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2008-2009 Clinical Simulation Survey Results:

Trends in Oklahoma Hospitals & Educational Programs

2007 Best Practices in Clinical Simulation Conference: Part I

Clinical Simulation Conference 2007

2008 Best Practices in Clinical Simulation Conference: Part II

Clinical Simulation Conference 2008 Clinical Simulation Conference 2008

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Clinical Simulation Conference 2008 Back

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2008-2009 Clinical Simulation

Survey

The Survey Instruments

Two Survey Instruments • Developed by OHCWC Simulation Sub-Committee in

November 2008 • Distribution Mechanism: Survey Monkey • Distributed to:

o Allied health and nursing programs through OSRHE, CareerTech, and IONE

o Hospitals through OHA

• Methodology: Triangulated

Data Collection

• Data Collection Timeframe: December 2008 February 2009

Hospital Respondents

• 16 responses, representing 14% of the acute care members of the Oklahoma Hospital Association

• 2 urban, 2 suburban and 10 rural communities were included

• 50% had between 1 and 100 beds

Educational Program Respondents

• 84 responses from 43 nursing programs representing 68% of nursing programs recognized by the Oklahoma Board of Nursing o 9% responses were received from private

nursing programs o 42% of responses were from technology

centers

• 56% had allied health and nursing student populations between 1 and 50

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Educational Program Respondents

Responses were returned from programs preparing students to be:

• Licensed Practical Nurses (29.7%) • Bachelor’s Prepared Nurses (27%) • Other (27%):

dieticians, echocardiology technicians, medical laboratory technologists, medical assistants, certified medication assistants, phlebotomists, dental assistants, surgical technicians, massage therapists and radiation technologists

Educational Program Respondents(Continued)

• Associate’s Prepared Nurses (21.6%) • Certified Nurses Aides (21.6%) • Respiratory Therapists (9.5%) • Master’s Prepared Nurses (6.8%) • Emergency Management Specialists (4.1%) • Physical Therapy Assistants (2.7%) • Patient Care Technicians (2.7%)

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Survey Responses

Is Simulation Used?

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

Yes No

Hospital

Educational

Program

Plan to Acquire Simulators in the Next Two Years?

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

Yes No

Hospital

Educational

Program

What Kind of Simulation Is Used?

0.00%

20.00%

40.00%

60.00%

80.00%

100.00%

120.00%

Sta

tic

CA

I

T T

rain

er

Std

z P

t

Web

Hospital

Educational

Program

*respondents asked to select all that apply

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How is Simulation Used?

Hospital respondents reported simulation use in:

• Orientation: Emergency Medicine, Nursing Technicians, RNs, and LPNs

• Emergency Preparedness: BLS, ACLS, and PALS education

How is Simulation Used?

Program respondents reported simulation use in:

• Skills lab

• Theory courses • Lab component of clinicals • Remediation • Program recruitment

Simulation Brand and Type Trends* respondents asked to select all that apply

Most Frequently Cited by Hospital Respondents: • Laerdal Nursing Baby

Most Frequently Cited by Program Respondents: • Laerdal Nursing Anne • Laerdal SimMan • Gaumard Noelle

Simulation Purchase Trends

Among Hospital Respondents:

• 50% capital budget, philanthropic gift, or fund raising

• 16.7% complimentary with purchase of other equipment

Among Program Respondents:

• 69% capital budget

• 32.8% grants

• 17.2% operating budget

• Student/Technology fees and hospital-school collaboratives were also reported

Reported Learning Needs: Themes

Hospital Respondents:

• Integrating simulation with caring for/ treating the critically ill patient

• Time and resources to:

o Write and implement scenarios o Integrate simulation into skills assessment

o Clinical judgment and critical thinking activities o Program, run, and use simulation equipment o Conduct effective debriefing sessions

Reported Learning Needs: Themes

Program Respondents: • Components of simulation coordinator job/

role description • Components of fully functional simulation

laboratory • Positioning mannequins for diagnostic

imaging • Time and resources to:

o Write and implement scenarios o Integrate simulation throughout the

curriculum o Program, run, and use simulation

equipment o Conducting effective debriefing sessions

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Comparing Hospital & Educational Program Responses

Among Survey Respondents:

• Clinical simulation seems to be most prevalent in educational programs

• Static mannequins are the most widely used simulator

• Education programs are using a greater variety of simulator types

• Three types of Laerdal simulators were the most frequently purchased simulator

• Programs are beginning to institute fees to offset simulation/technology expenses

• Learning needs of both groups were comparable

Next Steps

• Share data from the 2008-2009 survey

• Host the 2009 Clinical Simulation Conference

• Participate in stakeholder discussions

• Continue: o Environmental scanning in areas o Surveying patient care settings and educational

programs o Working with stakeholders to develop and refine

evidence-based outcomes associated with simulation

• Implement strategies that will result in urban, suburban and rural Oklahoma communities having access to state of the art clinical simulation resources

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) Thank you!

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