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					Graduate Essay: Action Plan for Creation of Nursing Simulation Center




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        Graduate Essay: Action Plan for Creation of Nursing Simulation Center



Patients at Brigham and Women’s Hospital (BWH) require and deserve nurses that
have state-of-the-art education. Nurses at BWH provide an exceptionally sophisticated
level of care in order to support the cutting-edge medical and surgical science practiced
there. A quick tour through any of the patient care units illustrates the extraordinary
needs of the remarkable patients. Examples range from the tiniest baby benefiting from
in-utero fetal surgery, to the patient dependent upon a Left-Ventricular-Assist-Device, to
the beautiful story in the recent BWH Bulletin regarding unprecedented treatment for
mesothelioma.

To meet the health care needs of patients and educational needs of our nurses, the
Nursing Professional Development Department and the Biomedical Department are
collaborating to create a Nursing Simulation Center in the Nursing Development
Department at One Brigham Circle. The Nursing Simulation Center will provide a
variety of unprecedented training opportunities for the nursing staff at Brigham and
Women’s Hospital including task training and full-scale simulation training.

BWH nurses need simulation training! The importance of simulation technology as a
tool in the education of health care providers is rapidly expanding and will soon become
the standard. i The benefits of human patient simulators have been recognized in
physician training for many years.ii iii iv One of the unique advantages of simulation is
the fact that no harm can come to patients during the acquisition of skills. Simulation is
very useful for learning the management of rare and infrequent events. At BWH, the
newly developed STRATUS center is targeted to training physicians for emergency
medical care. It is time to include all nurses in this valuable training opportunity.

Simulation training provides the nurse with an opportunity to gain knowledge, technical
skills, communication skills and the ability to work in an interdisciplinary environment.
The advantages of a comprehensive nursing simulation center can lead to positive
improvements in patient outcomes.v Simulation offers the opportunity to learn in a
controlled educational environment and provides them with the skills for the safe
administration of health care to patients.vi Simulation training combined with clinical
practice has been shown to help the nurse be better prepared, more confident and
efficient and ultimately more competent.vii viii ix Simulation training is also listed as a
factor in choosing employment opportunities; and, as such could in part ease the
shortage of nurses. Simulation offers many educational opportunities that cannot be
offered safely in the patient care environment. x

Our vision and goals for the Nursing Simulation Center at Brigham and Women’s
Hospital are focused upon the unique educational needs of BWH nurses practicing at
the bedside of our highly sophisticated, exceptional, quaternary care facility. Our
nursing education should be as renowned as our nursing care.

Towards these goals, we have created an action plan for the creation of our Nursing
Simulation Center that is illustrated in the attached graphic. We are collaborating with
existing simulation centers for sage advice and guidance. We have hired contractors

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         Graduate Essay: Action Plan for Creation of Nursing Simulation Center


for audiovisual technology installation and building renovations. We have acquired
state-of-the-art medical equipment including two computerized human simulation
mannequins. The equipment is one stepping-stone of our project. We need to learn
how to maximize the potential of these phenomenal resources. We are currently in the
process of creating multidisciplinary goals for use of the center.

My co-leader and I will be traveling to Oregon Health Sciences University for an
individualized training seminar. The OHSU Simulation & Clinical Resource Center
provides seminars that support simulation development and integration of simulation
into a variety of health care education curricula. This center is currently the state-of-the-
art simulation center with the strongest nursing influence in the country. The center was
developed through the collaborative efforts of the OHSU Schools of Medicine and
Nursing; however, this center is renowned for their nursing training. The center
provides full-scale simulation, task and skill training, virtual reality trainers, and
computer-based training. Full-scale simulation is available using real-time computers, a
life-like mannequin and elaborate setups including, but not limited to a mock OR, ICU,
ER, patient room and home care environment.

My final project for this course is to create a Web site for the Simulation Center that
includes links to other Nursing Simulation Centers, information regarding simulation as
a teaching tool, and a training course for clinical experts regarding the creation of
simulation scenarios.



i
   Seropian, M.A. (2004) General Concepts in Full Scale Simulation: Getting Started.
Anesthesia & Analgesia.. 97(6):1695-1705.
ii
    Doyle D.J. (2002). Simulation in medical education: Focus on anesthesiology. Medical
Education Online. 7(16).
iii
    Gunn S.R., Rogers P.L., Fink M..P, Grenvik A., Gunnerson K.J., Huang D. (2003). Critical
care training for emergency physicians. Annals of Emergency Medicine;. 41(6):886-887.
iv
    Marshall, R.L., Smith, J.S., Forman, P.J., Krummel, T.M,, Haluck, R.S., and Cooney, R.N.
Use of a Human Patient Simulator in the Development of Resident Trauma Management Skills.
Trauma. 51(1):17 – 21.
v
    Gaba, D.M., Fish, K.J., & Howard, S.K. (1994) Crisis management in anesthesiology. New
York: Churchill Livingston.
vi
    Seropian, M.A. (2004) General Concepts in Full Scale Simulation: Getting Started.
Anesthesia & Analgesia.. 97(6):1695-1705.
vii
     Nehring W.M., Lashley F.R., Ellis W.E. (2002) Critical incident nursing management: using
human patient simulators. Nursing Education Perspectives;. (3):128-132.
viii
     Chang K.K., Chung J.W., Wong T.K.(2002). Learning intravenous cannulation: a
comparison of the conventional method and the CathSim Intravenous Training System. Journal
of Clinical Nursing . 11(1):73-78.
ix
    Goolsby M.J. (2001). The role of computer-assisted simulation in nurse practitioner education.
Journal of the American Academy of Nurse Practitioners. 13(2):90-97.
x
    Nunn, A. (2004). Almost the real thing. Nursing Management. 11(7):14-18.

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