Interprofessional simulation to improve safety in the epilepsy monitoring unit

Dworetzky, Barbara A.; Peyré, Sarah E.; Bubrick, Ellen J.; Milligan, Tracey; Yule, Steven; Doucette, Heidi; Pozner, Charles N.

doi:10.1016/j.yebeh.2015.01.018

Cited by 23 publications

(10 citation statements)

References 19 publications

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“…Stecker [23] provided 25 nurses with an epilepsy-related education program using a case-based scenario and showed improvements in their assessment scores for epilepsy patients. Dworetzky et al [24] provided nurses and residents with a simulation-based team -training curriculum that improved their scores for epilepsy-related knowledge and attitude. The training program in this study was a group-based education session for 27 nurses; however, as with education using case-or -simulation-based scenarios, it improved the nurses' knowledge of epilepsy and self-efficiency.…”

Section: Discussionmentioning

confidence: 99%

Effects of an Algorithm-based Education Program on Nursing Care for Children with Epilepsy by Hospital Nurses

Lee¹,

Ju²,

Lee³

2019

Child Health Nurs Res

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Purpose: Epilepsy is the most common neurological disorder in childhood. Hospital nurses, who are the first to recognize seizures in epilepsy patients in the ward environment, possess expertise related to epilepsy and play a central role in epilepsy management. The purpose of this study was to develop an algorithm-based education program and to improve nurses' knowledge and self-efficacy related to providing nursing care to children with epilepsy. Methods: The education program consisted of lectures on the definition, cause, classification, diagnosis, treatment, and nursing of epilepsy based on a booklet, as well as practice using an algorithm for nursing interventions when a child experiences a seizure. Twenty-seven nurses working at pediatric neurological wards and a pediatric emergency room participated in the education program. The data were analyzed using descriptive statistics and the paired t-test. Results: Nurses' knowledge and self-efficacy showed a statistically significant improvement after participation in the education program on nursing care for children with epilepsy. Conclusion: The application of this education program for hospital setting is expected to improve nurses' capability to care for children with epilepsy, thereby contributing to a higher quality of nursing.

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Section: Discussionmentioning

confidence: 99%

Effects of an Algorithm-based Education Program on Nursing Care for Children with Epilepsy by Hospital Nurses

Lee¹,

Ju²,

Lee³

2019

Child Health Nurs Res

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“…Several acute neurologic conditions would easily lend themselves to potential scenarios (►Table 2). [13][14][15] A common mistake is to equate the purpose of simulation in neurology with simulation of an abnormal neurologic examination. No currently available technology can, in any way, replicate abnormal neurologic findings, and even high-fidelity mannequins can only provide changes in pupils and "convulsions," which look embarrassingly artificial.…”

Section: Building and Executing Scenarios In Neurologymentioning

confidence: 99%

A Future for Simulation in Acute Neurology

Wijdicks

Hocker

2018

Semin Neurol

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Acute neurologic (and potentially disability prone) conditions are rarely taught and, if so, at the bedside and usually after the fact. Simulation training offers a realistic environment to teach rapid-fire decision making, how to take charge, and how best to approach a deteriorating, acutely ill neurologic patient.Simulating acute neurology is a newly emerging educational program. Proven principles of simulation, which may include teaching technical skills, can be applied to acute neurology (and neurointensive care). Communication skills pertaining to catastrophic neurologic injury with all its ethical ramifications can be taught and practiced. There is a growing need for well-designed, tested teaching scenarios and a need to validate this approach. This review provides an overview of the potential opportunities available in medical institutions with a simulation center.

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“…A study by Dworetzky et al used simulation as part of seizure education in the epilepsy monitoring unit10. A combination of nurses and resident trainees participated (10). They found that after the simulation, knowledge in seizure management improved; however, confidence in managing seizure patient and improvement in clinical practice were not demonstrated (10).…”

Section: Discussionmentioning

confidence: 99%

“…A combination of nurses and resident trainees participated (10). They found that after the simulation, knowledge in seizure management improved; however, confidence in managing seizure patient and improvement in clinical practice were not demonstrated (10). The study by Sperling et al evaluated the use of simulation to teach students the clinical approach to altered mental status (11).…”

Section: Discussionmentioning

confidence: 99%

A new strategy in neurocritical care nurse continuing stroke education: A hybrid simulation pilot study

et al. 2017

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IntroductionHigh-fidelity simulation is frequently utilized in medical education. Its use in the neurosciences is limited by the inherent limitations of the manikin to simulate neurological changes. We report here the use of a hybrid simulation – a combination of lecture and high-fidelity manikin – in the education of neurosciences nurses, involved in care of neurocritical care patients.MethodsNeurosciences nurses from at the University of Missouri, Columbia, MO, USA, which is an academic, tertiary-care medical center participated in the simulation during Spring of 2016. The simulation involved a patient presenting with acute intracerebral hemorrhage (ICH) who neurologically deteriorated to brain death. Pre- and post-simulation questionnaires were administered using a questionnaire with five-point Liker scale.ResultsSeventy-two responses were returned. The majority had 0–5 years of nursing experience with 83.8% having prior critical care experience. Pre-simulation, the majority of nurses (85.7%) agreed or strongly agreed with managing patients with ICH. When the responses of “agree” were compared to “strongly agree”, a significant improvement (p<0.001) in all responses except confidence in speaking with other healthcare providers was found.ConclusionNurses reported significant improvement in understanding and managing patients with acute ICH and neurological deterioration after participating in a neurocritical care hybrid simulation. This study shows the benefit of using hybrid simulation in the education of neurocritical care nurses.

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Interprofessional simulation to improve safety in the epilepsy monitoring unit

Cited by 23 publications

References 19 publications

Effects of an Algorithm-based Education Program on Nursing Care for Children with Epilepsy by Hospital Nurses

Effects of an Algorithm-based Education Program on Nursing Care for Children with Epilepsy by Hospital Nurses

A Future for Simulation in Acute Neurology

A new strategy in neurocritical care nurse continuing stroke education: A hybrid simulation pilot study

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