Montgomery College Product Review

Summary

Feature	Comments
Cost	Free
Target learner	Pre-licensure nursing students and registered nurses. Two listings are designed for faculty development only.
Format	Static video of either simulated participants or human patient simulators in inpatient and outpatient settings.
Implementation
Noteworthy	Faculty will be required to supplement this product to meet the INACSL Standards of Best Practice
Website	https://www.montgomerycollege.edu/academics/departments/nursing-tpss/nursi...
Date of Review	September 2, 2020

Characteristics

#	Content	Comments
1	Assessment	Physical assessment.
1	Briefing	Demonstration of briefing for faculty development only.
1	Code Blue	Difficult to see actions of all participants at times. Includes option for two endings, but video illustrates successful resuscitation.
1	Cultural Sim	Additional YouTube links included to support education about the Ghana culture.
1	Debriefing	Demonstration of debriefing using “Debriefing for Meaningful Learning” framework for faculty development only.
1	Eating Disorders	Bulimia.
1	End of Life	Patient is portrayed by manikin; ends with patient demise.
1	Managing Incivility	Lateral incivility. Embedded use of TeamStepps DESC script.
1	Medical Error	“Right reason” omitted; rapid response team intervenes.
1	Opiod Withdrawal	No scenario template included. 2003 “Clinical Opiate Withdrawal Scale (COWS)” is included as a reference.
1	Postpartum Hemorrhage	Certified Nurse Midwife is HCP. LGBTQ. Team approach to care. Protocol driven.
1	Sepsis	No scenario template included. No supplemental materials. Team approach to care.
1	Stress and Crisis	Outpatient suicidal ideation with safety agreement initiated. No objectives or debriefing questions included.
1	Trans and Gender non-Conforming Identified Patients	Clinical setting. Over 20 additional resources included as references- some links are broken.

✓	Considerations	Comments
–	Evidence of when the content has been or will be updated
X	Health record (electronic or otherwise) integrated into scenarios?	Orders included in Code Blue
✓	Includes psycho-social components?

Cost

✓	Pricing and Terms
Free	Individual Cost Per Student
–	Site License Option
–	Simultaneous Use for Students
–	Contracts Required
–	Contract Length/ Options
–	Access Period
✓	Module can be accessed more than once
–	Payment Options
–	Refund Policy Available

Demo

✓	Question
–	Is a demo available?
–	Is a trial period available?
–	Is the vendor’s demo required to obtain scenario objectives?

Equipment

✓	Feature
✓	Internet access required?
✓	Web-browser based?
✓	Product website optimized for viewing on a smartphone?
✓	Product website optimized for viewing on a tablet?
X	Mobile app available?
✓	Does the product work without special software?
✓	Does the product work without special equipment?
✓	Are there internet speed requirements?
–	Accessibility Standards Compliant?

INACSL Standards

Based on INACSL Standards of Best practice: Simulation^SM[1],[2],[3],[4]

Criteria marked with an asterisk (*) are evaluated in this product review. Unmarked criteria are important INACSL Standards that should be incorporated as part of a complete simulation-based experience.

Criterion 1: Needs Assessment

Faculty should conduct a needs assessment, identify learning gaps, and select a simulation to meet their learner’s needs. A gap analysis, SWOT, survey results from stakeholders, outcome data from testing or standards from certifying bodies, or practice guidelines may be included.

Criterion 2: Measurable Objectives*

Objectives are necessary to identify learning outcomes. Broad objectives reflect the purpose, and specific objectives measure performance.

✓	Objectives	Comments
✓	Are learning objectives provided?	Except opioid withdrawal, sepsis, and stress
✓	Are learning objectives broad?	Varies by scenario.
✓	Are learning objectives specific?	Varies by scenario.

Criterion 3: Format*

Theoretical /conceptual framework focused on learner needs is the underpinning of the format. The simulation has a designated start, purposeful activities and a clear end point.

✓	Structure	Comments
✓	Targeted Participants Identified	Nursing educators to be used for pre-licensure or graduate nurses; several are to be used for faculty development only.
✓	Formative Design (informal diagnostic tool provides learning opportunity, no point value)
X	Summative Design (measurable, comparable, or has point value)
✓	Beginning, Middle and End to Simulation

Criterion 4: Scenario Design*

The simulation uses content experts and evidence-based practice to create a backstory, clinical progression and cues, timeframes to facilitate progression, and identification of critical actions or performance measures for evaluation.

✓	Scenario Context	Comments
X	Does the simulation provide a report, patient file, or appropriate responses during the simulation to provide context to the case?	Varies by scenario.
✓	Are cues embedded in the scenario to progress the case?
✓	Does the learner have a reasonable amount of time to achieve the objectives?
✓	Are critical actions/performance measures clearly identified?	Varies by scenario.
–	Was a content expert used in the development process of the simulation?	Not provided.

Criterion 5: Fidelity*

Elements of physical,conceptual, and psychological fidelity should be used to create realism.

✓	Fidelity type
✓	Physical - replicates environment where situation would occur (e.g. manikin, bed, equipment)
✓	Conceptual - elements relates to each other in a realistic way (e.g. vitals are consistent with diagnosis)
✓	Psychological - mimics the contextual elements (e.g. noise, lighting, family members, distractions, time pressure)

Criterion 6: Facilitative Approach

The facilitator should maintain an approach that is participant-centered and driven by the objectives, participant’s knowledge or level of experience, and the expected outcomes.

Criterion 7: Pre-briefing

Simulation experiences should begin with a structured pre-briefing to create trust, integrity and respect. Learner’s are provided expectations, orientated to the space, equipment, simulator, method of evaluation, roles, and time allotment.

Criterion 8: Debriefing*

Debriefing, based on theoretical framework, should immediately follow the experience. A trained debriefing facilitator will support confidentiality, trust, open communication, self-analysis, feedback, and reflection.

✓	Debriefing Context	Comments
✓	Are resources provided for integration in the debriefing process?	Most included general objectives. Some also included scenario specific debriefing questions.
✓	Are there faculty-specific guidelines to facilitate debriefing?	Debriefing questions included on template. One listing is a video demonstration of the Debriefing for Meaningful Learning method.
✓	Is the debriefing structured and theory based?
✓	Are the debriefing points congruent with the objectives and simulation?	Some listings do not include scenario specific objectives.

Criterion 9: Evaluation*

Simulation should include an evaluation of the participant(s), the facilitator(s), the experience, the facility, and the support team. A valid and reliable tool should be used to measure expected outcomes.

✓	Evaluation Context
X	Are evaluation tools provided?
X	Are evaluation tools valid and reliable?
X	Are participants notified prior to the simulation about the evaluation tool?
X	Are evaluation tools clearly identified as formative, summative, or high stakes?

Criterion 10: Preparation Materials

Participants should be provided preparation materials and resources to meet identify objectives and expected outcomes. Activities address knowledge, skills, attitudes, and behaviors expected.

Criterion 11: Pilot Test

All simulation-based experiences should be pilot tested to ensure intended purpose achievement.

Faculty & Student Support

✓	Faculty Training and Support
✓	No training required
✓	Easily navigated?
X	Implementation guide?
X	Clinical replacement plan provided?
X	Customization available?

✓	Student Training and Support
✓	No training required
✓	Easily navigated?
X	Automated feedback?
X	Interactive?
✓	Time estimates for completion?

Other Features

✓	Feature	Comments
X	QSEN mapping?
✓	NCLEX Test Plan mapping?	Varies by scenario; 2007 NCLEX test plan categories

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