Michelle Kelly

University of South Australia | UniSA · School of Nursing and Midwifery

Computer-based virtual simulation in nursing is a rapidly developing field. A summary of current research could benefit nursing faculty who are incorporating this pedagogy into online teaching due to social distancing requirements. This umbrella review aimed to explore the use and effectiveness of virtual simulations in prelicensure nursing educati...

Introduction In partnership with Cancer Council Western Australia (WA), the East Metropolitan Health Service in Perth, WA has developed a clinical simulation training programme ‘Talking Together’ using role play scenarios with trained actors as patients/carers. The aim of the training is to improve clinicians’ communication skills when having chall...

Aim An integrative review was conducted to synthesize published evidence on the prevention and treatment of hypoglycaemia and patient risk factors, in adult patients treated for hyperkalaemia with intravenous insulin and dextrose. Methods This review followed the framework by Whittemore and Knafl. Papers included were limited to English language s...

Background Pain is a complex and multi-dimensional phenomenon. Nurses play a vital role in assessing and managing pain and must use sound clinical reasoning to accurately make clinical judgments to notice, interpret and respond to patients’ pain. Method Exploratory research on the impact of a newly developed AV simulation on nursing students' Noti...

Objectives An understanding of nurse characteristics that influence pain management, which are potentially amenable to change, can help to refine and improve nurse education and practice, resulting in better patient outcomes. The purpose of this review was to identify nurse characteristics that influence their assessment of and intention to treat p...

Interactions between nurses and patients are unique and personalized and often described as privileged encounters. The holistic nature of nursing practice centered on a health-based platform differs from the medicalized (disease-based) model of healthcare. These foundational aspects of nursing practice influence learning and teaching encounters at...

Objectives To determine which training methods positively influenced healthcare professionals’ communication skills and families’ deceased organ donation decision-making. Methods An integrative review using systematic methods and narrative synthesis for data analysis. Electronic databases of PubMed, Cumulative Index to Nursing and Allied Health Lit...

Ensuring students develop person-centred practice for diverse groups of people across health care settings is an important outcome of undergraduate nursing education. This paper presents the development and evaluation of a learning innovation, an integrated virtual patient case study and complementary online resources for person-centred nursing pra...

A pandemic has sent the world into chaos. It has not only upended our lives; hundreds of thousands of lives have already been tragically lost. The global crisis has been disruptive, even a threat, to healthcare simulation, affecting all aspects of operations from education to employment. While simulationists around the world have responded to this...

Statement: Healthcare simulation training can be significantly disrupted by infectious disease outbreaks, yet it is a key component in several important medical education activities, such as resuscitation refresher training and high-stakes prelicensure healthcare examinations. This article details the strategic and tactical considerations for cont...

Nurses and midwives of Australia now is the time for change! As powerfully placed, Indigenous and non-Indigenous nursing and midwifery professionals, together we can ensure an effective and robust Indigenous curriculum in our nursing and midwifery schools of education. Today, Australia finds itself in a shifting tide of social change, where the voi...

Background Nursing students’ positive attitudes towards ageing and older people are central to developing person-centred care. Perceptions about older people are influenced by social and generational values and beliefs, including a general understanding that older people need to be cared for. Nursing students often undertake early clinical placemen...

Statement: This article presents reflections of career pathways of simulation researchers as well as a discussion of the themes found in the stories presented. It is the intent of the authors to present and foster a discussion around the ways in which we as a simulation community wish to promote recognition of scholarship among simulation research...

Introduction Simulation-based education (SBE) has successfully been implemented in several healthcare professions, more so in the fields of medicine and nursing. Laboratory medicine courses prepare medical scientists for employment in pathology laboratories typically via a staged training regime. Laboratory techniques related to the diagnostic disc...

Background Observing how experienced nurses assess and manage complex situations may assist students in developing clinical judgment. Method Evaluation of a combined learning activity including an audiovisual simulation demonstrating expert nurse care of a patient with delirium delivered across three international programs. Participants responded...

Being 'with woman' is a fundamental concept of midwifery philosophy. Minimal evidence explicates ways this important construct is learned or taught. This paper reflects one part of a larger study and explored midwives' experiences of learning and teaching related to the phenomenon of being 'with woman'. Using a descriptive phenomenological approach...

Background Simulation-based education is a valuable learning approach for nursing students, yet there is limited focus or reports on graduate entry master's programs. This study explores the effect of simulation on graduate entry master's students' confidence to provide safe patient care. Methods This study includes a longitudinal, single-site, co...

Surveys are commonly used in healthcare simulation research and evaluation. Many surveys have been created to fit specific simulation requirements or areas of interest. However, it is important to ensure that surveys have appropriate rigour for reliable representation and meaningful interpretation of data. This chapter covers concepts important to...

Background: Being 'with woman' is a central construct of the midwifery profession however, minimal research has been undertaken to explore the phenomenon from the perspective of midwives. The aim of this study was to describe Western Australian midwives' perceptions of the phenomenon of being 'with woman' during the intrapartum period. Methods:...

An important condition for serving the educational objectives of simulation-based team training is that the facilitator’s instructions during the briefing bridge the gap between the simulation and the clinical situation it is intended to represent. This chapter unpacks instructional challenges in briefings by focusing on how instructors make use of...

The research on simulation practice has been suggested as too evaluative and protocol-driven, neglecting theoretical groundwork. There is a need for more theorised, process-oriented analyses of simulation practice to meet this gap in current research. This chapter outlines the theoretical frameworks that situate research on interprofessional simula...

This chapter has a particular focus on the observers’ role in simulation-based learning activities. Simulation-based learning is often organised so that participants rotates between active participation in the scenario and participation as observers. The research examples provided show that the conditions for learning are related to the locations w...

Background: Research examining how perceived realism and presence affects participants' learning experiences and outcomes is limited. Method: A convergent mixed-methods design was used, with quantitative data assigned as the primary method. After engaging in a communication training simulation, 141 undergraduate nursing students completed the Co...

A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group m...

Academic educators are challenged to foster the development of clinical judgment in diverse learners. The impact of nursing students' backgrounds on clinical judgment has not previously been studied. Aims 1. Determine what identifiable background variables influence what students notice and how they interpret what is noticed; 2. Identify some imp...

Abstract Background The use of video-assisted reflection as part of the debriefing process is a growing area of interest in simulation-based education. To further develop knowledge in this field, this study explored nursing students' reflections on their experience and learning after independently viewing audiovisual recordings of themselves engag...

Background The phenomenon of being ‘with woman’ is fundamental to midwifery as it underpins its philosophy, relationships and practices. There is an identified gap in knowledge around the ‘with woman’ phenomenon from the perspective of midwives providing care in a variety of contexts. As such, the aim of this study was to explore the experiences of...

Objective: The objective of this study was to explore midwives’ experiences of being ‘with woman’ in the intrapartum period within the context of an unknown midwife model. Design: A descriptive phenomenological design was used with individual in-depth interviews. Transcribed interviews were analysed using thematic analysis that incorporated the dat...

Exploring midwives' experiences of being 'with woman' in the context of continuity models within Western Australia

https://authors.elsevier.com/a/1WjV~6fYC64-d2 Background: Midwives being 'with woman' is embedded in professional philosophy, standards of practice and partnerships with women. In light of the centrality of being 'with woman' to the profession of midwifery, it is timely to review the literature to gain a contemporary understanding of this phenome...

Background: The phenomenon of being 'with woman' is central to the profession of midwifery. There is currently no available evidence that explicitly explores this phenomenon. In Western Australia, over a third of childbearing women choose to engage the services of a private obstetrician who provides antenatal care and manages the care provided by...

Abstract Background: This study evaluates the effectiveness of information- and interaction-based training interventions to improve nurses’ communication skills during the discharge of a patient. Method: A quasi-experimental control group design was applied. Students demonstrated their discharge skills with simulated patients (SPs) in three randoml...

There is rich cultural diversity across the nursing student body within and across countries. Such diversity needs to be taken into account when creating, delivering and debriefing simulations. One approach to prepare students for simulation experiences is to model ideal practice. Academic educators are challenged to foster development of clinical...

Irrespective of which country we live and work in, there are degrees of cultural diversity amongst health professions’ learners and practitioners. Differing expectations about learning can lead to conflict and confusion amongst those experiencing and those facilitating health simulations (Kelly et al., in press). Being mindful of diversity and diff...

In a recent editorial we examined the research outputs of 150 Australian nursing and midwifery professors (McKenna, Cooper, Cant, Bogossian, 2017) identifying publication metrics on par with, and sometimes above those of professors in the UK (Watson, McDonagh & Thompson, 2016). Because global university rankings are heavily weighted towards researc...

Background: There is unprecedented increase in use of simulation-based education in healthcare settings. The key driver is improving quality and safety in healthcare. To date, there is limited understanding of the degree to which this goal has been achieved. Aim: This scoping review aimed to explore the extent to which simulation-based education in...

The rapid uptake of simulation within healthcare curricula and practice has also seen an explosion of publications about this contemporary approach to learning. There is great variety of scenario contexts across the health professions within clinical and educational settings. As simulation matures and spreads across the globe, there is much to lear...

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Introduction: The approach, communication skills, and confidence of clinicians responsible for raising deceased organ donation may influence families' donation decisions. The aim of this study was to increase the preparedness and confidence of intensive care clinicians allocated to work in a "designated requester" role. Design: We conducted a po...

Background: Simulated patients (SPs) are frequently used for training nursing students in communication skills. An acknowledged benefit of using SPs is the opportunity to provide a standardized approach by which participants can demonstrate and develop communication skills. However, relatively little evidence is available on how to best facilitate...

Synopsis Creating simulation scenarios based on local clinical issues or country specific health priorities often confer greater benefit. However, creating simulation scenarios can be a challenging prospect. Using a set scenario format, based on sound educational principles, ensures inclusion of the key elements for simulation based education. Coll...

Incorporating simulation within nursing curricula or clinical services has led to a diversity of scenarios well beyond the routine CPR. Drawing on the lived experiences of clinicians, students as well as consumers a vast array of clinically focused topics have been repurposed into meaningful simulation scenarios. Whether a novice or an expert, attu...

Background Simulation is potentially a means of increasing clinical education capacity. Significant investments have been made in simulation but the extent to which this has improved uptake, quality and diversity of simulation use is unclear. Aim To describe the current use of simulation in tertiary nursing education programs leading to nurse regi...

Supporting the initiation and uptake of simulation-based learning in university or hospital settings requires strategising for human as well as equipment resources. If activities require use of highly technical simulation and audiovisual equipment, faculty may be reticent to engage with the learning strategies that rely on managing “complex” equipm...

Background: The challenges in nurse-physician communication persist since the term 'nurse-doctor game' was first used in 1967, leading to poor patient outcomes such as treatment delays and potential patient harm. Inconsistent evidence was found on the factors and interventions which foster or impair effective nurse-physician communication. Aim:...

This chapter discusses the key issues of the role of simulation in patient safety and to the vision of Sir Liam Donaldson in 2007 with a view to forecasting educational practices in healthcare simulation. New and flexible funding models will emerge, especially as simulation becomes embedded in curricula and certification in simulation for specific...

This chapter discusses the complex issue of organ and tissue donation (OTD) with families of dead or dying patients in times of acute grief and distress, making these conversations especially challenging. Organ and tissue transplantation is an effective treatment for people with end-stage disease. An important influence on the number of donors is f...

This chapter commences with a status report on health professions educational research generally and then quickly focuses on simulation. Research within healthcare simulation is likely to benefit from strategic approaches and professional associations can play an important role in this regard. While relying on physical, biomedical and clinical scie...

This chapter introduces essential concepts for simulation-based education (SBE) in healthcare. It highlights the role of patient safety as an endpoint for many healthcare simulation practices. The chapter presents an overview of key concepts covered in this book. The book is intended to be a valuable resource for simulation educators, technicians,...

Facilitating healthcare simulations can be considered from at least two perspectives: the role and attributes of the facilitator and the process of facilitation. This chapter discusses the role of the facilitator and ways of facilitating simulations in the context of undergraduate nursing students within a Bachelor degree program. The practices and...

Background: Registered nurses are expected to communicate effectively with patients. To improve on this skill education programmes in both hospital and tertiary settings are increasingly turning to simulation modalities when training undergraduate and registered nurses. The roles simulated patients (SPs) assume can vary according to training purpos...

Teaching of pathophysiology concepts is a core feature in health professional programs, but it can be challenging in undergraduate medical/biomedical science education, which is often highly theoretical when delivered by lectures and pen-and-paper tutorials. Authentic case studies allow students to apply their theoretical knowledge but still requir...

Purpose: This article provides insights and perspectives from four experienced educators about their approaches to developing, delivering, and evaluating impactful simulation learning experiences for undergraduate nurses. A case study format has been used to illustrate the commonalities and differences of where simulation has been positioned withi...

Background Objective structured clinical examinations (OSCEs) have been used for many years within healthcare programmes as a measure of students’ and clinicians’ clinical performance. OSCEs are a form of simulation and are often summative but may be formative. This educational approach requires robust design based on sound pedagogy to assure pract...

As the field of health care simulation matures, new questions about appropriate pedagogy are emerging which present challenges to research and practices. This has implications for how we investigate and deliver effective simulations, how we conceive effectiveness, and how we make decisions about investment in simulation infrastructure. In this arti...

Despite its widespread support, the most effective simulation-based debriefing method has little evidence to support its efficacy. In this study, we compared the effect of peer-led and instructor-led debriefing among nursing students. The study was conducted with a non-equivalent control group using a pretest–post-test design. A convenience sample...

Background: Simulation allows students to practice key psychomotor skills and gain technical proficiency, fostering the development of clinical reasoning and student confidence in a low risk environment. Manikins are a valuable learning tool; yet there is a distinct lack of empirical research investigating how to enhance engagement between nursing...

Simulated teaching methods enable a safe learning environment that are structured, constructive and reflective. We prepared a 2-day simulation project to help prepare students for their first clinical practice. A quasi-experimental pre-test – post-test design was conducted. Qualitative data from the open-ended survey questions were analysed using c...

Chapter 6, pp 125-154.

The preparation of future professionals for practice is a key focus of higher education institutions. Among a range of approaches is the use of simulation peda- gogies. While simulation is often justified as a direct bridge between higher education and professional practice, this paper questions this easy assumption. It develops a conceptually driv...

Most families can access a range of health information and advice. Information and advice sources often include nurses, the Internet, social media, books, as well as family and friends. While the immediate aim may be to find information, it can also be to assist with parenting skills, solve parenting problems or as part of decision-making processes...

This article presents a learning framework which has been used in other disciplines but has relevance for health care simulation. Given the interest in simulation pedagogy, informal learning is presented for consideration within this contemporary learning field. In contrast to formal learning, the concept of informal learning aligns well with impor...

Aim This study reports nursing and midwifery undergraduate and postgraduate students' perceptions of feedback during their participation in a performance-based learning activity, either an Objective Structured Clinical Examination (OSCE) for patient assessment or a simulation focussed on communication skills.

Background: Objective Structured Clinical Examinations (OSCEs) are widely used in health professional education and should be based on sound pedagogical foundations. Objectives: The aim of this study is to evaluate the feasibility and utility of using Best Practice Guidelines (BPGs) within an OSCE format in a broad range of tertiary education se...

This article presents a sociomaterial account of simulation in higher education. Sociomaterial approaches change the ontological and epistemological bases for understanding learning and offer valuable tools for addressing important questions about relationships between university education and professional practices. Simulation has grown in many di...

Introduction: Nurses in remote areas of Australia are the primary healthcare professionals, who need to be able to deliver comprehensive and culturally sensitive care to clients, many of whom are Indigenous Australians. Adequate and specific preparation for practice is crucial to the quality of care delivered by remote area nurses (RANs). Objectiv...

As the pedagogy of health care simulation matures, the level of guidance provided and types of simulation components included increasingly vary. To prepare students for professional practice, one university embedded Tanner's model of clinical judgment within the nursing curricula and integrated simulations. There was interest in seeking students' o...

Contemporary midwifery practice needs a rigorous and standardised assessment of practical skills, and knowledge to ensure that safety is maintained for both women and neonates before, during and after childbirth. To evaluate the use of Best Practice Guidelines (BPG) for Objective Structured Clinical Examinations (OSCE) as a standardised tool to dev...

Background: The use of simulation has been growing rapidly within nursing programs, internationally. Simulation provides opportunity for beginning nursing students to rehearse patient care experiences and develop confidence in technical and non-technical nursing skills. Methods: This study used a quantitative pre-post online survey to investigate:...

The implementation framework outlined in this paper has been developed from feedback of a trial across three different nursing and midwifery programmes and is designed to assist educators to incorporate OSCEs within their curricula. There is value in flagging the pedagogical principles embodied in the framework and alerting educators to their impor...

Background: Simulation was introduced into a master of nursing course, embedded within patient safety and clinical practice contexts. Student groups developed, enacted, and debriefed simulation scenarios from lived experiences. The study aimed to explore masters students’ perceptions of the innovative simulation education strategy. Method: A 2-year...

There has been enormous growth over the last decade in the use of ‘simulation’ in nursing and other health professional education for both students and practicing clinicians. The volume of literature published each week is testament to how educators are embracing this learning strategy. Although some may consider we have been using simulation withi...

To provide each student within a large cohort the opportunity to participate in a small group simulation that meets recognised quality indicators is a challenge for Bachelor of Nursing programmes in Australia. This paper, as part of a larger longitudinal study, describes one approach used to manage a simulation for 375 1st year nursing students and...

Across Australia, innovations in simulation to enhance learning in nursing have been occurring for three decades and nursing is, and needs to be, a leading player in simulation knowledge diffusion. However, expertise is unevenly distributed across health services and education providers. Rather than build on the expertise and achievements of others...

Despite technologic advances in task trainers and manikins, there persists an inability to replicate key clinical skills as would occur in clinical settings. This report provides details of a project to develop a functional and reliable tympanic thermal simulator prototype that could be embedded into the ear of a manikin to enable tympanic thermome...