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Developing team based acute care scenarios: a rural hospital experience

- Missen, Karen, Sparkes, Louise, Porter, Joanne, Cooper, Simon J., McConnell-Henry, Tracy

  • Authors: Missen, Karen , Sparkes, Louise , Porter, Joanne , Cooper, Simon J. , McConnell-Henry, Tracy
  • Date: 2013
  • Type: Text , Journal article
  • Relation: International Emergency Nursing Vol. 21, no. 3 (2013), p. 186-189
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  • Description: Background Health professionals work in teams in a variety of health care settings especially in medical emergency teams at times of crisis. However, Registered Nurses (RNs) rarely have the chance to partake in educational programs designed for teams of nurses to practice working together in life-threatening situations. Further RN’s employed in rural setting have less opportunities for professional development than their city based counterparts. Simulated scenarios with a patient actor in a rural hospital have been utilised in this study to provide nurses with the opportunity to work as a team in the early recognition and management of patients with acute medical conditions. Aim This discussion paper focuses on one aspect of a larger research project with the aim of describing the development of team based scenarios for a rural hospital setting, focusing on the detection and management of a deteriorating patient. Methods Three team based scenarios, the related assessments and feedback techniques are all described. Conclusion Team based simulation provides a unique opportunity to assist registered nurses in rural settings in re-skilling or maintaining their emergency management skills.

I think I can, I think I can, I think I can...I know I can : Multi-user Virtual Environments (MUVEs) as a means of developing competence and confidence in undergraduate nursing students : An Australian perspective

- Peck, Blake, Miller, Charlynn

  • Authors: Peck, Blake , Miller, Charlynn
  • Date: 2010
  • Type: Text , Journal article
  • Relation: Procedia - Social and Behavioral Sciences Vol. 2, no. 2 (2010), p. 4571-4575
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  • Description: The consideration of emerging technologies for use in higher education is critical. The implications for the enhancement of scenario-based learning for students in areas such as nursing where active learning is necessary, but often unwieldy, makes a compelling argument for the incorporation of virtual technologies such as Second Life. Building upon studies that have established that simulation based learning can lead to improved levels of student confidence and competence for real-world clinical practice, this study illuminates the development of a virtual clinical simulation for undergraduate nursing students and the subsequent opportunities available to students within a Multi-user Virtual Environment (MUVE). © 2010 Elsevier Ltd. All rights reserved.
  • Description: 2003008258

A case for causal loop diagrams to model electronic health records ecosystems

- Hashmi, Mustafa, McInnes, Angelique, Sahama, Tony, Stranieri, Andrew

  • Authors: Hashmi, Mustafa , McInnes, Angelique , Sahama, Tony , Stranieri, Andrew
  • Date: 2023
  • Type: Text , Conference paper
  • Relation: 2023 Australasian Computer Science Week, ACSW 2023, Melbourne, Australia, 31 January-3 February 2023, ACSW '23: Proceedings of the 2023 Australasian Computer Science Week p. 238-239
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  • Description: Causal loop diagrams (CLD) that emerged from systems thinking disciplines have been used to simulate complex inter-dependencies between causal factors in diverse phenomena. This paper highlights a process for generating a casual loop diagrams to represent the quality of electronic health record (EHR) ecosystem in a medical context. The quality inherent in the use of electronic health records for specific clinical purposes is taken to depend on factors including data integrity, reliability, relevance, timeliness and completeness. By improving the electronic health record ecosystem quality, health care providers can enhance their data sharing practices, and personalised patient care, while reducing the probabilities of medical errors. Ultimately the CLD can be used to run multiple simulations for several clinical case scenarios to understand the impact of various case phenomena on the quality of the electronic health record ecosystem. © 2023 ACM.

Is simulation a substitute for real life clinical experiences in Midwifery? A qualitative examination of the perceptions of educational leaders

- McKenna, Lisa, Bogossian, Fiona, Hall, Helen, Bady, S, Fox-Young, Stephanie, Cooper, Simon J.

  • Authors: McKenna, Lisa , Bogossian, Fiona , Hall, Helen , Bady, S , Fox-Young, Stephanie , Cooper, Simon J.
  • Date: 2011
  • Type: Text , Journal article
  • Relation: Nurse Education Today Vol. 31, no. 7 (2011), p. 682-686
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  • Description: This paper describes the perceptions of midwifery educational leaders concerning the potential for simulation to provide a realistic experience in midwifery education. A qualitative design was employed using focus groups which were audio-taped and transcribed verbatim. Data were analysed using thematic analysis. Eleven focus groups were conducted with 46 key midwifery academics across Australia. Three main themes emerged relating to realism and simulation in midwifery practice: 'we already use a lot of simulation', 'level of realism of manikins', and 'some things cannot be simulated'. Simulation is currently widely used in midwifery education, but this is limited due to realism of available models and equipment. Despite this, within a woman-centred, holistic approach to care there are many aspects of midwifery practice that cannot be easily simulated. There is a need for research and development of realistic simulation approaches to support the enhanced use of simulation. Furthermore, strategies for developing approaches that reflect midwifery care provision need to be developed.

The influence of anxiety on student nurse performance in a simulated clinical setting : A mixed methods design

- Al-Ghareeb, Amal, McKenna, Lisa, Cooper, Simon J.

  • Authors: Al-Ghareeb, Amal , McKenna, Lisa , Cooper, Simon J.
  • Date: 2019
  • Type: Text , Journal article
  • Relation: International Journal of Nursing Studies Vol. 98, no. (2019), p. 57-66
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  • Description: Background: Anxiety has a powerful impact on learning due to activation of anxiety hormones, which target related receptors in the working memory. Experiential learning requires some degree of challenge and anxiety. Patient simulation, as a form of experiential learning, has been an integrated component of health professional education internationally over the last two decades, especially in undergraduate nursing education. Little information is available to determine if and how anxiety impacts nursing students’ clinical performance during simulation. Objectives: To investigate physiological and psychological anxiety during emergency scenarios in high-fidelity simulation and understand the effect of anxiety on clinical performance. Design: First2Act was the model for the simulation intervention. Second and third year undergraduate nursing students attended a two-hour simulation session and completed a demographic questionnaire plus pre-simulation self-reported psychological anxiety scale. A heart rate variability monitor was attached to each student's chest to measure heart rate variability (as a sign of anxiety) before engaging in two video-recorded simulated emergency scenarios (cardiac and respiratory) with a professional actor playing the patient. Performance was rated by a clinician followed by video-assisted debriefing. Finally, heart monitors were removed and students repeated self-reports of psychological anxiety. Results: Students’ psychological anxiety was high pre-simulation and remained high post-simulation. With regard to physiological anxiety, students were anxious at the start of the simulation but became more relaxed toward the end as they gained familiarly with the simulation environment (p < .007). Clinical performance increased significantly in the second scenario (p < .001). Factors found to positively affect clinical performance were length of enrolment in the nursing degree (p = .001), current employment in a nursing or allied healthcare field (p = .030), and previous emergency experience (p = .047). The relationship between physiological anxiety and clinical performance was statistically not significant, although there was an indication that low level anxiety led to optimal performance. Conclusion: High-fidelity patient simulation has the capacity to arouse novice nurses psychologically and physiologically while managing emergency situations. Indicative outcomes suggest that optimal performance was apparent when anxiety levels were low, indicating that they had received insufficient training to deal with situations that induced moderate to high anxiety levels.

Dynamic reconfiguration and graph theory approaches to failures in IT based telecommunication networks

- Patel, Keyurkumar, Dzalilov, Zari

  • Authors: Patel, Keyurkumar , Dzalilov, Zari
  • Date: 2004
  • Type: Text , Conference paper
  • Relation: Paper presented at 4th IASTED International Conference on Modelling, Simulation, and Optimisation, Marbella, Spain : 17-19th August, 2004 p. 219-244
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  • Description: For the last quarter of a century understanding of the nature of telecommunication network traffic has been considered as an important research topic. Any well designed recovery strategy has to take into account the different resilience requirements of the single traffic flows in order to avoid excessive usage of bandwidth for standby links. Faced with multiple recovery options, an internet service provider (ISP) must decide which flows to protect to what extent against networks. Traditional techniques and models used to determine the availability and failure rates of telecommunications networks are based on classic failure models such as Mean-time between failure and Mean-time between service outage predictors. Network failures occur for many different reasons and occur in many different forms. These classic models only assume that the failure is caused by a hardware component of the network. With the widespread deployment of Internet technologies other factors that cause or contribute to failure in a telecommunications network must be explored. Two additional failure modes to existing published failure models, failure from Denial of Service attacks, and failures due to catastrophic events have been identified and defined along with an initial outline of a generalized prediction model based on Dynamic System Theory. Discussion is done on the effects of failures and survivability issues in network failures and how to overcome failures in IT based telecommunication network
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  • Description: 2003002567

Development of pedotransfer functions by machine learning for prediction of soil electrical conductivity and organic carbon content

- Benke, Kurt, Norng, Sorn, Robinson, Nathan, Chia, K., Rees, David, Hopley, J.

  • Authors: Benke, Kurt , Norng, Sorn , Robinson, Nathan , Chia, K. , Rees, David , Hopley, J.
  • Date: 2020
  • Type: Text , Journal article
  • Relation: Geoderma Vol. 366, no. (2020), p.
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  • Description: The pedotransfer function is a mathematical model used to convert direct soil measurements into known and unknown soil properties. It provides information for modelling and simulation in soil research, hydrology, environmental science and climate change impacts, including investigating the carbon cycle and the exchange of carbon between soils and the atmosphere to support carbon farming. In particular, the pedotransfer function can provide input parameters for landscape design, soil quality assessment and economic optimisation. The objective of the study was to investigate the feasibility of using a generalised pedotransfer function derived with a machine learning method to predict soil electrical conductivity (EC) and soil organic carbon content (OC) for different regional locations in the state of Victoria, Australia. This strategy supports a unified approach to the interpolation and population of a single regional soils database, in contrast to a range of pedotransfer functions derived from local databases with measurement sets that may have limited transferability. The pedotransfer function generation was based on a machine learning algorithm incorporating the Generalized Linear Mixed Model with interactions and nested terms, with Residual Maximum Likelihood estimation, and a predictor-frequency ranking system with step-wise reduction of predictors to evaluate the predictive errors in reduced models. The source of the data was the Victorian Soil Information System (VSIS), which is a database administered for soil information and mapping purposes. The database contains soil measurements and information from locations across Victoria and is a repository of historical data, including monitoring studies. In total, data from 93 projects were available for inputs to modelling and analysis, with 5158 samples used to derive predictors for EC and 1954 samples used to derive predictors for OC. Over 500 models were tested by systematically reducing the number of predictors from the full model. Five-fold cross-validation was used for estimation of model mean-squared prediction error (MSPE) and mean-absolute percentage error (MAPE). The results were statistically significant with only a gradual reduction in error for the top-ranked 50 models. The prediction errors (MSPE and MAPE) of the top ranked model for EC are 0.686 and 0.635, and 0.413 and 0.474 for OC respectively. The four most frequently occurring predictors both for EC and OC prediction across the full set of models were found to be soil depth, pH, particle size distribution and geomorphological mapping unit. The possible advantages and disadvantages of this approach were discussed with respect to other machine learning approaches. © 2020 Elsevier B.V.

A general purpose visualization architecture for distributed simulation

- Fraser, Michael, Stratton, David

An analysis of nursing students’ decision-making in teams during simulations of acute patient deterioration

- Bucknall, Tracey, Forbes, Helen, Phillips, Nicole, Hewitt, Nicky, Cooper, Simon J., Bogossian, Fiona, FIRST2ACT Investigators

  • Authors: Bucknall, Tracey , Forbes, Helen , Phillips, Nicole , Hewitt, Nicky , Cooper, Simon J. , Bogossian, Fiona , FIRST2ACT Investigators
  • Date: 2016
  • Type: Text , Journal article
  • Relation: Journal of Advanced Nursing Vol. 72, no. 10 (2016), p. 2482-2494
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  • Description: Aim: The aim of this study was to examine the decision-making of nursing students during team based simulations on patient deterioration to determine the sources of information, the types of decisions made and the influences underpinning their decisions. Background: Missed, misinterpreted or mismanaged physiological signs of deterioration in hospitalized patients lead to costly serious adverse events. Not surprisingly, an increased focus on clinical education and graduate nurse work readiness has resulted. Design: A descriptive exploratory design. Methods: Clinical simulation laboratories in three Australian universities were used to run team based simulations with a patient actor. A convenience sample of 97 final-year nursing students completed simulations, with three students forming a team. Four teams from each university were randomly selected for detailed analysis. Cued recall during video review of team based simulation exercises to elicit descriptions of individual and team based decision-making and reflections on performance were audio-recorded post simulation (2012) and transcribed. Results: Students recalled 11 types of decisions, including: information seeking; patient assessment; diagnostic; intervention/treatment; evaluation; escalation; prediction; planning; collaboration; communication and reflective. Patient distress, uncertainty and a lack of knowledge were frequently recalled influences on decisions. Conclusions: Incomplete information, premature diagnosis and a failure to consider alternatives when caring for patients is likely to lead to poor quality decisions. All health professionals have a responsibility in recognizing and responding to clinical deterioration within their scope of practice. A typology of nursing students’ decision-making in teams, in this context, highlights the importance of individual knowledge, leadership and communication. © 2016 John Wiley & Sons Ltd

Decision-making errors during recognizing and responding to clinical deterioration : gaze path-cued retrospective think-aloud

- Al-Moteri, Modi, Plummer, Virginia, Cooper, Simon

  • Authors: Al-Moteri, Modi , Plummer, Virginia , Cooper, Simon
  • Date: 2022
  • Type: Text , Journal article
  • Relation: Clinical Simulation in Nursing Vol. 73, no. (2022), p. 29-36
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  • Description: Background: Using individuals. own eye gaze path and mouse click tracks has proven to be a valuable technique for identifying a broad range of underlying cognitive processes and lapses of decision-making. Aim: The study aims to investigate nurses. decision-making errors in clinical deterioration. Method: Tobii eye tracker(R) was used to collect eye movements and mouse clicks of eighteen participants followed by gaze path retrospective interview. Finding: Thematic analysis revealed several forms of cognitive bias including anchoring, availability and confirmation bias, commission error and Yin-yang out. A distraction effect was apparent in nurses' ability to perceive, process data and to intervene. © 2022

IoTSim‐Edge: A simulation framework for modeling the behavior of Internet of Things and edge computing environments

- Jha, Devki Nandan, Alwasel, Khaled, Alshoshan, Areeb, Huang, Xianghua, Naha, Ranesh, Battula, Sudheer, Garg, Saurabh, Puthal, Deepak, James, Philip, Zomaya, Albert, Dustdar, Schahram, Ranjan, Rajiv

  • Authors: Jha, Devki Nandan , Alwasel, Khaled , Alshoshan, Areeb , Huang, Xianghua , Naha, Ranesh , Battula, Sudheer , Garg, Saurabh , Puthal, Deepak , James, Philip , Zomaya, Albert , Dustdar, Schahram , Ranjan, Rajiv
  • Date: 2020
  • Type: Text , Journal article
  • Relation: Software, practice & experience Vol. 50, no. 6 (2020), p. 844-867
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  • Description: Summary With the proliferation of Internet of Things (IoT) and edge computing paradigms, billions of IoT devices are being networked to support data‐driven and real‐time decision making across numerous application domains, including smart homes, smart transport, and smart buildings. These ubiquitously distributed IoT devices send the raw data to their respective edge device (eg, IoT gateways) or the cloud directly. The wide spectrum of possible application use cases make the design and networking of IoT and edge computing layers a very tedious process due to the: (i) complexity and heterogeneity of end‐point networks (eg, Wi‐Fi, 4G, and Bluetooth) (ii) heterogeneity of edge and IoT hardware resources and software stack (iv) mobility of IoT devices and (iii) the complex interplay between the IoT and edge layers. Unlike cloud computing, where researchers and developers seeking to test capacity planning, resource selection, network configuration, computation placement, and security management strategies had access to public cloud infrastructure (eg, Amazon and Azure), establishing an IoT and edge computing testbed that offers a high degree of verisimilitude is not only complex, costly, and resource‐intensive but also time‐intensive. Moreover, testing in real IoT and edge computing environments is not feasible due to the high cost and diverse domain knowledge required in order to reason about their diversity, scalability, and usability. To support performance testing and validation of IoT and edge computing configurations and algorithms at scale, simulation frameworks should be developed. Hence, this article proposes a novel simulator IoTSim‐Edge, which captures the behavior of heterogeneous IoT and edge computing infrastructure and allows users to test their infrastructure and framework in an easy and configurable manner. IoTSim‐Edge extends the capability of CloudSim to incorporate the different features of edge and IoT devices. The effectiveness of IoTSim‐Edge is described using three test cases. Results show the varying capability of IoTSim‐Edge in terms of application composition, battery‐oriented modeling, heterogeneous protocols modeling, and mobility modeling along with the resources provisioning for IoT applications.

Agent teamwork and reorganisation: exploring self-awareness in dynamic situations

- Keogh, Kathleen, Sonenberg, Liz

  • Authors: Keogh, Kathleen , Sonenberg, Liz
  • Date: 2006
  • Type: Text , Conference paper
  • Relation: Paper presented at Fifth International Workshop on Agent Technology for Disaster Management, Workshop Program, AAMAS 2006, Hakodate, Japan : 8th May, 2006
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  • Description: We propose attributes that are needed in sophisticated agent teams capable of working to manage an evolving disaster. Such agent teams need to be dynamically formed and ca- pable of adaptive reorganization as the demands and com- plexity of the situation evolve. The agents need to have self- awareness of their own roles, responsibilities and capabilities and be aware of their relationships with others in the team. Each agent is not only empowered to act autonomously to- ward realizing their goals, agents are also able to negotiate to change roles as a situation changes, if reorganization is required or perceived to be in the team interest. The hierar- chical 'position' of an agent and the 'relationships' between agents govern the authority and obligations that an agent adopts. Such sophisticated agents might work in a collabora- tive team with people to self-organize and manage a critical incident such as a bush-¯re. We are planning to implement a team of agents to interface with a bush-¯re simulation, working with people in real time, to test our architecture.
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  • Description: 2003001730

Modelling a biorefinery concept producing carbon fibre-polybutylene succinate composite foam

- Ghayur, Adeel, Verheyen, Vincent

  • Authors: Ghayur, Adeel , Verheyen, Vincent
  • Date: 2019
  • Type: Text , Journal article
  • Relation: Chemical Engineering Science Vol. 209, no. (2019), p. 1-7
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  • Description: In this study, a novel biorefinery concept producing carbon fibre-poly(butylene succinate) composite foam (CPC foam) from lignocellulose and CO 2 is modelled. The biodegradable nature of poly(butylene succinate) would allow for easy carbon fibre recovery from the CPC foam for reuse at the end of product lifecycle, thus allowing for a circular materials flow. Technical simulation results show the biorefinery consumes 417 kg of biomass, 33 kg of CO 2 , 86 kg of methanol, 23 kg of acetic anhydride, 130 kWh of electricity and 1166 kW of heat per hour. The facility generates 72 kg of CPC foam, 82 kg of carbon fibre, 24 kg of tetrahydrofuran and 50 kg of dimethyl ether (DME). DME is used to fulfil parasitic electricity requirement. These results demonstrate the technical viability of this biorefinery although, research is needed to reduce parasitic energy demand. This carbon negative biorefinery avoids carcinogens and halogens for polymeric materials synthesis by utilising green chemistry principles and lignocellulose feedstock.

Enhancing cultural capabilities amongst health professions students : a pilot study of interprofessional tag team simulation

- Garvey, Loretta, Mackelprang, Jessica, Bhowmik, Jahar, Cassar, Nicole, Delbridge, Robyn, El-Ansary, Doa, Willetts, Georgina, Williams, Anne

  • Authors: Garvey, Loretta , Mackelprang, Jessica , Bhowmik, Jahar , Cassar, Nicole , Delbridge, Robyn , El-Ansary, Doa , Willetts, Georgina , Williams, Anne
  • Date: 2022
  • Type: Text , Journal article
  • Relation: Clinical Simulation in Nursing Vol. 62, no. (2022), p. 83-91
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  • Description: Background: To facilitate inclusive healthcare and increase cultural capabilities, health professions students require authentic interprofessional learning experiences that challenge their social, professional, and historical positioning. Tag Team Simulation (TTS) is an innovative approach to develop students’ interprofessional collaboration and cultural competency for working with Aboriginal people. Method: Co-designed and delivered by Aboriginal people and an interdisciplinary team of health professions academics, this pilot aimed to: (a) evaluate the effect of TTS on students’ self-rated cultural capabilities (Cultural Capabilities Measurement Tool) and interprofessional attitudes (Interprofessional Attitude Scale), and (b) explore students’ simulation learning experience. Results: Students’ respect, communication, and safety and quality scores on the Cultural Capabilities Measurement Tool were significantly higher post simulation, as were their Interprofessional Attitude Scale scores. Students experienced the simulation as authentic and effective in advancing their communication skills and cultural understanding. Conclusions: This co-designed interprofessional simulation improved health professions students’ self-rated cultural capabilities and interprofessional attitudes. Coupled with positive student feedback, results indicate that TTS is an innovative simulation method for building cultural competence in health professions students across disciplines. © 2021

The perspectives of Australian midwifery academics on barriers and enablers for simulation in midwifery education in Australia: a focus group study

- Fox-Young, Stephanie, Brady, Susannah, Brealy, W, Cooper, Simon J., McKenna, Lisa, Hall, Helen, Bogossian, Fiona

  • Authors: Fox-Young, Stephanie , Brady, Susannah , Brealy, W , Cooper, Simon J. , McKenna, Lisa , Hall, Helen , Bogossian, Fiona
  • Date: 2012
  • Type: Text , Journal article
  • Relation: Midwifery Vol. 28, no. 4 (2012), p. 435-441
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  • Description: Objective: To describe Australian midwifery academics' perceptions of the current barriers and enablers for simulation in midwifery education in Australia and the potential and resources required for simulation to be increased. Design: A series of 11 focus groups/interviews were held in all states and territories of Australia with 46 participating academics nominated by their heads of discipline from universities across the country. Findings: Three themes were identified relating to barriers to the extension of the use of simulated learning environments (SLEs) ('there are things that you can't simulate'; 'not having the appropriate resources'; and professional accreditation requirements) and three themes were identified to facilitate SLE use ('for the bits that you're not likely to see very often in clinical'; ['for students] to figure something out before [they] get to go out there and do it on the real person'; and good resources and support). Key conclusion: Although barriers exist to the adoption and spread of simulated learning in midwifery, there is a long history of simulation and a great willingness to enhance its use among midwifery academics in Australia. Implications for practice: While some aspects of midwifery practice may be impossible to simulate, more collaboration and sharing in the development and use of simulation scenarios, equipment, space and other physical and personnel resources would make the uptake of simulation in midwifery education more widespread. Students would therefore be exposed to the best available preparation for clinical practice contributing to the safety and quality of midwifery care.

Simulation based learning in midwifery education: a systematic review

- Cooper, Simon J., Cant, Robyn, Porter, Joanne, Bogossian, Fiona, McKenna, Lisa, Brady, Susannah, Fox-Young, Stephanie

  • Authors: Cooper, Simon J. , Cant, Robyn , Porter, Joanne , Bogossian, Fiona , McKenna, Lisa , Brady, Susannah , Fox-Young, Stephanie
  • Date: 2012
  • Type: Text , Journal article
  • Relation: Women and Birth Vol. 25, no. 2 (2012), p. 64-78
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  • Description: Abstract Aim To critically examine the evidence for simulation based learning in midwifery education. Background Simulated Learning Programs (SLPs) using low to high fidelity techniques are common in obstetric professionals’ education and focus on the development of team work, labour and obstetric emergencies. Review methods A systematic review incorporating critical appraisal approaches, setting clear objectives and a defined search and analysis strategy. Evidence from obstetrics, neonatology, technical and non-technical skills (teamwork) was included where it informed the development of midwifery curricula. Studies in English from 2000 to 2010 were included searching CINAHL Plus, OVID Medline, Cochrane, SCOPUS and ProQuest and Google Scholar. Results Twenty-four papers were identified that met the inclusion criteria. All were quantitative reports; outcomes and levels of evidence varied with two notable papers indicating that simulation had an impact on clinical practice. Benefits of SLP over didactic formats were apparent, as were the development of non-technical skills confidence and competence. The study outcomes were limited by the range of evidence and context of the reports which focussed on obstetric emergency training using a number of simulation techniques. Conclusion There is evidence that simulated learning of midwifery skills is beneficial. Simulation learning has an educational and clinical impact and advantages over didactic approaches. Where clinical practice is infrequent i.e. obstetric emergencies, simulation is an essential component of curricula. Simulation enhances practice and therefore may reduce the time taken to achieve competence; however there is no evidence from the literature that simulation should replace clinical practice.

FIRST2ACT: Educating nurses to identify patient deterioration - a theory-based model for best practice simulation education

- Buykx, Penny, Kinsman, Leigh, Cooper, Simon J., McConnell-Henry, Tracy, Cant, Robyn, Endacott, Ruth

  • Authors: Buykx, Penny , Kinsman, Leigh , Cooper, Simon J. , McConnell-Henry, Tracy , Cant, Robyn , Endacott, Ruth
  • Date: 2011
  • Type: Text , Journal article
  • Relation: Nurse Education Today Vol. 31, no. 7 (2011), p. 687-693
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  • Description: Delayed assessment and mismanagement of patient deterioration is a substantial problem for which educational preparation can have an impact. This paper describes the development of the FIRST2ACT simulation model based on well-established theory and contemporary empirical evidence. The model combines evidence-based elements of assessment, simulation, self-review and expert feedback, and has been tested in undergraduate nurses, student midwives and post-registration nurses. Participant evaluations indicated a high degree of satisfaction and substantial self-rated increases in knowledge, confidence and competence. This evidence-based model should be considered for both undergraduate and post-registration education programs.

Designing a medical records review tool: An instructional guide

- McConnell-Henry, Tracy, Cooper, Simon J., Endacott, Ruth, Porter, Joanne, Missen, Karen, Sparkes, Louise

  • Authors: McConnell-Henry, Tracy , Cooper, Simon J. , Endacott, Ruth , Porter, Joanne , Missen, Karen , Sparkes, Louise
  • Date: 2015
  • Type: Text , Journal article
  • Relation: Contemporary Nurse Vol. 50, no. 1 (2015), p. 72-79
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  • Description: Background: Medical Records Reviews (MRR) are commonly used in research and quality activities in health care, however, there is a paucity of literature offering a step by step guide to devising a reliable, user-friendly tool. Aim: This instructional paper focuses on the stages used to design and implement successful MRR using examples from two reviews in Australian rural hospitals investigating the responses of Registered Nurses to patient deterioration, and guided by time series principals. Methods: The MRR were conducted in two rural hospitals in conjunction with a simulation learning intervention where nurses rehearsed clinical management of a deteriorating patient. A six-step template is presented to guide practitioners on how to design and use a MRR tool. Conclusion: When well-planned and appropriately used, MRR provides an excellent means for examining patient outcomes in addition to safety and quality of care.

Exploring the extent to which simulation-based education addresses contemporary patient safety priorities : a scoping review

- Seaton, Philippa, Levett-Jones, Tracy, Cant, Robyn, Cooper, Simon, Kelly, Michelle, McKenna, Lisa, Ng, Linda, Bogossian, Fiona

  • Authors: Seaton, Philippa , Levett-Jones, Tracy , Cant, Robyn , Cooper, Simon , Kelly, Michelle , McKenna, Lisa , Ng, Linda , Bogossian, Fiona
  • Date: 2019
  • Type: Text , Journal article , Review
  • Relation: Collegian Vol. 26, no. 1 (2019), p. 194-203
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  • Description: Background: There is unprecedented increase in use of simulation-based education in healthcare settings. The key driver is improving quality and safety in healthcare. To date, there is limited understanding of the degree to which this goal has been achieved. Aim: This scoping review aimed to explore the extent to which simulation-based education in healthcare has addressed and impacted contemporary patient safety priorities. Methods: Systematic searches of literature (2007–2016) were based on each of 10 patient safety priorities articulated in Australia's National Safety and Quality Health Service Standards and New Zealand's Health, Quality and Safety Indicators and markers. Included primary studies evaluated transferability to practice and/or behavioural change and improved patient outcomes, based on Kirkpatrick's training evaluation model Level 3 and Level 4. Findings: Fifteen papers met inclusion criteria. Studies aligned with four of ten National Safety and Quality Health Service Standards: (3). Preventing and controlling healthcare associated infections; (4). Medication safety; (6). Clinical handover; (9). Recognising and responding to clinical deterioration. The studies were indicative of potential for simulation-based education to have a significant impact on patient safety. Discussion: Studies that qualify as translational science, demonstrating changes in clinician behaviours and improved patient outcomes, are emerging. Little evidence from Australian and New Zealand contexts suggests that outcomes of simulation-based education in this region are not commensurate with the significant government investments. Conclusion: Translational studies, despite being difficult to design and conduct, should form part of a thematic, sustained and cumulative program of simulation-based research to identify translational science. © 2018 Australian College of Nursing Ltd

Anxiety and clinical performance in simulated setting in undergraduate health professionals education : An integrative review

- Al-Ghareeb, Amal, Cooper, Simon J., McKenna, Lisa

  • Authors: Al-Ghareeb, Amal , Cooper, Simon J. , McKenna, Lisa
  • Date: 2017
  • Type: Text , Journal article , Review
  • Relation: Clinical Simulation in Nursing Vol. 13, no. 10 (2017), p. 478-491
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  • Description: Background Undergraduate health professionals clearly experience anxiety during simulation. However, little is known regarding learners’ physiological and psychological responses and the influence of these responses on performance. Method An integrative review was undertaken to provide a comprehensive understanding of the influence of anxiety on undergraduate health professionals’ performance during simulation, and to review the tools and measurements reported in the healthcare literature. Result Eleven articles were included showing simulation aroused learners physiologically and psychologically, either improving or declining clinical performance. Conclusion Two contrasting perceptions emerged, which are indicative of the current lack of understanding regarding the effects of anxiety on performance in a simulation setting. © 2017 International Nursing Association for Clinical Simulation and Learning