Achieving Realism With Low-Tech Simulation

Taking the show on the road: In-situ clinical simulations’ role in promoting teamwork

“…We examined situations with high, mid, and low fidelity regarding the mannequin, equipment, and abilities. High fidelity is often noted as increasing realism in simulation scenarios however the high cost of these materials is a barrier for many institutions (Fickley, 2014). Some research exists that expresses the effectiveness of simulation even with low fidelity mannequins, however we were unable to find true research that demonstrated the true value of one level of fidelity over another.…”

“…One study discussed providing time windows in which simulations might take place (two week time span) and having management encourage participation as a method of improving attendance and participation (Hill, Dickter, & Van Daalen, 2010). Among the studies it was noted that 6 used high fidelity simulators (Pak & Hardasmalani, 2015;Siassakos et al, 2011;Surcouf, Chauvin, Ferry, Yang, & Barkemeyer, 2013;Hamman et al, 2010;Delac, Blazier, Daniel, & N-Wilfong, 2013;Hunziker, Tschan, Semmer, Howell, & Marsch, 2010), 1 used a mid-fidelity simulator (O'Leary, Hokin, Enright, & Campbell, 2013), and 4 used low fidelity simulators/mannequins (Harris, Humphrey, & Cote, 2010;Hill, Dickter, Van Daalen, 2010;Fickley, 2014;Riley, Dalby, & Turner, 2012). Three studies did not disclose the level of fidelity used (Mellin & Poplawski, 2010;Davis, 2011;Olson & Maietta, 2014).…”

“…However, many sought to prove that the fidelity of the mannequin does not necessarily lead to decreased engagement and that a high level of realism is still possible even with lower cost equipment (Harris, Humphrey, & Cote, 2010;Hill, Dickter, & Van Daalen, 2010;Fickley, 2014;Riley, Dalby, & Turner, 2012). Specific problems noted with using high fidelity was the difficulty in using the equipment as well as the inability to make the mannequin match the intended scenario (Fickley, 2014). What we did not find among these articles was a comparison of high fidelity to low fidelity in similar circumstances.…”

“…Improvement of communication and teamwork among groups performing clinical simulations is a common goal and thus commonly cited among the literature. Many studies found that initially the participants of the simulations did not communicate well with one another (Fickley, 2014;Pak & Hardasmalani, 2015;Hill, Dickter, & Van Daalen, 2010;Delac, Blazier, Daniel, & N-Wilfong, 2013;Hunziker et al, 2010;Davis, 2011). However, several also noted that the discovery of this during a simulation allowed for interventions aimed at the improvement of communication should a real event occur (Fickley, 2014;Hunziker et al, 2010;Davis, 2011).…”

The Effect Of Video Based Simulation Training On Neonatal Examination Competency Among Turkish Nursing Students

“…WHO has provided standards for nursing education and recommends the use of innovative teaching strategy for simulation in nursing education (WHO, 2016). In addition, simulation education shows that is an effective, beneficial and innovative method of teaching in health professionals' education (Agrawal et al, 2016;Cordero et al, 2013;Fickley, 2014;Kearns, Shoaf, & Summey, 2004;Tawalbeh & Tubaishat 2014). Simulation helps students to apply clinical skills and offers students the opportunity to practice clinical skills until they become proficient in performing certain tasks.…”