NZASH 2018:

The use of vSim ® in undergraduate

nursing education

Presenters: Alexandra Wordsworth, Sandra Waayer,

School of Health; Te Kura Hauora Whitireia NZ

Alexandra Wordsworth, Sandra Waayer, Phil Hawes,

Leanne Pool, Shelley Winters, Agustilia Rodrigues, Liz Day

Centre of Learning Health and Social Services . Whitireia

NZ

27/11/2018

Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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Whitireia NZ: Learning together and transforming Lives

Certificate to Masters Degrees

4 Nursing Programmes

833 students within the Centre of Learning Health and Social Services

27/11/2018Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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V sim ® Virtual Simulation

Virtual Patients

10 fundamental nursing

Scenarios

10 acute medical surgical

nursing scenarios

Wolters Kluwer & Lippincott

Williams and Wilkins: Online

resources:

Student resources: Books,

articles, Quizzes, Self

evaluation:

Home, classroom, lab

Laerdal Sim pad and

simulators.Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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Why vSim® ?2016 Pilot Study: N 20 students. N 11 staff:

Survey & Focus Groups

STUDENT FEEDBACK STAFF FEEDBACK

Fidelity Potential to support clinical learning

Repetition Potential to support clinical learning

Immediate Feedback Potential to support clinical learning

Practice of clinical decision making Potential to support clinical learning

Revision Potential to support clinical learning

Increased student confidence Potential to support clinical learning

Kinaesthetic learning, flexible, gaming Support Kinaesthetic learners, flexible for lab or

SDL/TDL

Orientation required and curriculum integration Orientation required and curriculum integration

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vSim® Fundamentals: Vernon Russell

27/11/2018

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vSim® Fundamentals Scenario:

27/11/2018Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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Fundamental Scenario: Year 2 Nursing

Classroom Workshop

Pre simulation quiz

Online Scenario

Post simulation quiz

27/11/2018Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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vSim® Introducing Skyler. Medical

Surgical Scenario

Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes

6 months ago. He was brought to the Emergency Department by his friends. The

friends report that he started acting 'weird' while they were playing basketball. He

has not eaten anything for 5 hours.

Skyler told them that he felt lightheaded and was going to lie down on the

cement. They became nervous and decided to bring him in to the Emergency

Department. The patient is drowsy, wakes with stimulus, has slurred speech, is

diaphoretic, and is acting irrationally.

27/11/2018Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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vSim® Flip Classroom: Skyler

Farrell, M. (2017). Smeltzer & Bare's Textbook of Medical-Surgical Nursing, 4th Edition.

1. Diabetes, Chapter 36, pp. 1110-1137 Complications of Diabetes, Chapter 36, pp. 1137-1151

2. McKenna, L. and Mirkov, S. (2014). Pharmacology: McKenna’s Drug Handbook for Nursing and Midwifery, 7th Edition.

3. 50% glucose, pp. 1259–1260 Glucagon, p. 695 Insulin, pp. 696–700 Learning Objectives:

4. Heuther, S.E., McCance, K.L. (2016). Understanding Pathophysiology, 6th Edition

Learning objectives:

Understand the anatomy and Physiology of the Pancreas.

Understand the pathophysiology of type 1 Diabetes Mellitus

Assess & manage the patient with T1DM presenting with Hypoglycaemia

Pharmacology

Finding the theory to practice Gap.27/11/2018

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Vsim ® in the Laboratory setting

Simulation in action: Skyler Hansen

Direct application of theory with practice in REAL TIME

Demonstrates appropriate nursing assessments

Recognise signs and symptoms of

hypoglycaemia

Implements appropriate treatment

Consolidation of practical capabilities, assessment,

Team work, Problem solving,

critical thinking, clinical judgement in REAL TIME

Debrief & reflection after action

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Supplemental Resources:

Tutor Resources:

Scenario Overview

Learning Objectives

Case Consideration – Definition of hypoglycaemia/signs

and symptoms/ treatment plans/medical mangement

Assignment Documentation

Debriefing: Reactive and Analysis phase

Sandra Waayer. Alexandra Wordsworth NZASH, Oct 2018

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Where to from here?

Action research evaluating staff and students use of v Sim®

Ensuring consistent use of v sim across nursing curricula

Sharing experiences of using v sim and supporting its use

Questions

References Anonymous. (2014). NLN Scholars in Residence Conduct Research on Virtual Simulation and the

Clinical Faculty Role. Nursing Education Perspectives, 35(5), 348-349.

Foronda, Swoboda, Hudson, Jones, Sullivan, Ockimey, & Jeffries. (2016). Evaluation of vSIM for Nursing™: A Trial of Innovation. Clinical Simulation in Nursing, 12(4), 128-131.

Gu, Zou, & Chen. (2017). The Effects of vSIM for Nursing™ as a Teaching Strategy on Fundamentals of Nursing Education in Undergraduates. Clinical Simulation in Nursing, 13(4), 194-197.

http://thepoint.lww.com/vsim

http://thepoint.lww.com/Book/Show/664700#/CoursePointContent/Show/c3cd56c8-8b1e-4664-b6b5-3b5900db1ea7?forceView=False&viewMode=Student&productAssetId=c3cd56c8-8b1e-4664-b6b5-3b5900db1ea7&behavior=Display&groupby=learningactivity&ts=1539750049073

https://thepoint.lww.com/Book/Show/664701#/CoursePointContent/Show/4fad8c5d-7500-4dc5-a432-3b7f00cd5610?forceView=False&viewMode=Student&productAssetId=295e1332-348c-4a0e-96ac-3b5900df1329&behavior=Display&ts=1539659442566

Hawes, P. & Pool, L. (2016). Evaluation of v Sim for Nursing. Wellington, N.Z.; Unpublished report.

Wright, R. R., Tinnon, E. A., & Newton, R. H. (2018). Evaluation of vSim for Nursing in an Adult Health Nursing Course: A Multisite Pilot Study. CIN: Computers, Informatics, Nursing, 36(2), 84-89.

Lakmal Abeysekera & Phillip Dawson (2015) Motivation and cognitive load in the flipped classroom: definition, rationale and a call for research, Higher Education Research & Development, 34:1, 1-14, DOI: 10.1080/07294360.2014.934336