Integrating Simulations Into Perioperative Education for Undergraduate Nursing Students

Bashaw, Marie A.

doi:10.1016/j.aorn.2015.12.017

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…Some nursing program administrators and faculty members include perioperative concepts in required nursing theory courses and use a simulation laboratory for hands-on experiences. 75,76 One report detailed how a nursing faculty member used a mock OR with a high-fidelity simulator to introduce the concepts of nursing care for the perioperative patient during a malignant hyperthermia crisis and the Quality and Safety Education for Nursing competencies for patient safety and teamwork. 41,75 Some nursing program administrators and faculty members include perioperative concepts in required nursing theory courses and use a simulation laboratory for hands-on experiences.…”

Section: Perioperative Content Integrated Into Required Nursing Theormentioning

confidence: 99%

Addressing the Perioperative Nursing Shortage Through Education: A Perioperative Imperative

Beitz¹

2019

AORN Journal

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Perioperative nurse leaders are facing an unprecedented nursing shortage. Very few baccalaureate nursing programs in the United States prepare graduates for perioperative nursing, and many current perioperative nurses are retiring from practice or leaving the field for other reasons. It is a challenge for nursing administrators to fill the vacant positions because it takes several months to orient a novice perioperative nurse and it involves significant costs. This article provides current information about perioperative nurse and leader shortages, discusses the effects of the shortages on patient safety and health care facility finances, and reviews the available literature about perioperative nursing education from both an academic and health care facility administrative perspective. In addition, this article presents strategies for addressing the nursing shortage and describes implications for clinical practice, education, and research.

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Section: Perioperative Content Integrated Into Required Nursing Theormentioning

confidence: 99%

Addressing the Perioperative Nursing Shortage Through Education: A Perioperative Imperative

Beitz¹

2019

AORN Journal

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“…It is therefore a possibility to improve skills without putting patients at risk, which implies that simulation is a way of working towards safe care (Brier et al, 2015;Mullen & Byrd, 2013). Bashaw's (2016), study investigating the integration of simulation into nursing education, showed that students increased their confidence with simulation indicating that simulation is beneficial to the students'…”

Section: Simulationmentioning

confidence: 99%

The use of interprofessional learning and simulation in undergraduate nursing programs to address interprofessional communication and collaboration: An integrative review of the literature

Granheim

Shaw

Mansah

2018

Nurse Education Today

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This review highlights the identified research relating to the combined teaching strategy of interprofessional learning and simulation that addressed communication and collaboration in undergraduate nursing programs. Further research into the implementation of interprofessional learning and simulation may benefit the emergent challenges. Information drawn from this review can be used in informing education and educational development in the future.

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“…Curricula containing debriefing after critical events have been noted in the nursing literature, and programs/studies exist for multidisciplinary teams in both the operating room and other settings. 20,43,44 While debriefing with more team members may hypothetically have more barriers, there is evidence from real-time use that it can also improve efficiency and patient outcomes. 45,46 The pendulum of a critical event's impact swings on a continuum, where on one end is provider burnout, compromised patient safety, and adverse events, and on the other end is provider resilience and the ability for providers to serve as a buffer to protect patients from an imperfect system.…”

Section: Discussionmentioning

confidence: 99%

Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event

et al. 2019

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Background: Debriefing after an actual critical event is an established good practice in medicine, but a gap exists between principle and implementation. The authors' objective was to understand barriers to debriefing, characterize quantifiable patterns and qualitative themes, and learn potential solutions through a mixed-methods study of actual critical events experienced by anesthesia personnel.Methods: At a large academic medical center, anesthesiology residents and a small number of attending anesthesiologists were audited and/or interviewed for the occurrence and patterns of debriefing after critical events during their recent shift, including operating room crises and disruptive behavior. Patterns of the events, including event locations and event types, were quantified. A comparison was done of the proportion of cases debriefed based on whether the event contained a critical communication breakdown. Qualitative analysis, using an abductive approach, was performed on the interviews to add insight to quantitative findings.Results: During a 1-yr period, 89 critical events were identified. The overall debriefing rate was 49% (44 of 89). Nearly half of events occurred outside the operating room. Events included crisis events (e.g., cardiac arrest, difficult airway requiring an urgent surgical airway), disruptive behavior, and critical communication breakdowns. Events containing critical communication breakdowns were strongly associated with not being debriefed (64.4% [29 of 45] not debriefed in events with a communication breakdown vs. 36.4% [16 of 44] not debriefed in cases without a communication breakdown; P = 0.008). Interview responses qualitatively demonstrated that lapses in communication were associated with enduring confusion that could inhibit or shape the content of discussions between involved providers.conclusions: Despite the value of proximal debriefing to reducing provider burnout and improving wellness and learning, failure to debrief after critical events can be common among anesthesia trainees and perhaps anesthesia teams. Modifiable interpersonal factors, such as communication breakdowns, were associated with the failure to debrief. (ANESTHESIOLOGY 2019; 130:1039-48) EditoR'S PERSPEctiVE What We Already Know about This Topic• Debriefing after an actual critical event is an established good practice in medicine, but a gap exists between principle and implementation. What This Article Tells us That Is New• Failure to debrief after critical events is common among anesthesia trainees and likely anesthesia teams. Communication breakdowns are associated with a high rate of the failure to debrief. . Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology's articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.anEStHESioLoGY REFLEctionS FRoM tHE Wood LiBRaRY-MuSEuM

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Integrating Simulations Into Perioperative Education for Undergraduate Nursing Students

Cited by 11 publications

References 11 publications

Addressing the Perioperative Nursing Shortage Through Education: A Perioperative Imperative

Addressing the Perioperative Nursing Shortage Through Education: A Perioperative Imperative

The use of interprofessional learning and simulation in undergraduate nursing programs to address interprofessional communication and collaboration: An integrative review of the literature

Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event

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