Marian Luctkar-Flude

Queen's University | QueensU · School of Nursing

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

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.

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...

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...

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...

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...

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...

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,...

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...

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...

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

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...

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...

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...

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...

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...

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...

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...

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...

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...

Review question/objective: The objective of this review is to systematically examine the use and effectiveness of pre-simulation preparation and briefing practices for healthcare professionals and students. More specifically, the objectives are to identify characteristics/activities of pre-simulation preparation and briefing and their effects on k...

Background: Health professions students may apply infection control principles poorly within complex clinical situations. Providing opportunities to practice these skills in simulated health care contexts may improve knowledge and transfer to improved performance in actual clinical settings. Objective: To implement an innovative approach to interpr...

Objective: To describe the implementation of key best practice guideline recommendations for posttreatment breast cancer survivorship care by primary care providers (PCPs). Design: Descriptive cross-sectional survey. Setting: Southeastern Ontario. Participants: Eighty-two PCPs: 62 family physicians (FPs) and 20 primary health care nurse practitione...

Despite certification in basic life support, nursing students may not be proficient in performing critical assessments and interventions for unresponsive patients. Thus, a new simulation module comprising four unresponsive patient scenarios was introduced into a second-year nursing health assessment course. This cross-sectional study describes nurs...

Background: Many cancer survivors continue to experience ongoing symptoms, such as fatigue and cognitive impairment, which are poorly managed and have few effective, evidence-based treatment options. Neurofeedback is a noninvasive, drug-free form of brain training that may alleviate long-term symptoms reported by cancer patients. Objective: The...

Breast cancer survivors continue to experience physical and psychosocial health care needs post-treatment. Primary care involvement is increasing as cancer centres move forward with earlier discharge of stable breast cancer survivors to primary care follow-up. Research suggests primary care providers (PCPs) are willing to provide survivorship care...

Background Patient safety (PS) receives limited attention in health professional curricula. We developed and pilot tested four Objective Structured Clinical Examination (OSCE) stations intended to reflect socio-cultural dimensions in the Canadian Patient Safety Institute's Safety Competency Framework. Setting and participants 18 third year undergra...

Poor adherence to infection control standards among health care professionals is widespread, putting patients at substantial risk. Basic infection control skills are typically learned uniprofessionally outside the clinical environment. In real clinical settings, the cognitive load associated with simultaneously managing challenging clinical problem...

Background: It is widely recognized that nursing educational programs must regularly adapt clinical education requirements to changing health system realities and patient need in order to ensure ongoing safety. Increased clinical complexity and diverse clinical settings require a new set of competencies among newly graduated nurse as they need to m...

Review question/objective: The objective of this systematic review is to compare the use of self-assessment instruments versus an objective structured clinical examination (OSCE) to measure the competence of healthcare learners and healthcare professionals. The specific question that will guide this review is: When measuring the competence of healt...

Introduction/Background: Both interprofessional collaboration and adherence to evidence based infection control practices contribute to patient safety, improved patient outcomes and decreased healthcare costs. Hence, an interprofessional education (IPE) simulation module on infection control skills for intermediate-level health professions students...

Background The measure of clinical competence is an important aspect in the education of healthcare professionals. Two methods of assessment are typically described; an objective structured clinical examination and self-assessment. Objectives To compare the accuracy of self-assessed competence of healthcare learners and healthcare professionals...

Background High-fidelity simulation (HFS) has been shown to be effective in health sciences education for practicing team approaches to managing complex care. Interprofessional (IP) collaboration contributes to patient well-being. This prospective study was conducted to evaluate an interprofessional pediatrics educational module using HFS.Methods N...

Background: Nursing students struggle with intravenous (IV) pump skills in 2nd and 3rd year of a BNSc program. In response, an online virtual IV pump educational module was developed and trialled in three phases. Phase 1 results, previously published, indicated 3rd year nursing students who practiced with the virtual IV pump scored significantly hi...

Background: Interprofessional collaboration in healthcare contributes to patientwell-being. The purpose of this action research study was to evaluate an innovative interprofessional simulation educational module for pre-licensure healthcare students on adult suctioning skills.Methods and Findings: Two suctioning scenarios were developed to provide...

Interprofessional (IP) collaboration during cardiac resuscitation is essential and contributes to patient wellbeing. The purpose of this study is to evaluate an innovative simulation-based IP educational module for undergraduate nursing and medical students on cardiac resuscitation skills. Nursing and medical trainees participated in a new cardiac...

Background: Programming intravenous (IV) infusion pumps challenges nursing students and may cause harm to patients if done improperly. A virtual IV pump module was developed to improve learner performance. Method: Nursing students in the control group (n ¼ 26) reviewed IV pump skills in the lab only, and nursing students in the experimental group (...

Background: Programming intravenous (IV) infusion pumps challenges nursing students and may cause harm to patients if done improperly. A virtual IV pump module was developed to improve learner performance. Method: Nursing students in the control group (n = 26) reviewed IV pump skills in the lab only, and nursing students in the experimental group (...