Evaluating Students During Simulation: Guidelines & Rubrics

Evaluating Students During Simulation: Guidelines & Rubrics

QSEN

Why are we concerned about all this??

References

North carolina board of nursing

Creighton Competency Evaluation Instrument. (2014). Creighton University. Retrieved from https://nursing.creighton.edu/academics/competency-evaluation-instrument

Gantt, L. T. (2010). Using the clark simulation evaluation rubric with associate degree and baccalaureate nursing students. Nursing Education Perspectives, 31(2), 101-105.

Hayden, J. K., Alexander, M., Jeffries, P. R. (2014). The NCSBN national simulation study: A longitudinal randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), s4-s41.

Lasater, K. (2007). Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 46(11), 496-503.

National League for Nursing (NLN). (2005). Simulation design scale (student version). retrieved from http://www.nln.org/docs/default-source/professional-development-programs/nln-instrument_simulation-design-scale.pdf?sfvrsn=0

Sando, C. R., Coggins, R. M., Meakim, C., Franklin, A. E. Gloe, D., Boese, T., Decker, S., Lioce, L., & Borum, J. (2013). Standards of best practice: Simulation standard VII: Participant assessment and evaluation. Clinical Simulation in Nursing, 9(6s), e30-e32. doi: 10.1016/j.ecns.2013.04.007

Weaver, S. J., Rosen, M. A., Diaz, G. D., Lazzara, E. H., Lyons, R., Salas, E., Knych, S. A., McKeever, M., Adler, L., Barker, M. & King, H. B. (2010). Does teamwork improve performance in the operating room? A multilevel evaluation. Joint Commission Journal on Quality and Patient Safety, 36(3), 133-142.

No regulations for simulation at this time

NCSBN Says:

-Up to 50% of clinical time can be counted as Simulation IF:

-Faculty are well trained

-Adequate # of faculty members

-Scenarios are validated with theory

based debriefing

-Best practices are followed

(INACSL Standards)

-Equipment/Supplies create realistic environment

1:1 Ratio for Hours

If they regulate simulation; regulate clinical

Things to Think About

Which classes can we use simulation vs. clinical

Rotate outs

How much time?

Adhoc Committee

http://qsen.org/teaching-strategies/simulation/simulation-evaluation/

Hayden, Alexander, & Jeffries, 2014

Examples

Lasater, 2007

Student Satisfaction (NLN Instrument)

Clinical Judgement (LCJR, C-CEI)

Skill Performance

Checklist, OSCE (Accuracy)

Stopwatch (Efficiency)

Teamwork (Teamstepps)

Creighton Competency Evaluation Instrument, 2014; NLN, 2005; Weaver et al., 2010

Identify what you are evaluating

INACSL Standards of Best Practice: Simulation Standard VII Participant Assessment & Evaluation

Cognitive

Affective

Psychomotor

Evaluation Tools

Increase meaning

Deepen learning experience

Assess critical thinking & contextual components

Formative

Participant's progress toward goal & providing constructive feedback

Summative

Occurs at the end of a period when participants are provided feedback about their achievement of outcome criteria; determines competence

High-Stakes

Major consequence such as passing or failing

Gantt, 2010

Simulation Design Scale

Sando et al., 2013

CLC Policies & Procedures

National League for Nursing, 2005

Reservation/Planning- 4 weeks in advance

Supplies- 8 weeks in advance

Simulation Preparation- 2 weeks prior

Objectives

-Review Clinical Learning Center Policies & Procedures already in place

-Discuss potential guidelines for simulation experiences

-Identify examples of rubrics to potentially be utilized during simulation