Healthcare Systems Assessment Answers

CNA544 ASSESSMENT 1(A)

Part A Discussion

Introduction

The healthcare system of the contemporary world is a complex process that has to be clearly understood by the professionals of the healthcare systems such as the doctors and the nurses or other service providers. In order to do so, gaining practical knowledge is vital but not always possible. Simulation is, therefore, used in this field to improve the whole healthcare system. It basically represents artificially the processes of the real world in order to achieve the objectives of education through learning experiences. The use of simulation in the health professionals have been going on for years however, it has found its significance in the modern world along with the concept of In situ Simulation or ISS. This paper aims to poadly discuss these processes.

Literature reviewThe aspects of modeling and simulation are two very significant tools in the contemporary world. Theseare used in order to let new and innovative ideas as well as systems and then train the specialists of the health care industry without being involved with the real world or facing its consequences (Nestel, 2017). Simulation allows the experts the opportunity to create and focus on numerous scenarios that are complex and then analyze the results that have been generated from these scenarios. This helps the aspect of student encouragement in the medical field and there are better outcomes in the industry, for the government, educators and the students too.

Simulation can be used in different areas of the medical or healthcare systems such as in nursing, medicine and in dentistry as well. The process helps the users and the professionals of these fields to anticipate the possibleresults or to identify the issues that are unanticipated (Nestel, 2017). Simulation has been evaluated to not only increase the standards of safety for the patients but improves the efficiency of the training processes too. Repetition improves the performance of a team and the notion of practicing deliberately improves the quality and the quantity of practice. The need for this concept to be appreciated as a new pedagogy is important in its standardization aspects.Simulation is basically a technique and not effectively a technology and it helps in the replacement or the amplification of the experiences of real life with proper guides that are immersive and interactive (Nestel, 2017).

The process of simulation will help in the revolutionizing of the health care system and the health care organizations equally. The future will improve with the assessment of the performance and refinement of it too. Simulation provides education and training to individual students and the concept of simulation rehearsals have been under focus as well (Kelly et al., 2016). The tools of simulation help in the evaluation and research processes of medical systems as well as for professional or vocational education. The concept of In Situ Simulation or ISS has to be focused on as it is being used recently for test-driving new organizations or centers. It trains the people with new and innovative procedures and the aspect of recertification of the training in order to locate latent threats for the patients and professionals of the clinical areas are done too. It is kind of an effective and attractive alternative for the classic processes of simulation that improves safety and reliability in the areas where there are higher levels of risks present along with high-stress or pressure (Kelly et al., 2016). It will help in the improvement of millions of lives and the community of simulation will help the people to understand the impact of the process (Meleis, 2016).The in-situ simulation processes and programs explore the issues in the areas of performance anxiety patient perceptions, time pressure, and culture as well that can interfere with the positive implementation of the process. The benefits of the process are numerous, however, there are certain challenges and barriers that lies with the proper implementation of the education system based on simulation(Wanget al., 2019).

The role of the organization Simulation Australasia is to ping the government, industry professionals and all the people interested in the concept of simulation together so that they are able to discuss and then distribute the information through collaborative events. They promote the research advancements by the use of simulation that can be used in industries, society, and government or for academic purposes (Deutsch et al., 2016). In order to understand the notion better, the focus has to be shifted towards the Australasian Simulation Congress of 2017, where discussions regarding the In Situ Simulation have been conducted.

The use of the Cognitive Load Theory or CLT can be done in order to design as well as simulate the teaching sessions for the skills of solving problems and for the procedural skills as well (Kelly and Hager, 2015). The clinician educators can be trained properly through a teaching manual or with video recording. The underestimation of the work amount that a technical individual is able to provide for the effective experience of the in situ simulation is not appreciated. The medical team involves people from different departments like the pharmacy, nursing, physicians and respiratory therapists and the development of a collaborative and team approach is required. The in situ simulation process provides that. The key here is to improve the team collaborative approach for the success of the process that provides input opportunities and responsibilities too for the stakeholders of the situation (Kelly and Hager, 2015).

It can be stated that simulation can not only improve the aspects of safety for the patients but also the performance of the medical team. Despite the challenges it possesses technologically or culturally, simulation and specifically In Situ Simulation contributes greatly to educate the professionals of healthcare systems(Villemureet al., 2016). Not utilizing this process is not an option anymore as it may cost the lives of people and the careers of students. Although difficult, simulation helps in training, practicing, planning and facilitating the patient care units and benefits the educational practices too.

Reply

Key complexities, main arguments and critical analysisThe In Situ Simulation is a kind of simulation that has been physically integrated into the clinical areas or environments in order to provide a proper method for the improvement of reliability as well as safety in the areas of high risk (Deutsch et al., 2016). The Australasian Simulation Congress 2017,Victoria pought together SimTech, Serious Games streams and SimHealth for the joint sessions that includes mutual interests(Villemureet al., 2018). The theme for the year was People Energizing Innovation and it discusses how the application of the simulations focuses on the people and enables the teams or individuals to improve and be the best in their problem-solving skills and performances.

However, beforeproceeding further, the challenges have to be identified to achieve success(Towhidiet al., 2016). There are certain technical issues that hinder the successful implementation or result generation of the process. The implementation of the in situ simulations requires a proper simulator. The present simulators are portable but the requirement is specifically for the capacity to transport and compress the simulator and the computer to a chosen area. It also requires a proper method to mask or shield the ancillary equipment that represents from plain view while the simulation process is on (Meleis, 2016).The problem increases when the in situ simulators are being conducted in the very unchanged clinical units on a routine basis and the space for storage is available in it(Kelly and Hager, 2015).

The team involved has to be flexible with the locations of training.The equipment and the simulator do not perform in a perfect way at all situations and the jostling of the items as well as the numerousrelocations will further result in the malfunctioning of the process(Towhidiet al., 2016). There is a concern for the controlling of the infection that can arise from the transportation of the simulators and other medical items. This can result in the care getting delayed or the patient might be harmed. The team, therefore, needs to manage the risks with the benefits of the process of training(Theilenet al., 2017).

The threshold for the cancellation or the rescheduling of the training processes due to actual emergencies, understaffing or overcrowding even has to be low. The issues of logistics are relatively complex in the units of high acuityor high censuses like the Intensive Care Units or ICU and the Emergency Department(Srensenet al., 2017).

There can also be issues when there is a patient surge in the whole hospital. The process of conducting the in situ simulation results in the system getting stressed and the simulators of conduction have to be sensitive to the stressors of the system (Kelly et al., 2016). The facilitators of the units have to communicate often and quite early with the administrative personnel for the confirmation of the feasibility of running the exercise of simulation.The increase in realism has to be done despite the limitations of the physical space to succeed in the procedure(Nestel, 2017).

Timing is fundamental for the success of the in situ simulation (Okla et al., 2016). Short sessions of depiefing are often insufficient for the trainees or the participants who are part of the education system that is based on simulation. The cases of delay or the perceptions of delay concern the health of the patients(Shenet al., 2015).The care that the health care professionals provide to the patients and their families is a legitimate focus of the delivery systems. The providers often express that the families and the patients often perceive the in situ simulations to be intimidating or disruptive. This has to be mitigated and the training process has to do it(Srensenet al., 2015). The focus of the in situ simulation providers has to be able to provide respect to the cares that are family-centered and not stress. There is often an underestimation of the exercises such as the dimensions of the medical risk/legal management to expose the assessments exercises and training vulnerabilities of the care systems(Wang et al., 2019). The Australasian Simulation Congress 2017,Victoria aimed to focus on how the people energize an influences innovation. The in situ simulation strategies and processes have to be, therefore, implemented in the educational and training units to help create better medical professionals (Kunst et al., 2017). The in situ simulation process effectively provides the training environments with their role and equipment. It gives a boost to the existing educational units and locates the latent units of failure.

The rate of mortality and morbidity can be improved with effective communication processes and teamwork(Fanet al., 2016). However, the data of the system is completely dependent on the measures of self-reporting and on assessments that are subjective. The issues of overcrowding or lack of physical space also affect the proper implementation of the process in the educational units of professional healthcare. Patient care can be disrupted because of the transformation of equipment, the chances of infection or the requirement of the staff of the building to exit it. The implementation of the strategies of ISS hasto be done therefore, in a consistent way in order to help the learners and the patients equally(Kessleret al., 2016).The basic notion that has to be focused on and discussed is to identify the issues that are challenging the educational units that are based on the simulation processes and how these issues can be resolved strategically for the improvement of the whole society (Hall et al, 2018). There has to clear goals and objectives that the participants will focus on and the mistakes made have to be discussed with proper communication from the seniors and the colleagues. The goals have to be revised according to the process and the data regarding the potential impact or effect on the safety goals of the patients and the leadership of the hospitals have to be shared(Bondet al., 2019). Depiefing, videotaped exercises of simulation, fidelity, the mannequin, the psychological and physical environment, and the scenario are all the different types of approaches that can be implemented with the in situ simulation processes for the proper educational growth of the learners(Coutoet al, 2015).

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