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Show Efficacy of High-Fidelity Simulations in the Perioperative Setting BACKGROUND Simulation Based Learning Hannah Smith, BSN, RN, MSN Student Trish Gibbs, DNP, RN, CNE Robert Wilcox, MHA, RRT INTERVENTIONS • Step 1: Needs assessment and timeline creation This project aims to improve self-reported confidence among hospital-based perioperative staff by implementing high-fidelity simulations (HFSs) as an annual educational practice. • Existing education at a local pediatric operating room consists primarily of quarterly online modules and an annual skills validation, which may not provide sufficient exposure to high-acuity or emergent scenarios. 1,2 • Evidence supports integrating simulation-based learning (SBL) into healthcare education, demonstrating improvements in confidence, communication, and interdisciplinary teamwork.2,3 • The literature highlights three central themes influencing SBL effectiveness: 1) learning effectiveness, 2) instructional design, & 3) fidelity.1,2,3,4,5 METHODS The Iowa Model of Evidence-Based Practice was used to guide this project, as it promotes the identification of opportunities for clinical practice improvement and incorporates ongoing feedback loops to support ongoing evaluation. • Step 2: Create deliverables • Step 3: Obtain approval from stakeholders • Step 4: Identify support staff to undergo simulation facilitator training • Step 5: Pilot simulation implementation for perioperative staff. • Step 6: Obtain summative data using the SET-M tool • Step 7: Re-assess staff 12 months later with new simulation, re-assess with SET-M tool. • Step 8: Compare and analyze data from the SET-M evaluation tool • Step 9: Disseminate results IMPACTS Anticipated impacts of project include: • Increase in overall clinician confidence regarding emergent scenarios.5 • Enhanced staff experience and skill retention by providing a safe, judgement-free learning environment.4 • Augmented interdisciplinary communication and teamwork.4 • Improved patient safety outcomes in the perioperative setting.3,4,5 Deliverables for this project include: Figure 2: Busy Hospital Operating Room with Surgical Team • Project timeline • Pilot simulation scenario • A PowerPoint to present to stakeholders SET-M Evaluation Tool CONCLUSIONS • The Simulation Evaluation Tool – Modified (SET-M) • Facilitator key points infographic REFERENCES 1 Howard, T., Iyengar, K. P., Vaishya, R., & Ahluwalia, R. (2023, September 2). High-fidelity virtual reality simulaHon training in enhancing competency assessment in orthopaedic training. Bri$sh Journal of Hospital Medicine, 84(9), 1–8. hNps://doi.org/10.12968/hmed.2022.0360 2 Kazior, M. R., Ianchulev, S., Nguyen, J., Trainer-Albright, B., & Shah, P. (2021). CreaHon of simulaHon-based curriculum of perioperaHve emergencies for residents in anesthesiology. Cureus, 13(6), e15901. hNps://doi.org/10.7759/cureus.15509 3 Kaldheim, H. K. A., Fossum, M., Munday, J., Johnsen, K. M. F., & SleNebø, Å. (2021). A qualitaHve study of perioperaHve nursing students' experiences of interprofessional simulaHon-based learning. Journal of Clinical Nursing, 30(1–2), 174–187. hNps://doi.org/10.1111/jocn.15535 4 BurneN, G. W., & Goldhaber-Fiebert, S. N. (2024). The role of simulaHon training in paHents’ safety in anaesthesia and perioperaHve medicine. BJA Educa$on, 24(1), 7–12. hNps://doi.org/10.1016/j.bjae.2023.10.002 5 Guerrero, J. G., Hafiz, A. H., Eltohamy, N. A. E., Gomma, N., & Jarrah, I. A. (2021). Repeated exposure to high-fidelity simulaHon and nursing Interns’ clinical performance: Impact on pracHce readiness. Clinical Simula$on in Nursing, 60, 18–24. hNps://doi.org/10.1016/j.ecns.2021.06.011 Figure 1: Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2018). Simula$on effec$veness tool – modified (SET-M). HealthySimulaHon.com. hNps://www.healthysimulaHon.com/tools/evaluaHng-healthcare-simulaHon/simulaHon-effecHveness-tool-modified-set-m/ Figure 1: SET-M Tool, (Leighton et al., 2018) Evidence supports that high-fidelity simulation enhances nursing proficiency and readiness for practice,5 while multidisciplinary collaboration improves communication and teamwork.4 Structured pre-briefing and debriefing 1,4 optimize learning outcomes. The project's implementation has the potential to improve nursing practice, increase staff confidence, and enhance patient safety, making it a practical, sustainable, evidence-based training approach. |
