“Forgive and Remember” (Bosk, 1979) Moving Forward in the Design of a Safety Culture for a Simulated Learning Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/308231
Category:
Abstract
Type:
Presentation
Title:
“Forgive and Remember” (Bosk, 1979) Moving Forward in the Design of a Safety Culture for a Simulated Learning Environment
Author(s):
Montgomery, Jean E.
Lead Author STTI Affiliation:
Tau Chi
Author Details:
Jean E. Montgomery, MSN, RN, montgomery@tarleton.edu
Abstract:

Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013

Purpose
Errors in health care result in additional health costs, patient harm, and even death. Although much has been written about nursing errors in health care, little is known about errors in simulated learning environments. The Texas Board of Nursing includes Safety Advocate as an essential competency for nursing graduates. We sought to understand the nature of simulation errors in a rural BSN program in Texas.

Methods
Following a review of the literature, we developed a web-based strategy that informs improvement of our safety curriculum, involves students as active learners in error recovery, and moves us forward in the design of a safety culture for simulation. We are testing the Safe T Sim error reporting system and awaiting IRB approval for our study. Faculty and staff will receive training on the system this summer and students will be introduced to it as a part of orientation in the fall. We are utilizing an undergraduate nursing research assistant for this project.

Findings
Researchers have identified fear of punishment and lack of positive responses from faculty as the primary barriers to student reporting of health care errors. We seek to understand how our safety curriculum and simulated environment impact safe provision of care during simulation. Nursing students and faculty will carry out this error recovery strategy inside the simulated learning environment. Data from the study will guide curriculum improvement efforts, facilitate student learning outcomes, and will measure faculty progress in establishing positive experiences where students feel safe to report errors.

Conclusion
Safe T Sim exposes students to error recovery early in their education in a fail safe environment. The learning strategy facilitates acquisition of knowledge, skills, and attitudes needed to move us forward in the elimination of shame and blame in error reporting and gives the faculty a powerful learning tool.

Keywords:
error; student; simulation
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.title“Forgive and Remember” (Bosk, 1979) Moving Forward in the Design of a Safety Culture for a Simulated Learning Environmenten_GB
dc.contributor.authorMontgomery, Jean E.en_GB
dc.contributor.departmentTau Chien_GB
dc.author.detailsJean E. Montgomery, MSN, RN, montgomery@tarleton.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308231-
dc.description.abstract<p>Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013</p><b>Purpose<br /="/"></b>Errors in health care result in additional health costs, patient harm, and even death. Although much has been written about nursing errors in health care, little is known about errors in simulated learning environments. The Texas Board of Nursing includes Safety Advocate as an essential competency for nursing graduates. We sought to understand the nature of simulation errors in a rural BSN program in Texas. <p><b>Methods<br /="/"></b>Following a review of the literature, we developed a web-based strategy that informs improvement of our safety curriculum, involves students as active learners in error recovery, and moves us forward in the design of a safety culture for simulation. We are testing the Safe T Sim error reporting system and awaiting IRB approval for our study. Faculty and staff will receive training on the system this summer and students will be introduced to it as a part of orientation in the fall. We are utilizing an undergraduate nursing research assistant for this project. <p><b>Findings<br /="/"></b>Researchers have identified fear of punishment and lack of positive responses from faculty as the primary barriers to student reporting of health care errors. We seek to understand how our safety curriculum and simulated environment impact safe provision of care during simulation. Nursing students and faculty will carry out this error recovery strategy inside the simulated learning environment. Data from the study will guide curriculum improvement efforts, facilitate student learning outcomes, and will measure faculty progress in establishing positive experiences where students feel safe to report errors. <p><b>Conclusion<br /="/"></b>Safe T Sim exposes students to error recovery early in their education in a fail safe environment. The learning strategy facilitates acquisition of knowledge, skills, and attitudes needed to move us forward in the elimination of shame and blame in error reporting and gives the faculty a powerful learning tool.en_GB
dc.subjecterroren_GB
dc.subjectstudenten_GB
dc.subjectsimulationen_GB
dc.date.available2013-12-19T17:28:37Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:37Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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