The INACSL Standards of Best Practice: SimulationSM

A Lens toward Virtual Simulation

Sabrina Beroz, DNP, RN, CHSE-AGeorge Washington University

• Sabrina Beroz reports no conflict of interest.

• Lead for the George Washington University School of Nursing Simulation Initiatives.

• This presentation received no financial support or funding.

• INACSL Board of Director as VP of Membership

DISCLOSURES

• At t h e co n c l u s i o n o f t h i s m i c rowe b i n a r, yo u w i l l b e a b l e to :

• L i s t t h e e s s e nt i a l e l e m e nt s o f t h e I N A C S L S ta n d a rd s o f B e st

P ra c t i c e : S i m u l at i o n S M fo r v i r t u a l s i m u l at i o n .

• D e s c r i b e exa m p l e s o f o p e rat i o n a l i z i n g t h e I N A C S L S ta n d a rd s

o f B e st P ra c t i c e : S i m u l at i o n S M fo r v i r t u a l s i m u l at i o n .

OBJECTIVES

• Latest edition (2016 - 2017) • Healthcare-centric • Use a collective whole• Grounded in evidence• Common template

• Standard (Statement)• Background• Criteria with required elements• References and Bibliography

OVERVIEW

• Consistent terminology provides guidance and clear communication and reflects shared values in s imulation experiences, research, and publications.

• Knowledge and ideas are clearly communicated with consistent terminology to advance the science of s imulation.

INACSL Standard of Best Practice: Simulation Glossary

STANDARDSimulation-based experiences are purposefully designed to meet identified objectives and optimize achievement of expected outcomes.

INACSL Standard of Best Practice: Simulation Design

Design a scenario or case to provide the context for the simulation-based experience.Use a template to design the scenario to include:• Backstory• Clinical progression• Time frame• Script• Performance measures

INACSL Standard of Best Practice: Simulation Design

http://www.nln.org/sirc/sirc-resources/sirc-tools-and-tips

Simulation Design ScaleMeasures 5 design characteristics• Objectives and Information• Support• Problem Solving• Guided Reflection/Feedback• Fidelity (Realism)

Evaluation of Simulation Design

http://www.nln.org/professional-development-programs/research/tools-and-instruments/descriptions-of-available-instruments

STANDARDAll simulation-based experiences begin with the development of measureable objectives designed to achieve expected outcomes

INACSL Standard of Best Practice: Outcomes and Objectives

Course or Program

ProgramOutcome

Course Outcome Concept Thread

Simulation Objectives

Curriculum Map or Alignment Grid

STANDARDFacilitation methods are varied, and use of a specific method is dependent on the learning needs and expected outcomes. A facilitator assumes responsibility and oversight for managing the entire simulation experience.

The facilitator must have knowledge in simulation pedagogy.

INACSL Standard of Best Practice: Simulation Facilitation

Evaluation of Facilitation

Simulation Effectiveness Tool-MEvaluating Healthcare Simulation www.sim-eval.org

Facilitator Competency RubricEvaluating Healthcare Simulation www.sim-eval.org

STANDARDAll simulation-based experiences include a planned debriefing session aimed at improving future performance.

INACSL Standard of Best Practice: Simulation Debriefing

• Debriefing for Meaningful Learning (Dreifeurst, 2015)

• Debriefing with Good Judgment (Rudolph et al., 2007)

• Promoting Excellence and Reflective Learning in Simulation (PEARLS)(Cheng et al., 2016)

Theory-based Debriefing Methods

INACSL Standard of Best Practice: Simulation Participant Evaluation

STANDARDAll simulation-based experiences require participant evaluation

FormativeSummativeHigh Stakes

• Lasater Clinical Judgment Rubric (Lasater, 2007)

• Creighton Competency Evaluation Instrument (Parsons et al., 2012)

• Seattle University Simulation Evaluation Tool (Mikasa et al., 2013)

Evaluation of Participant Performance Instruments

INACSL Standard of Best Practice: Simulation Professional Integrity

STANDARDProfessional Integrity is demonstrated and upheld by all involved in the simulation-based experiences.

INACSL Standard of Best Practice: Simulation-Enhanced IPE

STANDARDSimulation-enhanced interprofessional education (Sim-IPE) enables participants from different professions to engage in a simulated-based experience to achieve shared or linked objectives and outcomes.

STANDARDAll simulation-based education programs require systems and infrastructure to support and maintain operations.

INACSL Standard of Best Practice: Simulation Operations

• Map standards across courses and programs• Develop alignment grids (curriculum maps) integration

simulation across the curriculum• Emphasize the importance of facil itator development• Focus on SMART objectives to meet outcomes• Look carefully at your Simulation Design• Make sure your work is Peer-Reviewed• All evaluation of students requires inter-rater reliabil ity

In Summary

Resources

https://www.inacsl.org/covid-19-update/resource-list/

• INACSL Standards of Best Practice: Simulation available at:⚬ www.inacsl.org⚬ www.nursingsimulation.org

• SSH Simulation Dictionary⚬ www.ssih.org/dictionary

• IPEC Competencies 2016⚬ https://ipecollaborative.org

• NCSBN National Simulation Study (Hayden et al., 2014)⚬ https://www.ncsbn.org/5644.htm

• NCSBN Simulation Guidelines (Alexander et al, 2015)⚬ http://www.journalofnursingregulation.com/article/S2155-

8256(15)30783-3/pdf

Resources

Cheng, A., Grant, V., Robinson, T., Catena, H., Lachapelle, K., Kim, J., Adler, M., & Eppich, W. (2016). The promoting excellence and reflective learning in Simulation (PEARLS) approach to health care debriefing: A faculty development guide. Clinical Simulation in Nursing, 12(10), 419-428.Dreifuerst, K. (2015). Getting started with debriefing for meaningful learning. Clinical Simulation in Nursing, 11, 268-275.

Lasater, K. (2007). Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 46, 496-503.Mikasa, A., Cicero, T., & Adamson, K. (2013). Outcome-based evaluation tool to evaluate student performance in high-fidelity simulation. Clinical Simulation in Nursing, e361-e367.

Parsons, M., Hawkins, K., Hercinger, M., Todd, M., Manz, J., & Fang, X. (2012). Improvement in scoring consistency for the Creighton Simulation Evaluation Instrument. Clinical Simulation in Nursing, 8, e233-e238.

Rudolph, J.W, Simon, R.,Rivard, P., Dufresne, R. & Raemer, D. (2007). Debriefing with Good Judgment: Combining Rigorous Feedback with Genuine Inquiry. Anesthesiology Clinics, 25, 361-376.

References

Sabrina Beroz, DNP, RN, CHSE-AAssociate Director Programs and InitiativesLead for GW Nursing Simulation InitiativesGeorge Washington Universitysberoz@gwu.edu

Contact Information