Abstract
Anesthesiologists and engineers began developing and adopting SBE in the late 1960s to meet recognized training needs in their discipline. In medicine, as the clinical environment became more restrictive and health professions learners were asked to stop practicing on live patients, simulation-based education (SBE) was adopted as a logical second-best choice for many learning experiences. It did not take long to realize that SBE provided some unique opportunities that traditional clinical could not. The traditional clinical environment could never provide standardization of patient experiences that can be designed and provided in the SBE environment. Additionally, SBE provides opportunities for assessment that would never exist in a hospital or clinic setting. Essentially, SBE can offer the opportunity to practice and evaluate clinical and communication skills in a safe forgiving area, away from real patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Accreditation Standards for Physician Assistant Education 4th edition effective September 1, 2010 approved March 2010, updated March 2018 copyright Accreditation Review Commission on Education for the Physician Assistant, Inc. http://www.arc-pa.org/wp-content/uploads/2018/06/Standards-4th-Ed-March-2018.pdf. Accessed 30 June 2019.
Acton RD, Chipman JG, Lunden M, Schmitz CC. Unanticipated teaching demands rise with SBE training: strategies for managing faculty workload. J Surg Ed. 2015;72(3):522–9. https://doi.org/10.1016/j.jsurg.2014.10.013.
Ahmed R, King Gardner A, Atkinson SS, Gable B. Teledebriefing: connecting learners to faculty members. Clin Teach. 2014;11(4):270–3. https://doi.org/10.1111/tct.12135.
Alexander M, Durham CF, Goldman N, Hooper JI, Jeffries PR, Kardong-Edgren S, Kesten KS. et al. NCSBN SBE guidelines for prelicensure nursing education programs. (2016). https://www.ncsbn.org/16_SBE_Guidelines.pdf. Accessed 11 July 2019.
American Association of Colleges of Nursing. White paper: current state of APRN clinical education. Available at http://www.aacn.nche.edu/APRN-White-Paper.pdf. Published 2011. Published 2015. Accessed 28 June 2019.
Anderson M, Campbell SH, Nye C, Diaz D, Boyd T. SBE in advanced practice education: let’s dialogue! Clin Sim Nurs. 2019;26:81–5. https://doi.org/10.1016/j.ecns.2018.10.011.
Barsuk JH, McGaghie WC, Cohen ER, O’Leary KJ, Wayne DB. SBE-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009;37(10):2697–701.
Bittner N, Bechtel C. Identifying and describing nurse faculty workload issues: a looming faculty shortage. Nurs Ed Perspec. 2017;38(4):171–6. https://doi.org/10.1097/01.NEP.0000000000000178.
Blodgett NP, Blodgett T, Kardong-Edgren SE. A proposed model for SBE faculty workload determination. Clin Sim Nurs. 2018;18:20–7. https://doi.org/10.1016/j.ecns.2018.01.003.
Bogossian FE, Cant RP, Ballard EL, Cooper SL, Levett-Jones TL, McKenna LG, Ng LC, Seaton PC. Locating ‘gold standard’ evidence for SBE as a substitute for clinical practice in pre-licensure health professional education: A systematic review. J Clin Nurs. 2019; Accepted manuscript. https://doi.org/10.1111/jocn.14965.
Bong CL, Lee S, Ng ASB, Allen JC, EHL L, Vidyarthi A. The effect of active (hot seat) versus observer roles during SBE-based training on stress levels and non-technical performance: a randomized trial. Adv Sim. 2017;2:7. https://doi.org/10.1186/s41077-017-0040-7.
Bowling AM, Cooper R, Kellish A, Kublin L, Smith T. No evidence to support number of clinical hours necessary for nursing competency. J of Ped Nurs. 2018;39:27–36. https://doi.org/10.1016/j.pedn.2017.12.012.
Breymier TL, Rutherford-Hemmings T, Horsely TL, Atz T, Smith LG, Badowski D. Substitution of clinical experience with SBE in prelicensure nursing programs: A national survey in the United States. Clin Sim Nur. 2015;11(11):472–8. https://doi.org/10.1016/j.ecns.2015.09.004.
Buist N, Webster CS. SBE training to improve the ability of first-year doctors to assess and manage deteriorating patients: a systematic review and meta-analysis. Med Sci Ed. 2019;29:1–13. https://doi.org/10.1007/s40670-019-00755-9.
COA. Response Regarding the Use of SBE. https://www.coacrna.org/about/Pages/COA-Position-Statements.aspx. Accessed 4 July 2019.
Coerver D, Multak N, Marquardt A, Larson EH. The use of SBE in physician assistant programs: a national survey. J Phys Ass Educ. 2017;28(4):175–81. https://doi.org/10.1097/JPA.0000000000000173.
Dang B, Palicte JS, Valdez A, O’Leary-Kelley C. Assessing SBE, virtual reality, and television modalities in clinical training. Clin Sim Nus. 2018;19:30–7. https://doi.org/10.1016/j.ecns.2018.03.001.
Dieckmann P. Using SBE for education, training and research. Miami: Pabst Science Publishers; 2009.
Eisert S, Geers J. Pilot-study exploring time for SBE in academic and hospital-based organization. Clin Sim Nurs. 2016;12(9):361–7. https://doi.org/10.1016/j.ecns.2016.04.005.
Ford DG, Seybert AL, Smithburger PL, Kobulinsky LR, Samosky JT, Kane-Gill SL. Impact of SBE-based learning on medication error rates in critically ill patients. Intensive Care Med. 2010;36(9):1526–31. https://doi.org/10.1007/s00134-010-1860-2.
Fulton CR, Clark C, Dickinson S. Clinical hours in nurse practitioner programs equals clinical competence: fact or misnomer? Nurs Ed. 2017;42(4):195–8. https://doi.org/10.1097/NNE.0000000000000346.
Gaba D. The future vision of SBE in health care. BMJ Qual Saf. 2004;13:i2–i10.
Guinea S, Andersen P, Reid-Searl K, Levett-Jones T, Dwyer T, Heaton L, Flenady T. SBE-based learning for patient safety: the development of the tag team patient safety SBE methodology for nursing education. Collegian. 2019;26(3):392–8. https://doi.org/10.1016/j.colegn.2018.09.008.
Hallihan G, Caird JK, Blanchard I, Wiley K, Martel J, Wilkins M, Thorkelson B, Plato M, Lazarenko G. The evaluation of an ambulance rear compartment using patient SBE: issues of safety and efficiency during the delivery of patient care. Appl Ergon. 2019;81:102872. https://doi.org/10.1016/j.apergo.2019.06.003.
Harder N. Replace is not a four letter word. Clin Sim Nurs. 2015;11:435–6. https://doi.org/10.1016/j.ecns.2015.07.001.
Hayden J, Smiley RA, Alexander M, Kardong-Edgren S, Jeffries PR. The NCSBN National SBE Study: a longitudinal, randomized, controlled study replacing clinical hours with SBE in prelicensure nursing education. J Nurs Reg. 2014;5(2):S3–S64.
Hayden EM, Khatri A, Kelly HR, Yager PH, Salazar GM. Mannequin-based teleSBE: increasing access to SBE-based education. Acad Emer Med. 2018;25(2):144–7. https://doi.org/10.1111/acem.13299.
Hayes C, Power T, Davidson PM, Daly J, Jackson D. Nurse interrupted: development of a realistic medication administration SBE for undergraduate nurses. Nurs Ed Tod. 2015;35(9):981–6. https://doi.org/10.1016/j.nedt.2015.07.002.
Ironside PM, McNeilis AM, Ebright P. Clinical education in nursing: rethinking learning in practice settings. Nurs Out. 2014;62:185–91. https://doi.org/10.1016/j.outlook.2013.12.004.
Jayasekara R, Smith C, Hall C, Rankin E, Smith M, Visvanathan V. The effectiveness of clinical education models for undergraduate nursing programs: A systematic review. Nur Ed Prac. 2018;29:116–26. https://doi.org/10.1016/j.nepr.2017.12.006.
Johnson BK. SBE observers learn the same as participants: the evidence. Clin Sim Nurs. 2019;33:26–34. https://doi.org/10.1016/j.ecns.2019.04.006.
Kardong-Edgren S, Breitkreutz K, Werb M, Foreman S, Ellertson A. Evaluating the usability of a second-generation VR game for refreshing sterile urinary catheterization skills. Nur Ed. 2018; Published ahead of print. https://doi.org/10.1097/NNE.0000000000000570.
Kavanagh JM, Szweda C. A crisis in competency: the strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nurs Ed Per. 2017;38(2):57–62. https://doi.org/10.1097/01.NEP.0000000000000112.
Leigh G, Stueben F, Harrington D, Hetherman S. Making the case for SBE-based assessments to overcome the challenges in evaluating clinical competency. Int J Nurs Ed Scholarsh. 2016;1:27–34. https://doi.org/10.1515/ijnes-2015-0048.
Levett-Jones T, Andersen P, Reid-Searl K, Guinea S, McAllister M, Lapkin S, Palmer L, et al. Tag team SBE: an innovative approach for promoting active engagement of participants and observers during group SBE. Nur Ed Prac. 2015;15:345–52. https://doi.org/10.1016/j.nepr.2015.03.014.
Lipps JA, Bhandary SP, Meyers LD. The expanding use of SBE for undergraduate preclinical medical education. Int J Acad Med. 2017;3(1):59. https://doi.org/10.4103/IJAM.IJAM_40_17.
Llewallen LP, Van Horn ER. The state of the science on clinical evaluation in nursing education. Nurs Ed Per. 2019;40(1):4–10. https://doi.org/10.1097/01.NEP.0000000000000376.
McCoy CE, Sayegh J, Alrabah R, Yarris LM. TeleSBE: An innovative tool for health professions education. AEM Ed Train. 2017a;1(2):132–6. https://doi.org/10.1002/aet2.10015.
McCoy CE, Sayegh J, Rahman A, Landgorf M, Anderson C, Lotfipour S. Prospective randomized crossover study of teleSBE versus standard SBE for teaching medical students the management of critically ill patients. AEM Ed Train. 2017b;1(4):287–92. https://doi.org/10.1002/aet2.10047.
McCoy CE, Alrabah R, Weichmann W, Langdorf MI, Ricks C, Chakravarthy B, Anderson C, Lotfipour S. Feasibility of teleSBE and google glass for mass casualty triage education and training. West J Emer Med. 2019;20(3):512–9. https://doi.org/10.5811/westjem.2019.3.40805.
McKenna KD, Carhart E, Bercher D, Spain A, Todaro J, Freel J. SBE use in paramedic education research (SUPER): a descriptive study. Prehosp Emerg Care. 2015;19(3):432–40. https://doi.org/10.3109/10903127.2014.995845.
Medical SBE in Medical Education: Results of an AAMC Survey September 2011 Association of American Medical Colleges https://www.aamc.org/download/259760/data/medicalSBEinmedicaleducationanaamcsurvey.pdf. Accessed 4 July 2019.
Mikrogianakis A, Kam A, Silver S, Bakanisi B, Henao O, Okrainec A, Azzie G. TeleSBE: an innovative and effective tool for teaching novel intraosseous insertion techniques in developing countries. Acad Emer Med. 2011;18(4):420–7. https://doi.org/10.1111/j.1553-2712.2011.01038.x.
Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(9):S63–7.
Nye C, Campbell SH, Hebert SH, Short C, Thomas M. SBE in advanced practice nursing programs: A north-American survey. Clin Sim Nurs. 2019;1(26):3–10. https://doi.org/10.1016/j.ecns.2018.09.005.
O’Regan S, Molloy E, Watterson L, Nestel D. Observer roles that optimize learning in healthcare SBE education: a systematic review. Adv Sim. 2016;1:4. https://doi.org/10.1186/s41077-015-0004-8.
Olasky J, Kim M, Muratore S, Zhang E, Fitzgibbons SC, Campbell A, Acton R. ACS/ASE medical student SBE-based skills curriculum study: implementation phase. J Surg Ed. 2019;76(4):962–9. https://doi.org/10.1016/j.jsurg.2019.01.014.
Pauly-O’Neill S, Prion S, Nguyen H. Comparison of quality and safety education for nurses (QSEN)-related student experiences during pediatric clinical and SBE rotations. J Nur Ed. 2013;52(9):534–8. https://doi.org/10.3928/01484834-20130819-02.
Pritchard SA, Blackstock FC, Nestel D, Keating JL. Simulated patients in physical therapy education: systematic review and meta-analysis. Phys Ther. 2016;96(9):1342–53. https://doi.org/10.2522/ptj.20150500.
Quilici AP, Bicudo AM, Gianotto-Oliveira R, Timerman S, Gutierrez F, Abrão KC. Faculty perceptions of SBE programs in healthcare education. Int J Med Ed. 2015;6:166–71. https://doi.org/10.5116/ijme.5641.0dc7.
Smiley RA. Survey of SBE use in prelicensure nursing programs: changes and advancement, 2010–2017. J Nurs Reg. 2019;9(4):48–61. https://doi.org/10.1016/S2155-8256(19)30016-X.
Sullivan N, Swoboda SM, Breymier T, Lucas L, Sarasnick J, Rutherford-Hemming T, Budhathoki C, et al. Emerging evidence toward a 2:1 clinical to SBE ratio: a study comparing the traditional clinical and SBE settings. Clin Sim Nurs. 2019;30:34–41. https://doi.org/10.1016/j.ecns.2019.03.003.
Taylor C, Angel L, Nyanga L, Dickson C. The process and challenges of obtaining and sustaining clinical placements for nursing and allied health students. J Clin Nurs. 2017;26(19–20):3099–110. https://doi.org/10.1111/jocn.13658.
Topping A, Buus Boje R, Rekola L, Hartvigsen T, Prescott S, Bland A, Hope A, et al. Towards identifying nurse educator competencies required for SBE-based learning: a systemized rapid review and synthesis. Nur Ed Tod. 2015;35:1108–13. https://doi.org/10.1016/j.nedt.2015.06.003.
Wilborn TW, Timpe EM, Wu-Pong S, Manolakis ML, Karboski JA, Clark DR, Altiere RJ. Factors influencing faculty perceptions of teaching workload. Cur Iss Pharm Teac Lear. 2013;5(1):9–13. https://doi.org/10.1016/j.cptl.2012.09.011.
Zulkosky KD, White KA, Price AL, Pretz JE. Effect of SBE role on clinical decision-making accuracy. Clin Sim Nurs. 2016;12(3):98–106. https://doi.org/10.1016/j.ecns.2016.01.007.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this entry
Cite this entry
Kardong-Edgren, S., Swoboda, S., Sullivan, N. (2020). Simulation as Clinical Replacement: Contemporary Approaches in Healthcare Professional Education. In: Nestel, D., Reedy, G., McKenna, L., Gough, S. (eds) Clinical Education for the Health Professions. Springer, Singapore. https://doi.org/10.1007/978-981-13-6106-7_44-1
Download citation
DOI: https://doi.org/10.1007/978-981-13-6106-7_44-1
Received:
Accepted:
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-6106-7
Online ISBN: 978-981-13-6106-7
eBook Packages: Springer Reference EducationReference Module Humanities and Social SciencesReference Module Education