Alice's Delirium: A Theatre-based Simulation Scenario for Nursing

Abstract

As an educational methodology, simulation has been used by nursing education at the academic level for numerous years and has started to gain traction in the onboarding education and professional development of practicing nurses. Simulation allows the learner to apply knowledge and skills in a safe environment where mistakes and learning can happen without an impact on patient safety. The development of a simulation scenario to demonstrate the benefits of simulation education methodologies to a large group of nurse educators was requested by nursing education leadership at The Ottawa Hospital (TOH). Since the demonstration of this scenario in the fall of 2016, there has been significant uptake and adaptation of this particular scenario within the nursing education departments of TOH. Originally written to be used with a simulated patient (SP), "Alice" has since been adapted to be used with a hi-fidelity manikin within an inpatient surgery department continuing professional development (CPD) program for practicing nurses, orientation for nurses to a level 2 trauma unit and at the corporate level of nursing orientation using an SP. Therefore, this scenario is applicable to nurses practicing in an area of inpatient surgery at varying levels, from novice to expert. It could easily be adapted for use with medicine nursing education programs. The case presented in this technical report is of the simulation scenario used for the inpatient surgery CPD program. Varying adaptations of the case are included in the appendices.

Keywords: delirium; falls; nursing; nursing education; simulation.

Figure 1. Alice's Room Set-Up

Alice set up for a level 2 critical care unit simulation; cardiac monitor, O₂ saturation monitoring, and blood pressure monitor would not be attached for a standard inpatient room.

Figure 2. Nursing Station Set-Up

Resources covered, made available when requested for during the simulation. Patient chart and policy and parental manual available.

Figure 3. Resources Uncovered

Cognitive assessment tools and supplies, as listed on the delirium order set.