Using Escape Rooms as a Simulation Teaching Strategy
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Interview with a Simulation Escape Room Expert
In recent years,simulation escape rooms由于教育方式激起了许多教育工作者在医疗保健方面的利益。教育工作者和学习者相似寻找逃生室更有吸引力，有趣，有趣。更重要的是，使用基于游戏的教学策略和一个现实的“故事”使学习在逃生室棒。
我们采访了Janine Valko，MSN，BN，CEN，宾夕法尼亚州匹兹堡的Allgeny Health Network的Star Centurance仿真教育经理。她有多年的经验规划，设计和运行医疗保健的仿真逃生室。我们很感激她愿意花时间与我们分享她的知识。
To read Janine’s responses, click each question below.
逃生室似乎是教育环境的最新趋势。为什么你认为他们变得如此受欢迎？
I attribute the popularity of escape rooms in the educational setting to the fact that today’s learners are different. Today’s learners grew up immersed with digital technologies. Educators must be able to solve important issues of adapting the learning process to students who have different learning styles and new requirements for learning.教育工作者必须挑战学生进行分析和创意，从事学生的技术，创造积极学习的机会。
逃生室方法是基于游戏的学习示例（GBL），这是一种教育方法，这是一种提高动力和参与，因此满足当今学习者的需求。
The audio and visual elements of an escape room stay longer in the learners’ minds than with traditional learning environments. I refer to the simulated escape room as a connected learning experience. Each step of the escape room is connected to a puzzle that the learner can relate and associate to in the future.
One of the most important aspects that attributing to the popularity of escape rooms is simply that the escape room engages participants by making learning fun.学习很有趣，学习棍子。
By now, you’ve run multiple escape rooms in your organization’s simulation lab. What inspired you to create your first simulation escape room?
Our STAR team attended the 2018 IMSH Conference Escape Room in a Simulated Environment Session. Our team decided to create the our first escape room by using an innovative approach to teach one of the STAR Center’s most requested courses; Mock Codes.
We determined that in managing a mock code by protocol, the sequential steps would fit perfectly into the template of a linear escape room model.
How have your participants responded to their experiences in the escape room?
压倒性地，我们对逃生室的每个促进都有积极的反馈。我们的学习者真正欣赏这种教学的模式。
Our psychometrician, Dr. Laura Daniel designed a unique evaluation for our escape rooms. After her analysis was completed, at least 94% of 54 participants surveyed strongly agreed or agreed to 19 out of 20 evaluative statements.
学习者指出它帮助他们批判性和创造性地思考，使用有效沟通技巧的同时进行过程和优先考虑。The feedback on the evaluations consistently repeated adjectives such as ‘Fun’, ‘Innovative’ and ‘Engaging’. Learners stated that they did not realize that 30 minutes had passed and could see the value of the overall educational experience.
Who can benefit from participating in a simulation escape room?
Escape rooms encourage the skills of teamwork, problem solving, communication, critical thinking, interprofessional collaboration and attention to detail making the escape room methodology of teaching very attractive for clinical, academia and leadership settings.
We have successfully facilitated escape rooms for nursing students, clinical staff and executive leaders of our organization.
Simulation labs provide the perfect setting for an escape room, but it’s just as feasible to run one without a formal simulation center. What is the value in creating a simulation escape room in an in situ environment?
The main value in creating an in situ escape room is theteam building福利逃生室晋升。促进逃生室的原位将允许团队自然地聚集在一起，并在他们自己的环境中努力解决并批判性地思考的情况下，参加他们共同努力的会议，互相攻击成功实现目标。
There is quite a bit of planning that goes into creating a simulation escape room. What resources did you find most useful during the design stages?
Indeed, escape rooms will test your organizational skills as you use your imagination to create puzzles and tasks to escape a room. There are multiple设计模板available online to utilize that will assist you in your design. Using one of these templates will guide you to have success in matching the puzzle with each step of the unfolding case leading to the next sequential task and eventually escaping the room.
What types of puzzles would you say are the well-received by learners?
In my experience, the most well- received puzzles are those that are challenging, but do not cause too much of a distraction to achieve the learning objectives.验证这一点的唯一方法是将您的谜题放到测试中！
一旦您设计了逃生室的每一步，对于Beta测试所有难题与您的内部团队至关重要，以检查他们的困难程度。
Admittedly, the most successful puzzles seem to be the ones with the most creativity. For example, we placed our first clue above the door on a banner. Learners are too engaged in looking for clues located around the room; they neglect to look up above the door behind them where the clue is overtly located.
You’ve previously stated that you would encourage others who are new to running a simulation escape room to beta test the room before bringing in learner participants. What are some important things to look for during a beta test?
The most important element to focus on during a beta test is the flow of the escape room. You want to let your design play out and take notes of barriers or stumbling blocks that may need to be revised.You want to be sure your escape room flows logically in sequence of the objectives you are teaching.你想给学习者时间极度think, but you do not want obstacles that will impede the flow and their learning.
例如当我们beta测试逃离房间,we realized that operationalizing one of the locks was difficult for the learners. They were entering the correct combination on the lock, but the lock would not open. Therefore we changed the type of lock to allow for a better functionality of that specific step of the escape room.
In your experience, what impact has the simulation escape room had on learning outcomes?
我看到的模拟逃生室的影响是学习结果，让学生有机会在新的视角下回忆教育信息。学习者将每个拼图或任务连接到核实的核实，绝对是逃生室的吸引力和优势的一部分。
Escape rooms make the answers less obvious, while keeping the process, policy or procedure clear.
例如，如果模拟代码的压缩速率是锁的代码，那么而不是仅仅给出数字，而不是缺少答案为100或120的字母/数字创建谜语或拼图。他们会必须解决问题以输入正确的锁定号码和组合。
Have any of your participants shared any stories in which they were able to transfer skills learned in the escape room to a patient’s bedside?
Yes, I have had participants from our nurse residency program state that the mock code escape room felt very much like the贸易协作that is needed to run a code on their unit.
他们报告说，谜题感觉到您需要及时完成代码的真实任务;如使用患者的体重和药理计算准备患者的血管加压器滴水。护士还报告说，这项教育帮助他们记住如何根据协议确定患者编码的护理优先考虑。
It seems like there’s a lot of time and effort involved in pulling off a successful simulation escape room. Where is the value, or ROI, for an organization?
The value and ROI for organizations to successfully facilitate escape rooms are that participants will improve their core values such as teamwork, time management, critical thinking and problem-solving to name a few.这将以精华培养更好的工作文化，进一步统一您的团队。
What are the most profound lessons that have come from your escape room debriefs?
来自逃生室汇报的最深刻的经验教训将使您完成详细的简报;两者都有预先和汇报. Learners need structure and guidance as they complete the activity. By properly prebriefing and debriefing your learners, you will likely have success meeting your learning objectives while making learning enjoyable. The amount and type of guidance should be factored in when designing your escape room experience.
Additionally, I learned that the participants truly appreciated the challenging puzzles and felt accomplished escaping the room and solving the case! It was a bonus that they were able to recite the correct steps of the protocol when we reflected on the steps they conquered to escape the room.
Any final advice to those interested in running their own simulation escape room? Any pitfalls to avoid?
My advice for anyone interested in designing and facilitating and escape room would be togo for it!
The time spent creating, designing and building will be time well spent. When you see your learning outcomes achieved and the learners truly enjoying their experience you’ll know it was well worth the effort.
The only pitfall I would avoid would be to design your escape room to be challenging but not too complex. You would not want your learner to be preoccupied by the complexity of the puzzles instead of learning the process, policy or procedure you are teaching. This of course would not hold true if you were building an escape room for the pure pleasure of a team building experience.
Janine Valko, MSN, BN, CEN
仿真教育经理，Allgheny Health Network
Janine Valko has logged over thirty-five years of nursing experience with an emphasis in emergency nursing, leadership and education. Her combination of clinical education and experience provide a strong academic foundation to support her role as a Simulation Education Manager at the STAR (Simulation, Teaching, Academia and Research) Center serving Allegheny Health Network. Most recently, Janine has devoted much of her efforts integrating the escape room modality into the simulated environment as an innovative approach to learning. In 2019, she presented the ‘STAR Center Escape Room Case Study’ at the IMSH Conference and presented an ‘Escape Room Mock Code’ with Laerdal at the Spring and Fall SUN Conferences. In January 2020, Janine will present ‘Build Your Own Escape Room of Errors’ at IMSH.
