Evolving Technology in Simulation Education
1TBD, Johns Hopkins School of Nursing, United States of America
Simulation is a rapidly evolving educational strategy being utilized in healthcare education. It is described by David Gaba as a technique, not a technology, to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner. Simulation is an effective, flexible educational experience that is designed to meet the educational needs of learners in diverse settings. Scenarios can be designed with specific objectives aimed at addressing concepts such as communication, safety, delegation, physical assessment, skill development, and patient management. Simulation is also commonly used in CPR training. Critical thinking and problem solving is enhanced in a safe, nonthreatening environment where mistakes can be made without risk to patients. The opportunity for debriefing immediately following the scenario allows for formative assessment with specific feedback targeted at developing more effective behaviors.
Simulation has evolved from manikins stored in boxes unused then unpacked but underutilized to specialized technology utilized in face to face and remote, on-line education. The manikins have quickly developed into sophisticated educational tools that mimic numerous patient situations; premature infants, newborns, toddlers, birthing manikins, adults, seniors, and CPR manikins. Standardized patients are frequently used to enhance fidelity. Technology is also available for standardized patients to “wear” to allow participants to practice skills such as blood drawing, IV insertion, and Foley insertion. Wearable technology is also available to guide development of patient management skills in emergency situations such as trauma. This presentation will review the early beginnings of simulation, discuss present trends and possible future directions for simulation.