south street clinic_summit_final
TRANSCRIPT
South Street Clinic
A Virtual Non-Acute Care: Clinical Replacement Simulation
Jone Tiffany DNP, MA, RNC
I have nothing to disclose I have nothing to disclose
I have nothing to disclose
1. Describe the implementation of a non-acute care clinical experience using Virtual Reality Simulation.
2. Discuss the results of this study including how it increased student awareness of the challenges of chronic illness self-management in diverse populations.
South Street Clinic:
Kathy Tilton
Jone Tiffany DNP, MA, RNC-OB
50% in US have at least 1 chronic illness
70% of deaths per year are related to chronic illness
An increase in chronic illness care knowledge and participation is necessary within the structure of ACA
(CDC, 2013)
Self-Management Support A primary role for the RN
Does not include “telling” patients what to do
Support the patients’ efforts to daily manage
Provide information as needed/desired – remember that the most important assessment for patient education is the readiness to learn
Emotional support – might just need to listen
Problem solving strategies – different for each person
Interprofessional teamwork
Management and care of patients with chronic
illness
Ambulatory care
Local community clinic
Care of patients with chronic disease acute
care focused
Shortage of clinical sites
Competition for clinical
sites
Inconsistent
quality of ambulatory
sites
Patient interaction
Inconsistent & unpredictable
Variety of patients
Various levels of self-management ability
Comorbidities that impact self-management
Self-management of more than one chronic illness
Focus illnesses: diabetes and chronic heart failure
This is not a new concept
Internet-based computer applications in
which simulated environments are
created.
Active learning out of the gaming world
“Residents” in the form of Avatars
communicate, attend meetings and take
part in simulations.
(Skiba,2009; Robbins-Bell, 2010)
New Generation of learners
Application of Teamwork and Collaboration
Universities and Healthcare Practice Facilities all over the world - using VR for their everyday classes, meetings and seminars.
Over 150 Higher-Ed institutions
Virtual Simulation
Anthony Martino
Emma Olson
Angela Hanson
Isaac Benjamin
Anthony Martino
Emma Olson
Isaac Benjamin
Angela Hanson
What are some challenges in the ambulatory care
environment?
Chronic illness in ambulatory vs
acute care?
Why is it important to use motivational
interviewing techniques?
What did you learn about chronic
illness from your patients?
How do psychosocial issues affect
patient outcomes
Pre-and post simulation knowledge quiz.
Self-efficacy in Self-management support survey
Anecdotal comments from students
Debriefing
1St year: Grad student with low computer self-efficacy - students on one day rated experience with grad student low and students working with experienced faculty on another day rated their experience high.
2nd year: Changed the Virtual Simulation modules, pre/post test, and self-efficacy survey.
Students felt better prepared for discharge teaching
Statistically significant increase in student self-efficacy for providing support to patient/client for self-management of chronic disease.
Students learned and increased self-efficacy from Role Playing
Student Feedback
Felt more confident – using avatar
No one was watching them like in traditional simulation
Opportunity to practice self-management support
Applied what they learned in clinical
Innovative ideas – student experience in community/ambulatory care
Students report that role-playing increases their self-efficacy
Can be developed for the simulation lab – set up like a clinic room – use standardized patients for role-playing
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Tiffany, J., Hoglund, B. (2013). Teaching/learning in Second Life: Perspectives of future nurse-educators. Clinical Simulation in Nursing, e1-36. doi:dx.doi.org/10.1016/j.ecns.2013.06.006
