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Lessons From Implementing Virtual Simulations: A Multi-Program Evaluation

Published:September 27, 2022DOI:https://doi.org/10.1016/j.ecns.2022.09.001

      Highlights

      • The Healthcare Standards of Best PracticesTM were initially developed when there was limited literature in the area of virtual simulations. The global pandemic required most simulation experiences to be conducted virtually.
      • This study is a multi-site, multi-program, and multi-lingual study that looks at common elements in virtual simulation implementation that promote simulation effectiveness.
      • The role of the facilitator in all areas that are external to the active play aspect of virtual simulation such as orientation, prebriefing, and debriefing are key to simulation effectiveness.
      • “Out of the box” virtual simulation solutions require the same level of engagement by the facilitator in virtual simulation as in-person simulation.

      Abstract

      Background

      The use of virtual simulation increased significantly during the recent pandemic. This required a rapid shift for many nursing programs, and also provided the opportunity to evaluate a common virtual simulation experience.

      Method

      This mixed methods study included three different nursing programs from a Western Canadian province. Each program was delivered in either French or English, and did not have a shared curriculum. The Simulation Effectivenes Tool-Modified (SET-M) was used, with n = 88 students responding. Open-ended qualitative responses, and qualitative responses from a faculty debriefing session were analyzed and included in the results.

      Results

      Prebriefing and debriefing were ranked as being most important in conducting virtual simulation. Sequencing of simulation activities needs to be considered, as does the need for synchronous debriefing.

      Conclusion

      This study highlights the importance of the facilitators’ role in virtual simulation, specifically prebriefing, preparation, and debriefing, and that simulation effectiveness is not based on specific virtual simulation products.

      Keywords

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      References

        • Badowski D.
        • Rossler K.
        • Reiland N.
        Exploring student perceptions of virtual simulation versus traditional and manikin-based simulation.
        Journal of Professional Nursing. 2021; 37: 683-689
        • Bradley C.
        • Johnson B.K.
        • Dreufuerst K.
        Debriefing: A place for enthusiastic teaching and learning at a distance.
        Clinical Simulation in Nursing. 2020; 49: 16-18
        • Cant R.
        • Cooper S.
        Simulation in the internet age: The place of Web-based simulation in nursing education: An integrative review.
        Nurse Education Today. 2014; 34: 1435-1442
        • Cant R.
        • Cooper S.
        • Sussex R.
        • Bogossian F.
        What's in a name? Clarifying the nomenclature of virtual simulation.
        Clinical Simulation in Nursing. 2019; 27: 26-30
        • Dale-Tam J.
        • Thompson K.
        • Dale L.
        Creating psychological safety during a virtual simulation session.
        Clinical Simulation in Nursing. 2021; 57: 14-17
        • Duff E.
        • Miller L.
        • Bruce J.
        Online virtual simulation and diagnostic reasoning: A scoping review.
        Clinical Simulation in Nursing. 2016; 12: 377-384https://doi.org/10.1016/j.ecns.2016.04.001
        • Kuszajewski M.
        • Vaughn J.
        • Bowers M.
        • Smallheer B.
        • Hueckel R.
        • Molloy M.
        Embracing disruption: Measuring effectiveness of virtual simulations in advanced practice curriculum.
        Clinical Simulation in Nursing. 2021; 57: 41-47
      1. Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2018). Simulation effectiveness tool -modified. Retrieved from https://sites.google.com/view/evaluatinghealthcaresimulation/set-m, Accessed date September 15, 2022.

        • Leighton K.
        • Ravert P.
        • Mudra V.
        • Macintosh C.
        Updating the Simulation Effectiveness Tool: Item modifications and reevaluation of psychometric properties.
        Nursing Education Perspectives. 2015; 36: 317-323https://doi.org/10.5480/15-1671
        • Luctkar-Flude M.
        • Tyerman J.
        • Verkuyl M.
        • Goldsworthy S.
        • Harder N.
        • Wilson-Keates B.
        • Gumapac N.
        Effectiveness of debriefing methods for virtual simulation: A systematic review.
        Clinical Simulation in Nursing. 2021; 57 (l): 18-30
        • Padilha J.
        • Machado P.
        • Ribeiro A.
        • Ramos J.
        • Costa P.
        Clinical virtual simulation in nursing education: randomized controlled trial.
        Journal of Medical Internet Research. 2019; 21: 1-8
        • Page-Cutrara K.
        • Turk M.
        Impact of prebriefing on competency performance, clinical judgment and experience in simulation: An experimental study.
        Nurse Education Today. 2017; 48: 78-83
        • Shin H.
        • Rim D.
        • Kim H.
        • Park S.
        • Shon S.
        Educational characteristics of virtual simulation in nursing: An integrative review.
        Clinical Simulation in Nursing. 2019; 37: 18-28
        • McDermott D.S.
        • Ludlow J.
        • Horsley E.
        • Meakim C.
        • Standards Committee, I. N. A.CSL.
        Healthcare simulation standards of best practicetm prebriefing: preparation and briefing.
        Clinical Simulation in Nursing. 2021; 58: 9-13
        • Watts P.I.
        • McDermott D.S.
        • Alinier G.
        • Charnetski M.
        • Ludlow J.
        • Horsley E.
        • Nawathe P.A.
        • Standards Committee, I. N. A.CSL.
        Healthcare simulation standards of best practice tm simulation design.
        Clinical Simulation in Nursing. 2021; 58: 14-21