Erin Wakefield

502 – Perioperative nursing simulation – the why, the how, and the results

Simulation-based team training is an invaluable tool for the learning of Technical Skills (NTS) in a high risk environment.  Simulation of emergency events in the clinical environment gives the teams an opportunity to practice requisite psychomotor skills and knowledge, as well as communication and leadership acumen.

Research shows that 70% of adverse events in the operating suite can be traced back to ‘human factors’ (NTS).  The Elaine Bromiley case supports the importance of these factors in maintaining patient safety in the perioperative environment.

Following consideration of this case, the author questioned how awareness of NTS was addressed in their workplace. There was minimal, introductory information provided to new perioperative nurses, and none at all to the regular cohort of experienced staff.  Identification of lack of information around NTS led to the development of a structured multidisciplinary simulation program to address the shortfall.

The presentation will describe the use of regular in-situ simulation for the practice of infrequently occurring events in the workplace, including the barriers and enablers to this work. Additionally, the importance of creating a psychologically safe learning environment in simulation based education to enhance learning will be described.  The outcomes related to the use of regular in-situ simulation to improve nurses’ confidence in knowledge and practice of NTS will be presented.

By creatively utilising simulation technology to empower nurses with confidence, knowledge and NTS application emergency situations, it is envisaged that patient outcomes will be ultimately improved.  This work may inspire other nurses to explore the potential for simulation-based education in their facilities.

Key words: Simulation; nurse empowerment; education.