...NR522 High Fidelity Simulation Chamberlain College of Nursing Instructor Marjorie McDonough Kim C. Gomez Spring B 2015 Introduction The use of high-fidelity simulators in nursing education has been around for a long time. Simulation is the art of science and the recreating of a scenario in to a setting that is not real is one that has been an important aspect of nursing for decades. Although the manikin Resusci Anne was introduced to modern nurses practicing cardio-pulmonary resuscitation (CPR), the Mr. Chase doll was initially used in 1911 for nurses to practice their skills (Burns, O’Donnell, & Artman, 2010). Computers and technology have become instrumental in the delivery of nursing education. The use of high fidelity simulators, promotes problem solving, critical thinking and communication skills development (Stokowski, 2013). As high fidelity simulation is emerging to address the 21st century, clinical education in nursing must be aligned with the current trends without compromising patient safety and curriculum. This technology of simulation will foster learning as a catalyst into the new era of learning and critical thinking needed for the evolving profession of nursing. Some debate has been raised over...
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...The world is characterized by the presence of a wide range of music genres. Music plays various and different roles in the lives of individuals. In the book “High Fidelity”, Nick Hornby, the author, examines how music can be used to examine the various aspects of everyday life. In the book “High Fidelity”, Rob, the main character sets out to associate various events in his life with his forever-changing tastes in music. The main character in “High Fidelity” uses music to put things into perspective and re-examine some important aspects of his life. On the other hand, Alan Ruisbridger is of the view that music can change people’s lives for the better. In his book “Play it Again”, Ruisbridger tells the story of how the main character learnt to play the piano and ended up becoming a better person in the course of his lessons. Both Hornby and Ruisbridger are giving testaments of how music can play an important role in an individual’s life. In addition, both authors focus on the positive influences that music can have on people’s lives. Music has a hidden element and it is not easy to understand. Furthermore, it is true that music has the power to impact positive changes on an individual’s life. This essay explores the different ways in which music can improve our lives and change them for the better. Ruisbrigder is of the opinion that music can help us to learn ‘new tricks’ even at an advanced age. Using music as a learning tool is not a new concept because this strategy has previously...
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...IGN - TheGamerzRock Previous IGN's (If changed in name changes) - 10big_gamer, I rue the day I made that decision Age - 14, Yes I understand I was denied due to the low age but I turn 15 in January, I have also noticed some staff have been 14, and I also understand you must be extremely professional, mature, and experience to bypass the age restriction which I am trying hard to do. Do you have teamspeak and a microphone? - I do have teamspeak 3 on my laptop, and phone, the microphone doesnt seem to cooperate on my phone but it does on my computer, though it is a little quiet and difficult at times it does work and gets the job done. Timezone? - Eastern timezone Where are you from? (e.g. United Kingdom) - The United States. Are you multilingual (Speak more than one language)? - I speak fluent English and have the basic Spanish knowledge as well as basic Spanish vocabulary, although if I do not know something I would usually translate through google translate (I understand it isnt reliable at all :p but it gets the job done in the time of it being needed.) What is your previous experience in any type of moderation? - I worked on a couple servers actually including: Sarefine, Where I recently resigned as a Moderator (Big mistake) and I hope to come back as possibly a Trial-Mod even though I may be young. I worked on another server Called ForgeFactions, This place was where I worked for about a year with a steady playerbase of 60-70 players per day, 50 in the morning. At forge...
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...While High Noon is based on the short story “Tin Star” by John Cunningham,the changes made in High Noon and the camera/sound techniques used made the movie more enjoyable. The movie High Noon has several similarities with the book “Tin Star.” One similarity is the bad guys are coming on the noon train to kill the Sheriff. The Sheriff stays to fight the bad guys alone. The director also made several changes from the book and the movie. A difference is that the wife was alive and the Sheriff and her got married. In the book “Tin Star” the wife died and she was never mentioned in the book. I liked how the director had the wife alive in the movie. It made the movie better because she shot the bad guy to save her husband's life, at the...
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...Clinical Decision Making Through High-fidelity Interdisciplinary Simulation Training By: Pamela M. Maxson, PhD, RN; Eric J. Dozois, MD; Stefan D. Holubar, MD; Diane M. Wrobleski, PhD, RN, and etc. According to McConaughey and Marshall and Manus, the Joint Commission identified communication problems as the root cause of 65% of sentinel events with 74% resulting in deaths. The communication between nurses and physicians is a very vital thing to make sure things run smoothly in a hospital. Effective collaboration between nurses and physicians has been shown to reduce morbidity and mortality rates, cost of care, and medical errors and to improve job satisfaction and retention of nursing staff (Mayo Clinic, 2011). Collaboration between nurses and physicians is a big deal for retention purposes. Patients are at risk of serious effects when exchanged information is misunderstood or misinterpreted. The need for improvement in the ability of nurses and physicians to exchange information is well known. Team-training exercises for health care professionals are considered to be highly effective tool to improve communication and team performance, especially in crisis situations (Mayo Clinic, 2011). One way to do this is high fidelity simulation training which offers a realistic and experiential environment in which learners practice response to clinical scenarios, debrief, and evaluate team performance in the absence of patient risk (Mayo Clinic, 2011). Simulation exercises offer a site for...
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...Virginia Board of Nursing The Use of Simulation in Nursing Education Introduction This document provides information and guidance to schools of nursing (both PN and RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula. Simulated experiences provide the student with the opportunity to be involved in patient care experiences they may otherwise...
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...to the student clinical suggestion trachea care is the topic of choice for clinical simulation. The clinical coaching sessions, contain 5 groups; each group will have 2 students with a preceptor. According to Devine, Houssemand and Meyers (2013) coaching is an influential instrument to support knowledge and development for students, teachers, school leaders and educational establishments. This is why group coaching will be utilized. Your instructor will grade your progress as you move through the stations. A pass or fail grade will be indicated at the end of the session. Review the trachea care section in your Mosby skill assessment guide prior to the check off and bring the certificate to the skills check off sessions. Note no certificate no check off allowed. Purpose: The purpose of this lesson plan is to coach baccalaureate nursing student through nursing fundamentals of trachea care while introducing basic nursing care on how to understand, communicate, and demonstrate safe nursing care of trachea. Objective: Demonstrate beginning critical thinking, decision making skills based on standards of practice, theory, and research. Characteristics of learners- 10 students – Second semester undergraduate nursing students with prior course knowledge of trachea care and maintain a patent airway. Mode of delivery: Blend of modeling and lecture utilizing high-fidelity manikins. Location: Simulation nursing lab room (R2.12) at Saint Joseph hospital The goals of tracheostomy care are...
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...Chapter 51. Enhancing Patient Safety in Nursing Education Through Patient Simulation Carol Fowler Durham, Kathryn R. Alden Background The alarming rise in morbidity and mortality among hospitalized patients throughout the United States heightens concerns about professional competency.1 Nurses and other health care professionals are under increased scrutiny to provide safe, effective care. Likewise, nursing education programs are faced with increased pressure to produce graduates who are capable of providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary...
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...Introduction In recent years, the healthcare industry has experienced a looming nursing crisis in health facilities. This problem has posed crisis towards establishing better health for those in need. The primary concern concerning this looming nursing shortage is identifying the root cause. Apparently, it appears as if that this crisis established its primary source in nursing training and retention in hospitals, care facilities, and other institutions. It appears as if there is serious downfall in the practicum of nurse-executive. Consequently, the concerned authority seems to portray weakness strategies in conducting this nursing practicum that has led to shortages of faculty. The big inquiry is whether these training facilities offer standardized training that would present the needed feedback facilitating nursing transition and retaining nursing staff. The central focus would then be whether this strategy would pose positive impacts in nursing training. This capstone project will explore these nursing concepts with a primary intention of presenting the root cause of nursing crisis in health facility. Annotated Bibliography Seago, A. J., Alvarado, A., Keane, D., Grumbach, K., & Spetz, J. (2006). The nursing shortage: is it really about image? Journal of Health Management, 51(2), 96-10. A research conducted in tertiary institutions Central Valley by Seago and the rest confirmed that nursing occupation lagged behind other occupations. This perspective is attributed by...
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...The Effectiveness of Virtual Training in Organizations Lisa R. Sickinger University of Maryland University College ITEC 610 Section 9042 Abstract This paper discusses how virtual training is a cost effective training solution for organizations without sacrificing training quality. Three major motivations for implementing virtual training are discussed: 1) To replace traditional training; 2) To develop new training capabilities; and 3) To augment traditional training. In each of these scenarios, this paper shows how cost effectiveness is realized through cost savings, reduced risks and increased proficiency of trainees. Table of Contents Introduction 4 Background 4 What is Virtual Training? 4 What is Cost Effectiveness? 5 Virtual Training Effectiveness 6 Replacing Traditional Training 6 Developing New Training Capabilities 9 Augmenting Traditional Training 13 Conclusion 18 References 19 Introduction Virtualization is a term often heard today with regards to information technology innovations. One area of virtualization that is widely being adopted by organizations is virtual training. Is the adoption of virtual training simply a popular trend or are there greater benefits? Like any project, the development and implementation of a new technology like virtual training requires extensive planning and resource allocation. Are the extensive investments needed to implement a virtual training program worth it to the organization in the long...
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...achieved using a number of different approaches, two of which are discussed in detail: (1) projectto-project knowledge transfer—leverage previous projects by transferring problem and solution-specific information to new projects; and (2) rapid problemsolving—leverage advanced technologies and methods to increase the overall rate at which development problems are identified and solved. Methods for improving project-to-project knowledge transfer include the effective use of “postmortems,” which are records of post-project learning and thus can be instrumental in carrying forward the knowledge from current and past projects. As the article suggests, rapid problem-solving can be achieved by optimally combining new technologies (such as computer simulation) that allow for faster problemsolving cycles with traditional technologies (such as late stage...
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...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of Learning...
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...2009 IEEE/ASME International Conference on Advanced Intelligent Mechatronics Suntec Convention and Exhibition Center Singapore, July 14-17, 2009 A Virtual Reality Operator Interface Station with Hydraulic Hardware-in-the-Loop Simulation for Prototyping Excavator Control Systems Mark D. Elton, Aaron R. Enes, and Wayne J. Book, Fellow, IEEE Abstract— A multimodal operator interface station is developed to display a realistic virtual reality depiction of a compact excavator performing general digging tasks. The interface station includes engine audio feedback and a near life-size operator display attached to a full-size cab. The excavator dynamics are determined by models of the hydraulic system, the linkage system, and the soil digging forces. To maximize the fidelity of the hydraulic model, certain “virtual” components of the model are replaced with real-time hardware-in-the-loop (HIL) simulations of the actual hardware. HIL simulation is done in a geographically isolated facility, with Internet based communication between HIL and the Remote Operator Interface. This is the first reported high-fidelity operator interface to be combined with remote hydraulic HIL simulations. I. I NTRODUCTION Hydraulic hardware has undergone a great evolution in recent years, evolving from purely hydro-mechanical devices to electro-hydraulic systems controlled by microprocessors. The use of electronic controllers opens the door to improving dynamic performance and enhancing traditional hydraulic...
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...How Video Games and Virtual Simulators Affect Tactical Skills of Military Members in Battle Michael Genthner National University Table of Contents Table of Contents 2 List of Tables 3 Abstract 4 Introduction 5 Background and History 5 Definition of Terms 6 Purpose and Objectives 6 Research Hypothesis 7 Method 8 Military Based Video Games 8 Shooting Simulators 10 Indoor Simulated Marksmanship Trainer 10 Long Range Precision Shooting Simulator 10 Driving Simulators 11 Flight Simulators 13 Results 14 References 17 List of Tables Figure 1: Real World Improvement Vs. Simulation Realism Military Training FAQ. (2013). In VirTra. Retrieved March 24, 2013, from http://www.virtra.com/military-faq/ 15 Table 2: Long Rang Precision Shooting Simulator Sherer, K. (2007, October 29). Laser Shot announces Personal Weapon Simulator partnership. In Gamzig. Retrieved March 28, 2013, from http://www.gizmag.com/go/8224/.........................................................................16 ABSTRACT This paper explores a brief history and the current utilization of virtual simulators and video games within the United States Department of Defense (DoD). Focusing on modern times, the US military is continuing to utilize virtual simulators and war based video games to assist in the training of troops before going on the battle front. The US Military presently uses numerous types of simulators for training, the following will include the implementation of ISMIT...
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... So if that is the case, let us examine new and rapidly expanding method of instruction utilized in healthcare today. The role of human patient simulation has been expanding throughout the last 10 years. As students moved from the confines of a hospital program and graduated to a college or university setting, the opportunities to experience a hospital environment often does not occur until the second or third year of a nursing program. Yet, the opportunity to practice in a safe and structured environment those skills necessary to become a competent bedside nurse is limited. Nursing instructors are very aware that students do not have ready access to the variety of clinical experiences necessary to all appropriate application of knowledge to skill. Clinical nursing programs must compete with hospital and clinical sites for student placement and many must work extended hours in order to “share” patients. Other negative outcomes come from a hospital patient experience. Some students have the privilege to experience a complex dressing change or a unique patient education opportunity, yet all students do not have an equal or standardized opportunity for this experience. There are a variety of simulation experiences that students can experience, depending on the objectives of the instructor. Initial human patient simulation utilized skills trainer units, such as an intravenous...
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