HPD Research Day | February 16, 2018

2 Auditoriums A, B, UPP 113 10:45-11:15 a.m. Nurse Educators’ Perceptions of Using High-Fidelity Simulation in Teaching Marlene Whigham, Ed.D., Assistant Professor, College of Nursing, Nova Southeastern University High-fidelity simulation in nursing refers to the use of computerized manikins to offer realistic hands-on training to nursing students. The problem addressed by this dissertation was resistance among some faculty to the use of new computerized simulation technology in the nursing curriculum. The research question for this case study investigated how faculty members can incorporate simulation into the curriculum and barriers faced in setting the stage for simulation experiences for their students. The goal of this applied dissertation study was to examine the perceptions of nurse educators regarding the benefits of and barriers to use of high-fidelity (computerized manikin) simulation with students in a university nursing program. Interviews were used in this qualitative case study to gather perceptions from educators in a university nursing program. The study was based on the qualitative research method with a case study design. The theoretical underpinnings for the study were concentrated within a constructivist framework. Twelve nursing educators were interviewed regarding their perceptions of the use of simulation in the nursing curriculum. The findings indicated that faculty believed the use of simulation to be beneficial to nursing students by increasing patient safety, improving students’ critical thinking, improving learning outcomes, and increasing competency to transfer to clinical practice. Faculty recommended further training and technical support to maximize effective use of simulation. Videoconferencing: Broadcast from Kendall to regional campuses, Auditorium B, and UPP 113. Auditoriums A, B, UPP 113 1:15-1:45 p.m. Improving Throughput, Teamwork, Productivity, and Patient Experience Using Lean Six Sigma Methodology Violet Rhagnanan-Kramer, MSN, Ph.D. Nursing Student, College of Nursing, Nova Southeastern University Objective. The purpose of this study is to share the outcomes and benefits of using Lean Six Sigma methodology to improve efficiency and cost effectiveness of the ICU workflow processes that increases staff engagement, productivity, teamwork and patient experience. Background. Lean and Six Sigma (LSS) methodologies were developed in the manufacturing industry to increase efficiency and eliminating waste. The method is aimed at seamlessly linking processes for time and cost saving while maintaining high quality. The Six Sigma five-step methodology is data driven. The LSS methodologies were implemented in the ICU to improve efficiency with throughput and productivity. The goal was to improve workflow and decrease the ready to move (RTM) time by 50%. Methods. Pilot and implementation ran for 38 days using a multidisciplinary team approach. A Charge Nurse/ Physician Rounding Tool was developed and was used during rounding at 4pm, 10pm and 6am. Patients were identified for transfer and transfer orders were obtained. A Patient Transfer Checklist was created for nurses to anticipate, communication, and utilize the checklist to prepare the patient for timely transfer. Results. Results showed sufficient evidence at the alpha level of 0.05 indicating that the average Order to RTM Time is statistically significantly different compared to baseline. The RTM was decreased to 28 minutes generating a cost savings of $89,107. Conclusion. Using the LSS method was an effective approach to increase cost savings, bed capacity, and productivity and decrease length of stay. Additional benefits included improved patient satisfaction, staff engagement, work standardization and efficiency. Videoconferencing: Presented live in Auditorium A.