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Innovation in Teaching The Teacher Inside the Patient ‘Keeping nurses in practice through supportive strategies’ MaskEd (KRS Simulation)

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Page 1: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Innovation in Teaching The Teacher Inside the Patient

‘Keeping nurses in practice through supportive strategies’

Mask–Ed (KRS Simulation)

Page 2: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Placement & Preceptoring – growing nursing numbers

West Midlands Workshop

Professor Kerry Reid-Searl (CQUniversity Australia)

Lea Vieth (Consultant Mask Ed (KRS Simulation)

Page 3: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

WARNING THIS PRESENTATION DOES SHOW GRAPHIC IMAGES OF NUDITY WHICH MAY BE CONFRONTING TO INDIVIDUALS. PARENTAL GUIDANCE IS REQUIRED IF MEMBERS OF THE AUDIENCE UNDER AGE.

Page 4: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Were you engaged?

Did you feel, relate, remember, connect?

©Reid-Searl K 2014 CQUniversity Australia

Page 5: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

What learning could this been

linked to?

Consider nursing students

Consider graduates

Consider nurses

returning to practice

©Reid-Searl K 2014 CQUniversity Australia

Page 6: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Key messages Wisdom of the

patient…through their eyes

Strategies of support as a

preceptor

Empathy

Belonging

Patient safety

Competence

Page 7: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

But Stanley’s story has more…..

©Reid-Searl K 2014 CQUniversity Australia

Page 8: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Patient safety Falls

Risk assessment

Communication Medication

Safety

Hearing the patients story

©Reid-Searl K 2014 CQUniversity Australia

Page 9: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

But this is simulation

Realism

©Reid-Searl K 2014 CQUniversity Australia

Page 10: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The CQUniversity Experience

Types

High tech to low tech

Audience

Undergraduates

Return to practice

©Reid-Searl K 2014 CQUniversity Australia

Page 11: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Challenges for the RTPRN

Time away

The pace

Finding a placement

Fear

Not a pair of hands

Old and New Knowledge/

research

Fitting in

©Reid-Searl K 2014 CQUniversity Australia

Page 12: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Challenges for the Preceptor

Time away

The pace

Attitudes of others

Wisdom

Fitting in

Acceptance

The younger

preceptor

©Reid-Searl K 2014 CQUniversity Australia

Page 13: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The Australian Context

Preceptorship

• Limited clinical placements

• Cost of placements

• Quality of clinical placements

• Clinical hours required

Creating simulation that fits

©Reid-Searl K 2014 CQUniversity Australia

Page 14: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

So is MASK ED™

MASK-ED™ (KRS simulation) • What is it ?

©Reid-Searl K 2014 CQUniversity Australia

Page 15: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Core Elements

The character

The educator hidden

3 way interplay

No rehearsed scripts

Teachable moments

©Reid-Searl K 2014 CQUniversity Australia

Page 16: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The Gift of the Character

A platform for teaching

There for a purpose/ a gem

Separates teaching and assessing/removal of power imbalance

©Reid-Searl K 2014 CQUniversity Australia

Page 17: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Framework is followed

Masking preparation

Assessment of readiness

Simulation in action

Know how in action

Evaluation in action

Debrief

©Reid-Searl K 2014 CQUniversity Australia

Page 18: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The Hidden ‘Miracle’ of Mask-Ed

©Reid-Searl K 2014 CQUniversity Australia

Embodiment

Social territory

The untouchable

The truly awful

Page 19: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Embodiment

How a person experiences their life through their body

When our body fails someone else has to do for us what we would normally do in private

We relinquish control of our lives in a foreign environment to a stranger- a nurse

©Reid-Searl K 2014 CQUniversity Australia

Page 20: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

In order to achieve this

the nurse needs to develop

An awareness of their;

• values

• fears

• taboos

• potential awkwardness

• issues relating to sexuality

©Reid-Searl K 2014 CQUniversity Australia

Page 21: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The vulnerability of characters evokes a response in learners

The flow on effect is that the educator behind the character can help learners manage their own responses so that they can learn emotional intelligence and begin to connect within professional boundaries.

©Reid-Searl K 2014 CQUniversity Australia

Page 22: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

The educator and character can respond to:

Tears

Repulsion

Awkwardness

Confronting taboos related to intimate spaces

Personal & cultural taboos/ challenges

©Reid-Searl K 2014 CQUniversity Australia

Page 23: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Hear Muriel’s Story

Cancer

Dependent but proud

Vulnerable

Connecting

©Reid-Searl K 2014 CQUniversity Australia

Page 24: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

©Reid-Searl K 2014 CQUniversity Australia

Page 25: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Challenges Ethics

Vulnerable learners

• Life experiences

• Unexpected

• Is this for me?

Feeling safe

Culturally challenging

©Reid-Searl K 2014 CQUniversity Australia

Page 26: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Applications of

Mask-Ed (KRS Simulation)

Teaching Research

Resources DVD’s

Assessment

©Reid-Searl K 2014 CQUniversity Australia

Page 27: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Assessment

Authentic assessment

• Examples to assess competency

• Written assessment

• Exam and scenarios

• OSCE’s

Clinical challenges

• The challenged RTPRN

• The challenging RTPRN

• Mask Ed Application

• The relationship

• The educator inside the patient

©Reid-Searl K 2014 CQUniversity Australia

Page 28: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Risks In the wrong hands

Watering down the pedagogy

Assessing as opposed to teaching

Not following the frame work

Harm to students/learners

Misunderstood public perception/social media

©Reid-Searl K 2014 CQUniversity Australia

Page 29: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Where now?

Workshops

Web site/ TEDx Talk

On Line Modules

Mask Ed Conference Oct 16

Research/publications

Research higher degree students

Validation with Awards

©Reid-Searl K 2014 CQUniversity Australia

Page 30: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

©Reid-Searl K 2014 CQUniversity Australia

Page 31: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Pup-Ed™ (KRS simulation) is a teaching technique where

puppets are worn by a wearer who is an informed

professional.

©Reid-Searl K 2014 CQUniversity Australia ©Reid-Searl K 2014 CQUniversity Australia

Page 32: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

©Reid-Searl K 2014 CQUniversity Australia ©Reid-Searl K 2014 CQUniversity Australia

Page 33: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Types of Puppets

Living

Patient

©Reid-Searl K 2014 CQUniversity Australia ©Reid-Searl K 2014 CQUniversity Australia

Page 34: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Teaching

HRE

Distraction therapy

Supporting children

emotionally

Fun

©Reid-Searl K 2014 CQUniversity Australia

Page 35: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Meet our Puppets

Tommy Florence Harry

Frankie

©Reid-Searl K 2014 CQUniversity Australia

Page 36: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

©Reid-Searl K 2014 CQUniversity Australia ©Reid-Searl K 2014 CQUniversity Australia

Page 37: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Acknowledgements • CQUniversity

• Rusty Slusser

• Judy Applegarth

• Collette Le Page

• Marketing team at CQUniversity

©Reid-Searl K 2013 CQUniversity Australia

Page 38: Innovation in Teaching NOTE Placeme… · Deconstructing the teaching and learning processes of an innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458

Citations • McAllister, M, Levett-Jones, T, Downer, T, Harrison, P, Harvey, T, Reid-Searl, K, Lynch, K, Arthur, C, Layh, J, Calleja, P, 2013,

‘Snapshots of simulation: Creative strategies used by Australian educators to enhance simulation learning experiences for nursing

students’, Nurse Education in Practice, vol., pp. 1-6, http://dx.doi.org/10.1016/j.nepr.2013.04.010

• McAllister, M, Reid-Searl, K, Davis, S, ‘Who is that masked educator? Deconstructing the teaching and learning processes of an

innovative humanistic simulation technique’, Nurse Education Today, vol. 33,pp.1453-1458.

• Kable, A, Arthur, C, Levett-Jones, T, Reid-Searl, K, 2013, ‘Student evaluation of simulation in undergraduate nursing programs in

Australia using quality indicators’, Nursing and Health Sciences, vol.15, pp.235-243.

• Lane Krebs, K, Reid-Searl, K, & Heidke, P. 2012, 'Administer one puppet PRN', Australian Nursing Journal, vol. 19, no. 8, pp. 43-43.

• Brown, RA, Guinea, S, Crookes, PA, McAllister, M, Levett-Jones, T, Kelly, M, Reid-Searl, K, Churchouse, C, Andersen, P, Chong, N &

Smith, A. 2012, 'Clinical simulation in Australia and New Zealand: through the lens of an advisory group', Collegian: Journal of the Royal

College of Nursing Australia, vol. 19, no. 3, pp. 177-186. http://dx.doi.org/10.1016/j.colegn.2012.05.002

• Reid-Searl, K, Happell, B, Vieth, L, Eaton, A. 2012, 'High Fidelity Patient Silicone Simulation : a qualitative evaluation of nursing students

experiences', Collegian: Journal of the Royal College of Nursing Australia, vol. 19, no. 2, pp. 77-83,

http://dx.doi.org/10.1016/j.colegn.2011.09.003

• Kable, AK, Arthur, C, Levett-Jones, T & Reid-Searl, K. 2012, 'Student evaluation of simulation in undergraduate nursing programs in

Australia using quality indicators', Nursing & Health Sciences, vol. 15, no. 2 pp. 235-243, http://dx.doi.org/10.1111/nhs.12025

• Brown, R, Guinea, S, Crookes, P, McAllister, M, Levett-Jones, T, Kelly, M, Reid-Searl, K, Churchouse, C, Andersen, P, Chong, N, Smith,

A. 2012, 'Clinical simulation in Australia and New Zealand: Through the lens of an advisory group.', Collegian: The Australian Journal of

Nursing Practice, Scholarship and Research, vol.19, no.3, pp. 177-186, http://dx.doi.org/10.1016/j.colegn.2012.05.002

• Reid-Searl, K. Happell, B, Vieth, L, Eaton, A. 2011. The Educator inside the patient: Students insights into high fidelity silicone simulation.

Journal of Clinical Nursing, vol 20,19-20, pp.2752-60

• Reid-Searl, K. Happell, B. Vieth, L. Eaton, A. 2011, High fidelity patient silicone simulation: a qualitative evaluation of nursing students'

experiences. Collegian. vol 19, pp.77-83 .