How Virtual Simulation Can Help Bridge the Gap to High-Fidelity Simulation

Nurse educators who train novices in obstetrics know it’s critical for your program to prepare learners to keep mother and baby safe when delivery complications arise. As simple as this may sound, it can be a challenge to make sure that your learners are exiting the program fully prepared for these low-frequency, high-risk events. In order to ensure learners are optimally prepared for practice,实现依赖有效学习方法的框架的能力是关键。

In 1984, David Kolb developed his experiential learning theory. It asserts that learners must progress through four stages of a learning cycle, with each stage involving different experiences, in order to effectively learn²Kolb's theory strongly suggests thatno single teaching method will stand on its own。For a maternal nursing program that covers everything from basic concepts to complicated delivery procedures and team dynamics, this can be especially true. Instead, using a range of complementary teaching methods allows learners to connect the dots between areas of learning, building on their constructive knowledge as they progress through the program.

在一个纪律和母亲护理的复杂和生活中，高保真仿真培训通常被视为它为学习经历带来的现实主义。除了动手经验的价值之外，它还提供了在团队合作和沟通技能方面的培训，可以帮助最大限度地减少对新母亲和婴儿的伤害。专注于劳动和交付的一项研究得出结论认为，基于模拟的团队培训在最大限度地减少通过沟通和团队合作缺陷的主要原因而导致的负面结果方面发挥着关键作用^3.。

For learners to get the most out of high-fidelity simulation training, they should be as confident as possible before they enter the simulation lab. Incorporating virtual simulation is one way to reinforce classroom knowledge and boost learner preparedness. Virtual simulation offers learners an interactive learning experience. It allows learners to work with realistic virtual patients, virtual simulation helps learners develop key reasoning, prioritization, and decision-making skills – all of which can be helpful assets to carry with them into the simulation lab.

下面,我们探索如何将虚拟仿真ed as a bridge between classroom learning and high-fidelity simulation. And if you’re already using virtual simulation, you’ll find out how you can use it as a powerful tool to prepare learners for more complex learning methods like high-fidelity simulation.

When learners are transitioned from studying obstetric care in the classroom directly into practicing complicated procedures in a high-fidelity simulation, they may be overwhelmed. They are asked to apply newly-acquired knowledge to a complex hands-on scenario without the opportunity to practice their skills first. At the same time, they must grapple with the challenge that new technology poses. This can potentially mean that high-fidelity simulation willdetract fromthe learning experience!

通过虚拟模拟，学习者可以首先使用虚拟患者在教室中学到他们在教室中学到的内容，加强了通过他们的互动学习关键决策技能的知识。^5.这有助于防止学习者在与他们的第一个“真实”患者面对时在仿真实验室中恐慌。

一项研究检查了在教学课程后参与虚拟模拟的护理学习者，并在用高保真模拟器培训之前进行虚拟模拟。这些学习者能够在高保真模拟期间比没有使用虚拟模拟的学习者更有效地转移他们从其教学课程中获得的知识。^5.For complex obstetric scenarios like delivery with shoulder dystocia, the ability to apply key classroom-learned concepts is a tool that will help learners successfully navigate their patient's care.

Research indicates that self-confidence is a predictor of an individual’s ability to perform effectively in new situations^6.。If learners are given a chance to build confidence in their ability to treat a maternal or neonatal patientbeforeentering the simulation lab, they may perform better once they get there.

虚拟模拟为学习者提供了以自己的步伐从事现实分娩情景的机会，并自由地反复练习同样的场景。自适应学习经验每次都提供个性化反馈，概述了他们的临床推理。通过每次重复，学习者可以继续加强他们的技能，直到他们感到舒适和自信。武装自我保证，他们需要成功。学习者可以进入准备的模拟实验室感觉，以完全专注于练习团队动态，通信和动手技能等关键技能。这使他们可以充分利用高保真仿真提供的丰富的学习体验。

One study explored the use of virtual simulation prior to patient simulation for maternal and pediatric education. The researchers found that learners were more comfortable meeting the same patient in the simulation lab, and they performed better in situations with more complexity and integrated psychomotor skills. Encountering the same patient through different modes of technology helped reinforce theoretical knowledge and promoted the development of confident nursing skills^7.。

Virtual simulation can result in a powerful confidence boost, which can help pave the way for a successful experience in the simulation lab. Used together, virtual simulation and high-fidelity simulation training can work together to help form confident, competent future practitioners that are equipped to handle even the most complex adverse events in obstetrics, from postpartum hemorrhage to umbilical cord prolapse.

如果您的产科程序已经使用虚拟模拟，您的学习者可能会准备好将他们的决策技能应用于高保真仿真。这将使他们有机会制定团队合作和沟通技巧，这对于降低耐用患者伤害的风险至关重要。相反，如果您的程序已经使用高保真仿真，您的学习者可能会受益于虚拟模拟，以加强决策技能。