Bruin Brief 2022-07-01 Simulation to Support Student Competency-Based Education
The SON Bruin Brief
From Academic Affairs
July 1st 2022
Simulation to Support Student Competency-Based Education
Professional embrace of simulation learning in nursing
Simulation is defined as “a technique, not a technology, to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner” (Gaba, 2004). The National Council of State Boards of Nursing (NCSBN) supports simulation learning in prelicensure nursing education, and expects that nursing programs will follow best practices. In the preface to the 2016 Simulation Guidelines (Figure 1), the NCSBN reported that the most comprehensive study to examine student outcomes when simulation substituted for clinical experience found no difference between students exposed to 50% simulation, 25%, or even 10% or less simulation learning “with regard to knowledge acquisition and clinical performance.” In other words, this study found simulation produced student outcomes equivalent to clinical experience. For some students, simulation may be even more valuable than clinical. For example, think of students who don’t have a chance to encounter rare events in clinical. They may miss seeing an actual delivery in their maternity rotation, or never see how nurses handle a patient fall. For rare but crucial experiences, simulation may be the only way to assure students can attain particular competencies. Congruent with the NCSBN position, the Board of Registered Nursing (BRN) in California fully expects schools of nursing to harness the power of simulation learning to complement and supplement clinical learning.
Simulation on UCLA campus
The UCLA School of Nursing is part of simulation learning collaborative efforts (Figure 2). UCLA Health Center of Nursing Excellence and UCLA Simulation Center (Rosenfeld Hall) work with our SON personnel and simulation programs in the lab to prepare students with simulation experience.
At the campus level, the Rosenfeld Hall Sim Center expansion and renovation continues
“Through innovative strategies and technologies, Rosenfeld Hall simulation center will continue to provide experiential training for medical, nursing and health sciences students, as well as residents, staff nurses, practicing physicians, allied health and public health professionals to develop and improve their clinical skills and teamwork, and to create a safer, kinder, and more equitable healthcare system for all”
(https://www.sim.ucla.edu/facility ).
The building, located on the corner of Westwood and Charles E. Young Drive South, is taking shape. Unfortunately, global supply chain shortages have caused delays for AV installation. A fully functional building is expected by the end of the next academic year in May or June of 2023. Until then, the CHS office suite (CHS B3-399) remains the temporary operational simulation center and training space for DGSOM and the SON continues to operate simulation in the SON lab space.
Details on the new facility
Check out a blueprint of the new Rosenfeld Hall simulation center here. Rosenfeld Hall will house important components of simulation training on three floors:
Level A: technology-based simulations including four inpatient simulation rooms on Level 1.
Level 1: home for our Standardized Patient Program, with 16 exam rooms and a flexible classroom.
Level 2: home for the Center for Advanced Surgical & Interventional Technology (http://surgery.ucla.edu/casit ), which will include a Research & Development lab as well as education spaces for surgical skills training.
While we await the new interprofessional simulation space, please continue to reserve the SON Skills and/or Simulation space and services using this request form.
Important things to note about lab requests:
Requests are to be submitted at least 6 weeks in advance of event
This allows enough time to confirm availability of: exact dates and times of session, room assignment, onsite support from lab personal, equipment and supplies. Simulators and equipment are also tested prior to event to ensure they are operational. Supplies and equipment may need to be purchased or borrowed prior to session.
Request should include as much detail as possible. For example: # of rooms/students/ stations/equipment, detailed set up of each station, exact dates and times, etc.
What to expect after you send in your lab request?
Planning meeting(s) with the SON lab team to review: logistics of your schedule, room(s) confirmation, room set up, equipment and supply set up, AV and/or simulator needs, review of simulation scenario, staffing and support etc.
Scheduled ‘walk through’ of room set up and equipment testing with the lab team prior to your scheduled event to confirm complete and accurate set up.
Provided information to send to students and/ or faculty to prepare for the scheduled event (i.e. details regarding check in, dress code, required confidentiality agreement etc.)
On-site support from lab personnel during your session
Reimplementing simulation at the SON
After a COVID break, simulation was successfully reintroduced into our Prelicensure and APRN nursing programs beginning in Winter 2022. Simulation stations and accompanying ‘breakout stations’ (i.e. TeamSTEPPS, skills training, SBAR review etc.) were hosted in our SON lab spaces and classrooms. The lab team and multiple course faculty collaborate to deliver simulation experiences in the following programs: Pre-Licensure Med Surg A and Med Surg B, APRN Primary Care/Gerontology and Women’s Health. The student experience includes rotating through 2-4 simulation scenarios per course. Up next for Spring quarter: Pre-Licensure Med Surg C and Leadership courses.
SON faculty simulation training
Faculty new to simulation gain competencies in this technique by taking part in a SON-sponsored introductory course. The ‘Simulation Essentials’ Faculty Training Course took place in January 2022 and reviewed various types, and components of, simulation and covered topics such as scenario writing, debriefing, facilitation, technology and equipment, national simulation standards and guidelines.
New faculty assigned to teach in prelicensure or MSN-APRN clinical courses with assigned simulation should attend faculty training in Fall 2022 or Winter 2023. Participants in the course will have CEUs awarded following completion of all content-based modules and onsite training. Those faculty who would like to ‘refresh’ their skills in facilitation or debriefing are also welcome to attend the in-person course or review content-based modules independently.
What’s next? A new faculty champion will join the simulation and lab team
In conjunction with the lab team and our UCLA collaborators, we look forward to welcoming a new faculty member with expertise in simulation design and implementation. Part of this new role will include implementing faculty training in simulation, offering ongoing support for simulation learning, spearheading the integration of simulation across programs and clinical courses, and more.
Feel free to contact the SON simulation and lab team with any questions
Jihan Ceyhan, Director: jceyhan@sonnet.ucla.edu, Room 3-938
Brandon Phillips, Sim Ops Specialist: bphillips@sonnet.ucla.edu, Room 4-418A
Thomas Phillips, Sim Ops Specialist: thomasphillips@sonnet.ucla.edu, Room 4-418A
Office: (310) 825- 1461
Key Contributor:
Jihan Ceyhan, MSN, RN, ACPCNP-BC, HNP
UCLA SON Lab Director
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Lauren Clark
Professor and Shapiro Family Endowed Chair in Developmental Disability Studies
Associate Dean, Academic Programs
Mobile: (801) 503-4755
nursing.ucla.edu