5%
Maximising theeducational value ofsimulation
4
Obtaining further
moting patient safety ro
mproving the fidelity ..
Maximising the educa...
Obtaining further inv...
Obtaining furtherinvestment in simulationlearning
Pro
Im
Ma
Ob