Feasibility project for ICU simulation lab Essay Example

Simulation bed in PICU Proposal

Simulation bed in PICU Proposal

Background Information

Recently medical education culture has outlined shortages in the traditional system of education. Due to this shortage, it has been recommended a great need for practical modalities of education. Simulations can be described as the environments which have been designed in such a way that they can estimate real-world circumstances. Simulators are in a position to provide feedback to the learners directly. They ensure the safety of the learners as well as working environments which are free from risk. Simulation experience is also beneficial in that learners are able to make medical practices in a risk-free environment. Learners are in a position to make errors and react immediately and come up to a conclusion (Cheng et al. 2007). It is also possible to present common or uncommon diseases. Through simulation, learners are able to have practices in complex clinical situations and as a result, they are able to develop new treatment protocols and new equipment.

It has also been observed that pediatric critical event are no frequent while in a real sense if well managed, the patients are in a position to have good results. There are times when medical learners are expected to handle acute illnesses or children who are badly injured. This becomes challenging to such learners since there are rare opportunities for them to study and practice such crucial medical skills. The learners are likely to lose confidence due to lack of opportunities to practice and also to learn more skills. This may have a negative impact on their performance resulting in a large number of medical errors.

A number of studies have been carried out concerning pediatric intensive care. This is because educating health care providers increases the safety of the patients. Examples of the studies include;

1. The US study, this was a study that was aimed at detecting the deficits that arise in the team performance. The team performance was centered on previous in situ simulations and the audits. An inter-professional of 83 staffs was selected. Each of the simulation session was planned to last for 2 hours. The study involved Standardized patients.

Results; it was found that in situ simulation, was positively received by the participants. The participants also requested for more sessions since they found the session effective. Frequent sessions would ensure that health care providers would gain more skills to respond to medical emergencies (Lassalle et al. 2008)

2. Australian study; this was a study that was to employ mixed methods. It was aimed at detecting suboptimal care as well as the factors that cause simulated pediatric traumas; a total of 75 simulations were used.

The results observed were as follow; a total of 194 suboptimal care incidences were noted. This was attributed to factors such as skill and knowledge deficit, challenges in leadership, poor communication, and poor utilization of resources.

Apart from the many studies carried out, there is also a big room for more research to be carried out.

The main aim of the project is to ensure the numbers of unexpected cancellations are minimized. In many national or international hospitals cases of canceling of electrical surgeries have been having been reported as a result of shortages of PICU beds. As a result, the hospitals have incurred extra expenses by reworking. The staffs, patients, their families and friends and the surgeons are all frustrated (Bellanti, & Della Pasqua, 2011).

Project necessity

Implementing the project would be essential since it will highlight a number of reasons as to why simulation should be used in the PICU. It will reduce the gap by acting as a bridge between the skills learned and the practical at the working place. The trainees will also be in a position to understand the real practices as they protect the patients. The project would also be useful in building competencies, for example, the creation of self-awareness and enhance critical thinking. The project will also be useful in the development of technical skills. An example of technical includes the procedural skills (Stewart, Kennedy & Cuene‐Grandidier, 2010). It will also help in the development of the nontechnical skills which include; making decisions, working as a team, communication, and leadership.

The project will also address the major challenges faced by the trainees. Such challenges include; reduced hours of training, patient intimidation by large groups, difficulties in the examination of the young patients, the number of seriously ill patients is low, another challenge faced by the trainee is that they have a great concerned of making a mistake again before his/her patient (Hunt et al. 2008).

Links to strategic objectives

Establishment of orientation programs for both continuing and fresh nursing graduates. By coming up with such a program will ensure that the graduates are able to improve their skills, knowledge and also their expertise. As a result, patients will be provided with high-quality care. It will also ensure that medical errors are greatly minimized.

The other strategic objective is that nursing curriculum should strictly evaluate the competence of the nurses. This will increase the safety of the patients. It is also important to consider the institutions offering nursing causes. Such institutions should have qualified staff employed. This will ensure that the graduates are competent enough.

Timeline

Selection of the nursing institutions to take the research.	April 2017th16	Primary research and information gathering.	may 2017th24
3. layout creating and plan making	may 2017th30	4. Report writing, review and giving the feedback.	Week 7- week 14.

Potential high level risks

The most likely challenges that would face the implementation of the project are; technical issue problems, cultural obstacles are also likely to be a challenge in the implementation of the project.

Cultural obstacles; these include the perception by both the patient and their families. During research, the simulation may be seen as an intimidation to the patient. The family members would also lose confidence in the clinical officers particularly when they start consulting one another, when they make mistakes, and also during coaching.

Technical challenges; transportation of simulators, laptops and compressors is a bit challenging. Particularly if the clinical unit has a limited space it becomes tiresome to set up the simulator and dismantle it thereafter. The equipment can also give misleading results in the case since breakdown can occur during relocation. It is also sensitive when it comes to infection control during transportation of the simulators.

Deliverables

The project will be in a position to create the following programs in order to ensure efficiency in pediatric simulation;

a. Foundation training,

b. Acute pediatric emergency courses

c. Human factors, particularly in urgent, cares

d. End of life courses is to be offered.

Potential resource implications

Category	Estimated cost
Equipment		This amount will be enough to rent equipment that too expensive to be purchased. It will also be used in purchasing cheaper materials.
		This will cater for the trainees as a motivation and also paying transportation services of the materials.
		This will cater for other miscellaneous expenditures and other unplanned expenditures that may arise during the study.
Total budget forecast

Endorsement In the implementation of the project, it is important to endorse experts like Adam Cheng and Vinay Nadkarni. These are experts in the field of pediatric simulation. They have also been contributing to wring of relevant articles related pediatric simulation. For example, they contributed in writing the “state of the art review article” which addresses on how to design and conduct research based on simulation (Theilen et al. 2013).

Sponsor:

HARD manufacturing co., Inc.-WFPICCS offers sponsorship to researchers. Having applied and successfully emerged the winner, the project will be partially financed. This organization is located in New York in the USA. It manufactures children’s medical cribs in the PICU. It is run by Marjorie Bryen.

Stakeholders

In order to ensure that the research is effective, it is important to involve a number of stakeholders. Including senior medical officers in the research would ensure effective consultation during decision making. The nursing trainees and fresh graduates would also be effective when included in the project (Cheng et al. 2014).

Conclusion

Implementation of this project is not only resourceful to the researcher but also to medical practitioners. Reducing of the number surgery cancellation by the hospitals due to bed shortage is uneconomical. This could have resulted from poor medical decisions and medical errors. The nursing curriculum should ensure that the nurses are competent so that the patients are safe. The institutions that offer to teach courses should ensure their staffs are qualified and skilled. This will ensure that the graduates have relevant skills. However, it is important to understand that orientation programs are essential, to the fresh graduates. This will ensure that the gap between the skills learned and the practical is bridged. The fresh graduates will learn relevant skills and gain more experiences and this will contribute to an overall safety of the patients (Eppich, Adler, & McGaghie, 2006).

Simulators are in a position to provide direct feedback. This will ensure that decision making is effective and the medical errors minimized. The health care providers are also able to come up to a conclusion after a consultation with fellow medical practitioners. However, most of the patients and their family members are likely to lose confidence in the medical practitioners when they see them consulting one another and making minor and major medical mistakes.

References

Bellanti, F. and Della Pasqua, O., 2011. Modelling and simulation as research tools in paediatric drug development. European journal of clinical pharmacology, 67(1), pp.75-86.

Cheng, A., Duff, J., Grant, E., Kissoon, N. and Grant, V.J., 2007. Simulation in paediatrics: An educational revolution. Paediatrics and Child Health, 12(6), p.465.

Cheng, A., Lang, T.R., Starr, S.R., Pusic, M. and Cook, D.A., 2014. Technology-enhanced simulation and pediatric education: a meta-analysis. Pediatrics, 133(5), pp.e1313-e1323.

Eppich, W.J., Adler, M.D. and McGaghie, W.C., 2006. Emergency and critical care pediatrics: use of medical simulation for training in acute pediatric emergencies. Current opinion in pediatrics, 18(3), pp.266-271.

Hunt, E.A., Walker, A.R., Shaffner, D.H., Miller, M.R. and Pronovost, P.J., 2008. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. Pediatrics, 121(1), pp.e34-e43.

Lassalle, V., Berton, J., Bouhours, G., Péres, M., Bossard, G. and Granry, J.C., 2008, December. Medical paediatric simulation: a European survey. In Annales francaises d’anesthesie et de reanimation (Vol. 28, No. 7-8, pp. 628-633).

Stewart, M., Kennedy, N. and Cuene‐Grandidier, H., 2010. Undergraduate interprofessional education using high‐fidelity paediatric simulation. The clinical teacher, 7(2), pp.90-96.

Theilen, U., Leonard, P., Jones, P., Ardill, R., Weitz, J., Agrawal, D. and Simpson, D., 2013. Regular in situ simulation training of paediatric medical emergency team improves hospital response to deteriorating patients. Resuscitation, 84(2), pp.218-222.