King Marsha
Author Affiliation: University of Saint Francis, Crown Point Campus, IN.
Health Care Manag (Frederick). 2018 Jul/Sep;37(3):235-249. doi: 10.1097/HCM.0000000000000217.
This change project was developed in response to the lack of a high-fidelity simulation program at a midwestern university in the United States. The use of clinical simulation as a teaching-and-learning strategy has significantly increased within nursing education. Unlike some colleges, this university had a dedicated simulation laboratory with two high-fidelity simulators; however, there was no clinical simulation program to use this equipment. The expensive simulation equipment sat unused because of the lack of funding for dedicated faculty, lack of a champion to implement, shortage of faculty time, minimal knowledge of the use of high-fidelity simulators, and a lack of curriculum integration. The purpose of the project was to create a simulation program, including faculty development and curriculum integration of simulation-based experiences. The framework of the program was based on the International Nurses Association of Clinical Simulation and Learning "Standards of Best Practice: Simulation." The high-fidelity simulation program grew from 0 simulation encounter per year to greater than 250 per year from the onset of the project. Faculty accepted high-fidelity simulation as a new teaching strategy and incorporated a minimum of at least one simulation-based experience within their courses. Simulation has been integrated successfully into the current curriculum. Students and faculty have positively evaluated simulation as an effective teaching/learning strategy. Each semester has seen an increase in the number of simulations, types of simulations, and acuity of simulations offered in clinical courses for students.
这个变革项目是针对美国中西部一所大学缺乏高保真模拟项目的情况而开展的。在护理教育中，将临床模拟作为一种教学策略的应用显著增加。与一些学院不同，这所大学有一个配备两台高保真模拟器的专用模拟实验室；然而，当时没有临床模拟项目来使用这些设备。由于缺乏对专任教师的资金支持、缺乏实施项目的倡导者、教师时间短缺、对高保真模拟器的使用了解有限以及缺乏课程整合，昂贵的模拟设备闲置未用。该项目的目的是创建一个模拟项目，包括教师发展以及基于模拟的体验的课程整合。该项目的框架基于国际临床模拟与学习护士协会的《最佳实践标准：模拟》。从项目启动开始，高保真模拟项目从每年0次模拟演练增加到每年超过250次。教师们接受了高保真模拟作为一种新的教学策略，并在他们的课程中至少纳入了一次基于模拟的体验。模拟已成功融入当前课程。学生和教师对模拟作为一种有效的教学/学习策略给予了积极评价。每个学期，供学生使用的临床课程中的模拟次数、模拟类型和模拟难度都有所增加。
