Tracheostomy Technician

Being a student in the UW nursing school, I can not only take advantage of the special classroom settings, but also the advanced technology. With classroom settings designed for active learning, it gives me opportunities to share my thoughts and ideas with other students. Instead of listening passively, we would work as a team to find out the best solution for patients. Besides, the unique state-of-the-art technology allows me to practice and apply my knowledge in a simulated hospital setting. Since every practice is recorded, I can take a look at those videos several times and self-reflect. Thus, I can correct my mistakes and improve.

The simulation environment offers a safe place for students to practice critical scenarios and gain confidence in proscribed settings (Decker, Sportsman, Puetz, & Billings, 2008). Simulation helps faculty to facilitate learning which meets one of the NLN’s core competencies. Simulation also enhances communication through emerging leadership and delegation skills, and builds teamwork through goal and priority setting (Dillon, Noble, & Kaplan, 2009). Therefore, according to Lasater (2007) simulation is highly effective as an adjunct teaching strategy in clinical practice.

Since the capstone project started early on beginning of the Doctor of Nursing Practice (DNP) program, I was able to discuss and work personally with Dr. Spicer as my practice mentor in selecting the appropriate topic for my project. Dr. Spicer was very involved in choosing my second option for new capstone project # 1 related to simulation lab and faculty teaching and learning. The patient simulation laboratory (SIM lab) uses state-of-the-art equipment that provides students and faculty with the opportunity to tackle real-life scenarios in a safe and supported environment. Further, I learned that active learning involves the faculty through participation and investment in exploring content knowledge in all phases of the learning process. It requires educational activities that provide faculty with the opportunity to engage actively in courses and respond to the learning situation.

Nursing simulation, a progressive method of education and utilized by nursing programs, improves patient outcomes by giving students opportunities to practice and learn new nursing skills in non-threatening environments. The use of simulation experiences origins hold root in the military and airline industries. Nevertheless, since that time, many academic interest groups, including medical and nursing education have adopted this educational method. Furthermore, anticipated is the idea that simulation experiences will allow students the opportunities they need to practice skill sets that will lead to the improvement of the patient’s condition. Additionally, an evaluation of the nursing simulation also serves an important role in determining the effectiveness of the activity in meeting the objectives of various nursing curricula. Completing, recording, and studying the outcomes of a methodical evaluation, such as a rubric, are foundational to the enhancement of both the procedure and results (Robinson & Dearmon, 2013). This capstone project specifically concentrates on the development, implementation, and evaluation of a rubric for nursing simulation scenarios conducted by baccalaureate level nursing students at WKU.

Simulation labs and clinical placements are effective for practicing skills and building hands-on dexterity, habits, rhythms, and confidence. Not every facet of nursing education prepares student nurses with this kind of learning; originally an, most commonly clinical hours spent in simulation labs were integrated strictly into BSN programs, eliciting the statement made by Taylor (2008) that ADN programs have had to expand their curricula and offer students more content (p.613). According to Go’s (2012) dissertation on High Fidelity Patient Simulation (HFPS), simulation labs are advantageous because they give student nurses a venue for instruction while working in a clinical setting (p. 34). HFPS promotes and validates the clinical judgment competency of nursing students; it offers opportunities for feedback, debriefing, and guided reflection; it increases the student's ability to synthesize knowledge and insight, forming the bridge between theory and practice (Go, 2012, p. 34). However, hours spent in standard clinical settings are often inadequate in preparing

Simulation is one kind of reflective tool that widely use in nursing education. National League for Nursing (NLN) described that simulation was a teaching technique that encouraged students to use and apply their theoretical knowledge in clinical scenarios (2015). NLN (2015) also mentioned that “simulation engages learners with diverse perspectives to reflect and reframe the understanding of practice, bringing thinking and doing together” (p. 4). Jones (2009) showed the similar view that reflective simulation was a critical learning process via practiced-based scenario activity that enhanced students to learn and to practice skills before they faced real situations. However, not all processes of simulation use reflection, it is just debriefing process.

the potential ethical consequences and recommendations of including currently popular virtual/computer-based simulation as a medical educational tool for formal nurse- and physician- education programs.

There remain many questions regarding how and why individuals learn. The optimal methods to train and educate an individual need to be studied, as well as team training for optimal outcomes. Inserting multiple variables into individual training further complicates the issue. The “See One, Do One, Teach One” method has been used in the past, however, with simulation systems, the model should move toward “See Many, Do Many, Teach Many” as it is understood that simulation systems are relevant for novices as well as for experts providing

Smith, L. G., & Gallo, K. (2015). Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. New York: Springer Publishing

In order to properly learn, the nurse must be able to manipulate the emergency equipment, that way he/she is comfortable putting together items such as an Ambu-bag, doing chest compressions, and drawing up life-saving medications. After the 12 weeks of hands on training are completed, the nurse will attend two different simulation labs, one in a delivery room and another in a bedside setting. These simulations consist of a computer operated “baby doll” that breathes, changes color, and has a heartbeat. A team consisting of two new RNs, a respiratory therapist and a doctor will progress through the steps necessary to revive the “infant” in each setting. The mock code will be recorded and played back for the team so they can debrief and discuss ways to do better for next time. This type of learning is a new way of using technology in the classroom setting to practice working under pressure so the nurse is ready when a real emergency occurs. Using an electronic baby doll in “real time” is advancing technology and allowing nurses to feel more comfortable in their own

Flight nursing is developing new classes and simulation workshops in order to help nurses become more comfortable performing their duties in the air. New Zealand has the first life-sized air ambulance in the world (Longmore, 2016, p. 40). The life size simulator gives nurses an opportunity to bring an unfamiliar work environment to life. The simulator mimics the noises of flight, provides poor lighting and even imitates turbulence (Longmore, 2016, p. 40). On board the flight are high-tech manikins that can speak, bleed, and even sweat (Longmore, 2016, p. 40). It gives flight nurses a chance to encounter unfamiliar situations they may experience in the air and problem solve these situations before experiencing it in a real life situation. It enables flight nurses develop more confidence and ultimately creates a safer environment for

A human patient simulator is a life-like, anatomically correct, computer driven mannequin with physiologic responses that mimic real patients. Education in simulated learning environments (SLEs) has grown rapidly across health care professions. A randomized controlled trial has investigated whether SLEs can, in part, substitute for traditional clinical education finally provided evidence that clinical education in an SLE can in part (25%) replace clinical time with real patients without compromising students' attainment of the professional competencies required to practice (Watson et al., 2012). An increase in recognition of medical errors has dictated the need to improve education by allowing students and clinicians to learn in an environment

For years nurses have gained experience in the medical field through clinical rounds at hospitals and doctors offices. Learning has always taken place first through textbooks and then through personal experience during required clinical time. These methods have proven effective but include limitations to the amount of exposure a student can gain before entering the workforce. A new way of learning is on the rise with the use of High Fidelity Simulations (HFS) or the Sim Man. HFS is a computerized life size manikin that simulates real human responses to treatment. This new technology allows students to practice rare procedures or treat common diagnoses.

The stakeholders are the individuals may be the learners, health care providers, and policy makers of the institution or the hospital for identification of the need, and development of curriculum for educational aspect to enhance the standard of care. Inter-professional team members are important in continuation of patient care in any health care settings to implement patient safety, thereby positive outcome is achieved. The evidence -based practices are demonstrated and practiced in sim lab and directed to care of real life events. The popularity of in-situ simlab training is the valid educational strategy needs periodical assessment and evaluation for further improvement. The education process in both situation whether in simlab or in the clinics - real life critical events are observed for implication of expectational competencies. The competencies of such procedure is programmed by the stakeholders time to time with some changes.

Research shows that novice nurses find it difficult to handle patient situation properly in the event that their condition rapidly deteriorate. Barbara Aronson (PhD, RN, and CNE) and her colleague Barbara Glynn (DNP, RN-BC) conducted the research. The title of the article was clearly stated and it focused on the effectiveness of a role- modeling intervention on student nurse simulation competency. The researchers used quasi -experimental studies to conduct a pre-test and post-test study to evaluate whether student been exposed to the role- modeling intervention simulation competency will be able to handle patient conditions better than student not exposed to that intervention. The study was been