A. 5 Whys
Why is it a challenge to supplement clinical and theory experiences with simulation? It is difficult to use simulation to duplicate the real experiences within the clinical setting.
Why is it difficult to use simulation to duplicate the real experiences within the clinical setting? It is difficult to duplicate true patient interactions.
Why is it difficult to duplicate true patient interactions? Because mannequins cannot move or talk like a real patient and actors portraying patients cannot take medications or undergo certain procedures.
Why can’t mannequins move or talk like a real patient and why can’t actors portraying patients take medications or undergo certain procedures? Robot technology is very expensive and is not quite at the capabilities needed to fully replace patient interaction at the clinical setting. Actors can communicate like real patients, but they cannot undergo certain procedures due to safety risks.
Why are there not options other than mannequins or actors to assist in recreating the clinical setting? There may be an opportunity to introduce virtual or augmented reality to assist with this problem of practice. Using a combination of mannequins, actors and real gaming may allow us to create a state-of-the-art simulation center that functions as a replacement for an allotted amount of theory and clinical hours.
B. POV Madlib
The average nursing student today needs to be presented with educational experiences that include high quality simulation because they may encounter specific situations in the clinical setting that should be learned in a safe environment before entering practice on their own.
C. Why-How Ladder
There is a current need for high quality simulation to supplement clinical and theory hours for undergraduate nursing students. The reason for this push is due to the high competition of clinical placement positions and a desire to increase enrollment as the world is in need of more bachelor-prepared nurses. Simulation gives an affordance of allowing a program to control the experiences every student encounters; not similar to the clinical educational experience, but simulation is just not the real thing. One of the many challenges in designing a state-of –the-art simulation program comes when attempting to utilize technology to supplement real-life experiences. My problem of practice will examine the technology necessary to recreate the clinical experience and give students the experiences that support the foundation of a skilled nurse.