Marian Luctkar-Flude

Marian Luctkar-Flude
Queen's University | QueensU · School of Nursing

RN, PhD CCSNE FCNEI Reznick Scholar in Health Professions Education
Co-President, Canadian Alliance of Nurse Educators using Simulation (CAN-Sim) www.can-sim.ca

About

130
Publications
33,353
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1,743
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Introduction
Dr. Marian Luctkar-Flude currently works at the School of Nursing, Queen's University as an Associate Professor. Her current projects and research interests include: (1) Presimulation preparation (2) Developing virtual simulation games (3) Faculty development for simulation (4) Debriefing virtual simulations (5) Breast cancer recovery tools (6) Breast cancer survivorship in primary care (7) Neurofeedback for post-cancer cognitive impairment (8) Neurofeedback for stress and anxiety
Additional affiliations
July 2014 - June 2020
Queen's University
Position
  • Professor (Assistant)
July 2001 - June 2014
Queen's University
Position
  • Lecturer

Publications

Publications (130)
Article
Background Practice-based learning is essential in nurse practitioner (NP) education to ensure public safety and prepare students for independent practice. However, lack of clinical placement opportunities results in variability in clinical experience, necessitating educational innovation. Purpose To evaluate the usability, engagement, and impact...
Article
Full-text available
Introduction Virtual simulation (VS) can be an effective learning strategy in the context of nursing education on cardiovascular disease; however, its use in teaching cardiology in nursing is less studied. The objective of this scoping review is to map the use of VS for teaching cardiology in nursing. Methods and analysis This scoping review will...
Preprint
BACKGROUND The COVID-19 pandemic emerged as an unprecedented challenge for healthcare systems across the world disproportionately impacting immigrant and racialized populations. Canadian African, Caribbean, and Black (ACB) communities representing some of the most vulnerable populations in terms of their susceptibility to health risks, receipt of a...
Article
Introduction Cocreating virtual simulations with learners during a course is an innovative approach to improving student preparation for real-world practice while helping simulationists meet learner needs, support authentic assessment, and maximize the impact of simulation-based learning. This study explores differences in healthcare students' expe...
Article
Background Virtual screen-based clinical simulations offer a potential solution to improve learner readiness for practice, but exploration of students’ experiences is essential to enhance current practices. In this review, we aimed to explore the experience of undergraduate nursing students involved in virtual simulations. Design Integrative revie...
Article
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This is a protocol for a Campbell Review following JBI scoping review methodology. The objectives are to answer the following questions: What has been reported in the literature about collaborative learner‐educator design, implementation, or evaluation of learner assessment in health professional education? (1) Where is learner‐educator co‐creation...
Article
Authentic assessments support learner needs and meaningful learning by requiring students to use knowledge in a way that develops their competence to solve problems in professional contexts. Improved integration of authentic assessment in nursing education is needed to better prepare learners for practice. The focus of this critical discussion pape...
Article
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Background Although healthcare providers (HCPs) are the most trusted source of vaccine information, there is a paucity of easily accessible, multidisciplinary educational tools on vaccine communication for them. Virtual simulation games (VSGs) are innovative yet accessible and effective tools in healthcare education. The objectives of our study wer...
Article
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The Canadian Alliance of Nurse Educators using Simulation (CAN-Sim) aims to connect nurse educators and allied health partners from across Canada and internationally to share knowledge, resources and expertise in areas of simulation research and education. This paper will describe the creation, evolution and core values of CAN-Sim. Our success is f...
Article
Full-text available
Purpose To evaluate the impact of a virtual simulation game (VSG) to improve primary care sexual health services for breast cancer survivors. Methods We developed a VSG to help primary care providers (PCPs) address sexual health disturbances among breast cancer survivors. We used a pretest–posttest design with a series of validated tools to assess...
Article
Unlabelled: Many nurse educators consider simulation a valuable tool to supplement and augment learning due to current shortages of clinical placements. Wound care is integral to nursing practice yet many students and practicing nurses experience difficulties in securing sufficient learning opportunities or experience at the undergraduate level to...
Preprint
Full-text available
Introduction: The COVID-19 pandemic emerged as an unprecedented challenge for healthcare systems across the world disproportionately impacting immigrant and racialized populations. Canadian African, Caribbean, and Black (ACB) communities representing some of the most vulnerable populations in terms of their susceptibility to health risks, receipt o...
Article
Background: Nurses need to recognize how intersectionality shapes the experiences of individuals and families navigating complex health systems. Guided reflection on complex social justice issues serves as an approach to move beyond simply understanding social determinants of health toward shaping core professional values of developing nurses to p...
Article
This study aimed to identify the professional development needs of early career doctorally prepared professionals in psychosocial oncology. We used a cross-sectional descriptive survey design to assess professionally related skills deemed most important to participants' academic excellence and promotion, skills they felt most and least confident to...
Article
Continuing education for cancer care providers is essential for promoting high-quality patient care. Simulation-based education can be an effective strategy to educate healthcare professionals; however, there is a lack of synthesized evidence available to inform the delivery of simulation-based education for nurses and physicians across the cancer...
Article
Virtual simulation can have a positive impact on student outcomes; still, guidance from an educator and a reliable connection to the internet are cited as important factors for a positive learning experience. However, when students are asked to complete the simulation outside of class time, it remains unknown how their experience is impacted. The o...
Preprint
Full-text available
Purpose To evaluate the impact of a virtual simulation game (VSG) to improve primary care sexual health services for breast cancer survivors. Methods We developed a VSG to help primary care providers (PCPs) address sexual health disturbances among breast cancer survivors. We used a pretest–posttest design with a series of validated tools to assess...
Article
Full-text available
La simulation virtuelle (SV) est une stratégie innovante et proactive d’application pratique de la théorie qui peut améliorer les connaissances et le savoir-faire des professionnels de la santé. Toutefois, aucun article n’a été publié à ce jour sur l’utilisation de la simulation pour améliorer les soins aux survivants du cancer. Le présent article...
Article
Full-text available
Virtual simulation (VS) is an innovative and engaging knowledge translation strategy that can improve healthcare providers’ knowledge and skills; however, there is known literature published related to the use of simulation to improve cancer survivorship care. In this paper, we describe our experience of developing a VS to educate primary health ca...
Article
In Canada, despite increasing awareness of the prevalence of sexual violence and recognition of the need for trauma-informed healthcare services, there continue to be significant deficits in the implementation and integration of trauma-informed care. In this theoretical article, the authors examine, from a national perspective, the factors that may...
Article
Objective: The objective of this review is to determine the extent of the literature on the use of virtual clinical simulation to teach health professional students about mental health. Introduction: Graduates of health professional programs need to be prepared to provide safe and effective care for persons with a mental illness in every practic...
Article
Simulation-based activities (SBAs) research has explored the perceived and actual impact of SBAs on nursing education. The current study compares the perceived efficacy and transferability of nursing simulation to clinical practice from the point of view of simulation facilitators (SFs), course professors (CPs) and students. A one-time online surve...
Article
Full-text available
Objective To collate and summarise the literature on the quality improvement tools that have been developed for deceased organ donation processes after circulatory determination of death and neurological determination of death. Design Scoping review using the Joanna Briggs Institute framework. Data sources We searched for published (MEDLINE, Emba...
Article
We describe the development of an innovative baccalaureate nursing education strategy for public health nursing. Virtual simulation pedagogy is known to be effective for acute care nursing practice while less known for public health nursing. Three Canadian nursing schools, the Canadian Association of Schools of Nursing (CASN), and the Canadian Alli...
Poster
Full-text available
Abstract Background: Individuals with Sickle Cell Disease (SCD) experience barriers in accessing equitable care when they arrive at Emergency departments in Toronto, Ontario, nationwide, and more surprisingly worldwide. Individuals with SCD are stigmatized as drug seekers, drug addicts, extra work for healthcare staff, and noncompliant with followi...
Article
Background Nurses and nursing students need to learn and apply concepts of cultural humility to safely meet the unique healthcare needs of all sexual orientations and gender identities. Objective To evaluate feasibility and impact of virtual simulation games (VSGs) as an educational strategy to promote cultural humility. Method A mixed methods pi...
Article
Abstract Background: Breast cancer survivors may experience persistent cognitive impairment and fatigue after completion of cancer treatment, which negatively impacts their quality of life. Neurofeedback is a novel, non-invasive form of brain training reported to help with symptoms such as pain, fatigue, depression, anxiety, sleep problems, and cog...
Article
Background This study evaluated the perceived usability, engagement, learning, benefits and challenges as well as academic achievement of using a mobile classroom response system (CRS) in the classroom and clinical simulation lab with undergraduate nursing students. Method A descriptive mixed-methods study was conducted with second year BSN studen...
Article
Simulation-based education can be an effective strategy to educate nurses and physicians across the continuum of cancer care. However, there is still a lack of studies collating and synthesizing the literature around the types, functionalities and delivery systems of simulation-based education to educate different professional groups about cancer c...
Article
Full-text available
Purpose: Postcancer cognitive impairment (PCCI) and fatigue are adverse effects that often persist following cancer treatment, and impact quality of life. The study purpose was to evaluate feasibility and effect of neurofeedback on cognitive functioning and fatigue in cancer survivors. Specifically, we aimed to test feasibility of recruitment strat...
Article
Objectif: La fatigue et les troubles cognitifs qui se manifestent après un cancer sont des effets indésirables qui, souvent, perdurent après les traitements et nuisent à la qualité de vie. L’étude vise à évaluer la faisabilité du neurofeedback et ses effets sur le fonctionnement cognitif et la fatigue des survivants du cancer, particulièrement la f...
Article
Lesbian, gay, bisexual, transgender, queer, intersex, and Two-Spirit (LGBTQI2S) older adults face barriers to quality health care, often because practitioners misunderstand the unique health needs of this population. Education is essential to support nurses in maintaining culturally safe practice. Wolfgang’s Story , a virtual simulation developed a...
Article
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Background: Diversity, equity, and inclusion (DEI) are increasingly recognized as core values for nursing education and practice. Purpose: The purpose of this article is to offer teaching tools and strategies to integrate cultural humility within the nursing curriculum and create a more inclusive learning environment. Approach: Various teachin...
Article
Aim To collate and summarize the literature on what quality improvement tools have been developed on safety of deceased organ donation processes for donation after circulatory determination of death and neurological determination of death. Background The increasing organ shortage requires that organ donation organizations take preventive measures...
Article
Full-text available
Introduction: Diabetes mellitus is a rapidly growing global public health problem; the number of adults with diabetes is expected to increase from 424.9 million in 2017 to 628.6 million in 2045. Approximately 80% of diabetic patients live in low- and middle-income countries where access to care may be limited. For example, in Ethiopia, diabetes ca...
Article
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Despite the availability of guidelines about the different types of review literature, the identification of the best approach is not always clear for nursing researchers. Therefore, in this article, we provide a comprehensive guide to be used by health care and nursing scholars while choosing among 4 popular types of reviews (narrative, integrativ...
Article
Educators who recognize the value of authentic written exams for promoting student critical thinking may struggle with concerns about cheating. In this article, we explore how educators may use open-web take-home exams to help students develop integrity and evidence-based practice skills. Lang's theory is used to explore why students may cheat. We...
Article
Introduction: Simulation-based education is a useful teaching and learning strategy that can help to implement guidelines into healthcare settings. Therefore, the purpose of this paper is to collate, synthesize, and analyze the literature focusing on the use of simulation as an educational strategy to support guidelines implementation among healthc...
Article
Full-text available
Objective: to develop and implement an online education resources to address a gap in nursing education regarding the concept of cultural humility and its application to healthcare encounters with persons who identify as lesbian, gay, bisexual, transgender, queer, intersex (LGBTQI) or Two-Spirit. Improved understanding of LGBTQI and Two-Spirit com...
Article
Background Individuals of the LGBTQITS community face significant disparities when accessing healthcare, including stigma, oppression, and discrimination contributing to health inequities. Integrating cultural humility practice in nursing education is needed to navigate barriers. Method A mixed methods usability study evaluated a bilingual online...
Poster
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Video: https://youtu.be/KijC4y1hDBo Abstract : Background: Facilitation of meaningful in-home family assessments posed numerous challenges for first-year nursing students. Simulation has been shown to be a suitable replacement for clinical hours (Roberts et al., 2019). Poor availability of clinical placements, inability to monitor student progres...
Article
To address a gap in nursing education regarding cultural humility and the health care needs of the LGBTQI2S an educational eLearning toolkit was created which incorporated virtual simulation games (VSG). The innovative VSGs depicted realistic clinical scenarios and featured actors from the LGBTQI2S community. This article shares our experiences, ch...
Article
Background Researchers at Queen's University developed a virtual simulation game to serve as a presimulation preparation tool for students learning to perform cardiac resuscitation. Methods A pilot randomised controlled trial compared nursing students who received traditional presimulation preparation to those who received a virtual simulation gam...
Article
Background Debriefing has been widely explored; however, there has been little focus on debriefing virtual simulations. Objective This systematic review examined efficacy of debriefing methods for virtual simulation related to healthcare learner outcomes including satisfaction, knowledge, attitudes, and skills. Methods Seven papers were reviewed...
Presentation
Full-text available
This presentation will describe the Canadian Alliance of Nurse Educators using Simulation (CAN-SIM) virtual simulation game (VSG) design process. This cost-effective, user-friendly process includes writing, filming and assembly of VSGs which are shared by CAN-Sim members. Additionally, a number of open-access VSGs will be showcased. The VSGs engage...
Article
Quality clinical placements have become increasingly challenging to locate, supervise, and learn from. The purpose of this article is twofold: (1) to describe the process used to develop virtual simulations for a family assessment course using H5P technology; and (2) to describe how gamification was used to leverage student creativity as scenario c...
Chapter
Background: With increased emphasis on technology, nurse educators must carefully assess learning outcomes associated with various components of clinical simulation. Presimulation preparation is a critical aspect of simulation education that has not been well-studied. Traditional presimulation activities include readings, lectures, and quizzes. Non...
Article
Full-text available
Objective: Engaging presimulation activities are needed to better prepare undergraduate nursing students to participate in clinical simulations.Methods: Design: We created a series of virtual simulation games (VSGs) to enhance presimulation preparation. This involved creating learning outcomes, assessment rubrics, decision point maps with rationale...
Article
Full-text available
Background This study describes the integration and evaluation of virtual learning experiences (VLEs) across an undergraduate associate nursing degree program from the learner perspective. Methods A cross-sectional survey of undergraduate nursing students (n = 278) evaluated 13 VLE products. Results All VLEs were rated as valuable regardless of c...
Article
Background We designed a virtual simulation game (VSG) as presimulation preparation for a respiratory distress simulation for undergraduate nursing students. Method Three faculty members and three nursing students were observed playing the VSG, provided written feedback, and completed a usability survey. After implementation, learners (n = 92) com...
Article
Full-text available
Objective A virtual simulation game (VSG) educational module focused on COVID-19 assessment and personal protective equipment (PPE) was designed to strengthen the capacity of graduating nursing students and practicing nurses to provide care during the COVID-19 health crisis. Methods In less than two weeks, a team of simulation and clinical experts...
Article
Background This study explored the impact of virtual asynchronous debriefing after a virtual simulation game on nursing students’ perceived anxiety and self-confidence for engaging in clinical decision-making (CDM). Method An experimental design compared virtual asynchronous debriefing with traditional face-to-face debriefing. Results Virtual asy...
Chapter
This all-new, comprehensive text grounds you in the Canadian health objectives for promotion and prevention which aims to improve the health of the entire population and to reduce health inequities among population groups. Among the text’s chapters you’ll find extensive coverage of growth and development throughout the life span — including coverag...
Article
Background: Current education lacks lesbian, gay, bisexual, transgender, questioning, intersex, and two-spirit (LGBTQI2S) content for health care providers (HCPs). Providing HCPs with understanding of LGBTQI2S health issues would reduce barriers. The Innovative Thinking to Support LGBTQI2S Health and Wellness trainee award supported the developmen...
Article
Background Building research capacity in nursing academic units continues to be a challenge. There are a number of external contextual factors and internal factors that influence individual faculty as well as the collective to engage successfully in research. Purpose The overall aim of this opinion article is to provide an overview of the current...
Article
Full-text available
Background: This study assessed reliability and validity of scenario-specific and generic simulation assessment rubrics used in two different deteriorating patient simulations, and explored learner and instructor preferences.Methods: Learner performance was rated independently by three instructors using two rubrics.Results: A convenience sample of...
Article
Virtual simulation gaming (VSG), also known as educationally purposeful gaming, is a new and innovative teaching method which warrants further exploration. In 2018, researchers from Queen’s University in Kingston, Ontario, Canada, created an innovative VSG depicting optimal nursing care for patients in cardiac arrest secondary to ventricular fibril...
Data
iAM APP DOWNLOAD AND USE INSTRUCTIONS for Breast Cancer Survivors Thank you for choosing the iAM app channel for Breast Cancer Recovery. Below are step-by-step instructions on how to use the app. Please direct any questions to mfl1@queensu.ca.
Data
iAM APP DOWNLOAD AND USE INSTRUCTIONS for Healthcare Providers Thank you for choosing to use the iAM app for Breast Cancer Recovery. Below are step-by-step instructions on how to use the app. Please direct any questions to mfl1@queensu.ca.
Article
Background: Few studies have examined effective methods to prepare learners to participate in simulation-based learning experiences. Similarly, there is limited literature on valid, reliable assessment methods to determine whether clinical simulation learning outcomes have been met. We developed a learning outcomes assessment rubric to support self...
Article
Abstract Background: Classroom response systems (CRSs) support interactive learning in undergraduate nursing education. Simple “clicker” hardware has evolved into more sophisticated multiplatform software allowing multiple operating systems and devices including smartphones, tablets and laptops to enhance in-class, proximate student engagement. How...
Article
Background: Although simulation debriefing has been widely explored in the literature, there has been less reflection on presimulation activities. This systematic review examined effectiveness of presimulation preparation and briefing activities for health care professionals and students. Methods: This review used Joanna Briggs Institute methodolog...
Article
Objective: Cancer survivors may experience persistent physical and psychological symptoms following completion of cancer treatment. Neurofeedback is a noninvasive form of brain training reported to help with symptoms including pain, fatigue, depression, anxiety, insomnia, and cognitive decline; however, there is a lack of research exploring its use...
Presentation
Full-text available
This project addresses known gaps in the provision of post-treatment breast cancer survivorship or recovery care in the community. Specifically we tailored and packaged evidence-based guideline recommendations for use by women in collaboration with their primary care providers to enhance their post-treatment follow-up care and recovery. Our project...
Presentation
Full-text available
Background: Nursing students may not complete traditional presimulation preparation such as readings, and come to the simulation lab unprepared.1 As part of a multi-site RCT, we designed a virtual simulation game (VSG)2,3 with five decision points as presimulation preparation for a respiratory distress simulation. Objective: To examine usability,...
Article
Background: Most prelicensure nursing students receive little to no training in providing care for patients who receive epidural analgesia, despite exposure in clinical settings and the potential for devastating adverse effects. To develop and pilot an epidural workshop for senior nursing students using standardized patients (SPs), and to evaluate...
Article
Full-text available
Purpose: As cancer centres move forward with earlier discharge of stable survivors of early-stage breast cancer (bca) to primary care follow-up, it is important to address known knowledge and practice gaps among primary care providers (pcps). In the present qualitative descriptive study, we examined the practice context that influences implementat...
Presentation
Full-text available
This study explored the feasibility and value of using a multi-platform mobile classroom response system (CRS) in the classroom and clinical simulation lab for undergraduate nursing students
Article
A national think tank was convened to discuss themes, gaps and trends in nursing simulation research. A secondary objective of the think tank or ‘thought incubator’ was to explore areas of potential collaboration nationally. The PICK method was used to brainstorm during the three-phased meeting. All five researchers worked together to identify gaps...
Article
Full-text available
Objective Cancer survivors may experience persistent physical and psychological symptoms following completion of cancer treatment. Neurofeedback is a noninvasive form of brain training reported to help with symptoms including pain, fatigue, depression, anxiety, insomnia, and cognitive decline; however, there is a lack of research exploring its use...
Article
Background: Registered nurses (RNs) receive didactic training regarding caring for patients receiving epidural analgesia. Although RNs are tested on their knowledge after this training, their ability to critically think through adverse events has not been assessed at our institution. Aim: The aim of this study was to examine the feasibility and...
Poster
Full-text available
Pre-simulation preparation is a critical aspect of simulation education that has not been well-studied, and there is a need for innovative approaches to optimize learning during the simulation. Traditional pre-simulation activities include readings, lectures, and quizzes. We have developed a serious virtual simulation game to enhance pre-simulation...
Poster
Full-text available
SIM Expo 2017 Poster Abstract Implementation and Innovation Stream Background: Quality nursing care requires that nurses be educated with a strong foundation in mental health nursing and related psychiatric skills such as de-escalation of aggressive patients. Simulation offers the unique opportunity for students to practice de-escalation skills in...
Article
Review question/objective: The objective of this review is to systematically examine the effectiveness of neurofeedback therapy for managing anxiety and stress in adults living with a chronic illness.The specific objectives are to identify which neurofeedback systems and/or protocols demonstrate effectiveness and determine the level of supporting...
Article
Full-text available
Background Simulation learning outcomes and learner satisfaction may be influenced by the facilitation methods employed. This mixed-methods study explored differences between instructor-led simulation with in-scenario feedback and postscenario debriefing and student-led simulation with postscenario debriefing only. Methods Novice nursing students e...
Article
Introduction Neurofeedback is a drug-free form of brain training reported to help with a variety of conditions including pain, fatigue, depression, anxiety, sleep disorders and cognitive decline. This cross-sectional descriptive study explored the use of neurofeedback by cancer survivors to manage long-term symptoms, and aimed to identify safe, eff...
Article
Background: High-fidelity simulation (HFS) is becoming an integral component in healthcare education programs. There is considerable evidence demonstrating the effectiveness of HFS on satisfaction and learning outcomes within undergraduate nursing programs; however, there are few studies that have investigated its use and effectiveness within nurs...