Clinical simulation and patient safety: integration into the nursing curriculum
DOI:
https://doi.org/10.15448/1980-6108.2018.1.28853Keywords:
--Abstract
AIMS: To present the experience of creation, development and results of a nursing curriculum that integrates clinical simulation and patient safety with its challenges and achievements after four generations of graduates.
EXPERIENCE DESCRIPTION: The School of Nursing at the Finis Terrae University is the result of a direct request from the authorities of the institution at a time when the country required an increase in the supply of nursing professionals. It started with a project that in the course of its development and implementation require several adjustments in programmatic terms. From its beginning, the project takes into consideration the integration of simulation and sets security at the heart of development. For this, we worked on new instruments that established how to implement the educational process, generating a model of teaching based on simulation, together with the establishment of control points that allowed the application of the model of continuous improvement. Through its development, seals are configured that differentiate the nursing student in the national environment. We are currently working to comply with international standards, periodically reviewing the implemented strategies and the way we teach for the benefit of our students. We consider as challenges the generation of interprofessional work, the strengthening of the teaching staff, and the generation of research, that demonstrate the benefits of having a curriculum for security based on simulation considering our local reality.
CONCLUSIONS: The integration of simulation and patient safety in the nursing career curriculum is a challenge that requires the implementation of innovative processes, mobilizing resources of all kinds to achieve the goal. Strengthening leadership, clinical judgment and quality of nursing professionals deserve this kind of change. We believe changes like this in nursing education will enable us to achieve better health outcomes worldwide.
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Muiño Míguez A, Jiménes Muñoz AB, Pinilla Llorente B, Durán García ME, Cabrera Aguilar FJ, Rodríguez Pérez MP. Seguridad del paciente. An Med Interna. 2007;24(12):602-6.
WHO | Patient Safety: Making health care safer [Internet]. WHO. [cited October 15, 2017]. Available from: http://www.who.int/patientsafety/publications/patient-safety-making-health-care-safer/en/
Taplay K, Jack SM, Baxter P, Eva K, Martin L. "Negotiating, navigating, and networking": three strategies used by nursing leaders to shape the adoption and incorporation of simulation into nursing curricula-a grounded theory study. ISRN Nurs. 2014;2014:854785. https://doi.org/10.1155/2014/854785
World Health Organization. Patient Safety Curriculum Guide. Multi-professional Edition [Internet]. [cited October 15, 2016]. Available from: http://apps.who.int/iris/bitstream/10665/44641/1/9789241501958_eng.pdf
Madhavanprabhakaran G, Al-Khasawneh E, Wittmann L. Perceived Benefits of Pre-Clinical Simulation-based Training on Clinical Learning Outcomes among Omani Undergraduate Nursing Students. Sultan Qaboos Univ Med J. 2015;15(1):e105-11.
Society for Simulation in Healhcare. Healthcare Simulation Dictionary [Internet]. [cited October 15, 2017]. Available from: http://www.ssih.org/Dictionary
Consejo de rectores de las Universidades Chilenas. Innovación curricular en las Universidades del Consejo de Rectores 2000-2010 [Internet]. [cited October 15, 2017]. Available from: http://sct-chile.consejoderectores.cl/documentos_WEB/Innovacion_Curricular/2.Informe_INNOVACION_CURRICULAR.pdf
Mendoza M, Luz C, Isla Lund X, Alarcón Sanhueza S. Evolución histórica y desarrollo profesional de la enfermería en Chile. Nursing in Chile [Internet]. 1999 [cited October 15, 2017]; Available from: http://rua.ua.es/dspace/handle/10045/5184
Ziv A, Ben-David S, Ziv M. Simulation based medical education: an opportunity to learn from errors. Med Teach. 2005;27(3):193-9.
Chile. Ministerio de Salud. Subsecretaría de Salud. Ley-20584 24-Abr-2012 Ministerio de Salud, Subsecretaría de Salud Pública [Internet]. Ley Chile - Biblioteca del Congreso Nacional. 2012 [cited September 29, 2017]. Available from: https://www.leychile.cl/Navegar?idNorma=1039348
Quality and Safety Education for Nurses Institute. Competencies [Internet]. [cited October 15, 2017]. Available from: http://qsen.org/competencies/
Scalabrini Neto A, Fonseca AS, Brandão CFS. Simulacção Realística e Habilidades na Saúde. São Paulo: Atheneu; 2017. 59-75 p.
Harden RM. Outcome-Based Education: the future is today. Med Teach. 2007;29(7):625-9. https://doi.org/10.1080/01421590701729930
Harden RM, Laidlaw JM. Essencial skills for a Medical Teacher: An introduction to teaching and learning in medicine. 1a ed. London: Churchill Livingstone; 2012.
Konrad C, Schüpfer G, Wietlisbach M, Gerber H. Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures? Anesth Analg.1998;86(3):635-9. https://doi.org/10.1213/00000539-199803000-00037
Schuwirth LWT, van der Vleuten CPM. The use of clinical simulations in assessment. Med Educ. 2003;37 Suppl 1:65-71.
Clapper TC. Beyond Knowles: What Those Conducting Simulation Need to Know About Adult Learning Theory. Clin Simul Nurs. 2010;6(1):e7-14. https://doi.org/10.1016/j.ecns.2009.07.003
Jeffries PR. The NLN Jeffries Simulation Theory. Philadelphia: Wolters Kluwer Health; 2015.
Rall M, Dieckmann P. Crisis Resource Management to Improve Patient Safety . European Society of Anaesthesiology – Euroanesthesia 2005 [Internet]. [cited 2017 October 15]. Available from: https://www.guysandstthomas.nhs.uk/resources/education-training/sail/reading/crisis-mgt-pt-safety.pdf
Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. https://doi.org/10.1016/S1553-7250(06)32022-3
Chile. Superintendencia de Salud. Registro Nacional de Prestadores Individuales de Salud [Internet]. [cited October 15, 2017]. Available from: http://www.supersalud.gob.cl/servicios/669/w3-article-5587.html
Institute of Medicine (US) Committee on Quality of Health Care in America; Kohn LT, Corrigan JM, Donaldson MS, editors. To Err is Human: Building a Safer Health System [Internet]. Washington (DC): National Academies Press (US); 2000. [cited 2017 October 15]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK225182/
Makary MA, Daniel M. Medical error – the third leading cause of death in the US. BMJ. 2016;353:i2139. https://doi.org/10.1136/bmj.i2139
Gonzalez L, Kardong-Edgren S. Deliberate Practice for Mastery Learning in Nursing. Clin Simul Nurs. 2017;13(1):10-4. https://doi.org/10.1016/j.ecns.2016.10.005
Organización Mundial de la Salud. Seguridad del paciente [Internet]. WHO. [cited August 12, 2016]. Available from: http://www.who.int/patientsafety/es/
Tardif J. Desarrollo de un programa por competencias: De la intención a su implementación. Profesorado - Rev Curr Form Prof. 2008;12(3):1-16.
Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care. 2004;13 Suppl 1:i85-90. https://doi.org/10.1136/qshc.2004.010033
International Nursing Association for Clinical Simulation and Learning (INACSL). Standards of Best Practice: Simulation [Internet]. [cited October 15, 2017]. Available from: https://www.inacsl.org/i4a/pages/index.cfm?pageid=3407
Zarifsanaiey N, Amini M, Saadat F. A comparison of educational strategies for the acquisition of nursing student's performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies). BMC Med Educ. 2016;16(1):294. https://doi.org/10.1186/s12909-016-0812-0
Mok HT, So CF, Chung JWY. Effectiveness of High-Fidelity Patient Simulation in Teaching Clinical Reasoning Skills. Clin Simul Nurs. 2016;12(10):453-67. https://doi.org/10.1016/j.ecns.2016.06.003
National Simulation Guidelines for Prelicensure Nursing Programs [Internet]. NCSBN. [cited October 15, 2017]. Available from: https://www.ncsbn.org/9535.htm
The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education. J Nurs Regul. 2014;5(2):S3-40. https://doi.org/10.1016/S2155-8256(15)30062-4
Schmitt M, Blue A, Aschenbrener CA, Viggiano TR. Core competencies for interprofessional collaborative practice: reforming health care by transforming health professionals' education. Acad Med J Assoc Am Med Coll. 2011;86(11):1351. https://doi.org/10.1097/ACM.0b013e3182308e39
Headrick LA, Barton AJ, Ogrinc G, Strang C, Aboumatar HJ, Aud MA, Haidet P, Lindell D, Madigosky WS, Patterson JE. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff Proj Hope. 2012;31(12):2669-80. https://doi.org/10.1377/hlthaff.2011.0121
Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27(1):10-28. https://doi.org/10.1080/01421590500046924
Ryall T, Judd BK, Gordon CJ. Simulation-based assessments in health professional education: a systematic review. J Multidiscip Healthc. 2016;9:69-82. https://doi.org/10.2147/JMDH.S92695
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