simulation escape game

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by: Laura Smith, Kelly McCormick, & Florence Okafor

outcomes, objectives, & design

simulation escape game

It's your first day planning your simulation, and the excitement couldn't be greater. You arrive at the office as happy as a lark, but as you step through the door, you notice something strange and out of the ordinary, and everything is silent… There's no one in sight! You approach the receptionist's desk. There's a laptop switched on, and it seems to be waiting for you, as if it had something important to reveal...

Just in time… or almost

Look at the laptop

Before starting, you need to review the needs assessment for the simulation, so you can implement the standards of best practice without any issues. Where could they be...? Maybe there’s something in the office.

ONE MOMENT!

SEARCH

Needs Assessment

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Outcomes

Design

Objectives

Purpose

Needs Assessment

Needs Assessment

Sim Team

Design

Objectives

Outcomes

Outcomes

OFFICE MAP

Room 1

Room 2

Room 3

Room 4

Meeting Room

Complete each room to collect the numbers of the code and gain access to the Meeting Room

Simulation

To complete the challenges in the next few rooms, you'll need to know the standards of best practice for simulation outcomes and objectives. Let's go!

room 1

PLAY!

Criteria Resources

Establish Learner Outcomes

Establish Guidelines for Facilitation

Identify Appropriate Fidelity

Identify Appropriate Simulation Modality

Create Objectives

continue

Outcomes & Objectives

Remember that you can access the criteria resources whenever you need it!

Answer the questions correctly and get the first digit you need to enter the Meeting Room.

room 1

PLAY!

Criteria Resources

question 1/3

Criteria Resources

00:30

Question 2/3

Criteria Resources

00:30

question 3/3

Criteria Resources

00:30

Congratulations! Here is the first number of the code for the Meeting Room:

First number

return to the map

Criteria Resources

Are you a fan of word searches? We hope so! Your mission is to find all the levels of the New World Kirkpatrick model.

room 2

PLAY!

Criteria Resources

word 1/4

01:00

The New World Kirkpatrick Model

Criteria Resources

The New World Kirkpatrick Model

01:00

word 2/4

Criteria Resources

The New World Kirkpatrick Model

word 3/4

01:00

Criteria Resources

The New World Kirkpatrick Model

01:00

word 4/4

Criteria Resources

Congratulations! Here is the second number of the code for the Meeting Room:

SECOND number

return to the map

Criteria Resources

You are full of knowledge, but... will you be able to identify the modality of each item? Test your knowledge and find out .

Room 3

PLAY!

Criteria Resources

CONNECT each Simulation Modality WITH their Example

drag the modality to the matching connector

Criteria Resources

00:45

Criteria Resources

01:00

Congratulations! Here is the third number of the code for the Meeting Room:

THIRD number

return to the map

Criteria Resources

To complete the next challenge, you'll need to know the standards of best practice for simulation design. Let's go!

room 4

PLAY!

Criteria Resources

Scenario

Fidelity

Learner-centered

Pre-briefing

post-Debriefing

Evaluation

Pilot Test

modality

Objectives

Assessment

Expert- consultation

Design

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Design Criteria

Question 1/4

Criteria Resources

00:30

Question 2/4

Criteria Resources

00:30

*This question was created by Microsoft Co-Pilot AI using the prompt, "Write some good, multiple-choice questions about simulation design; align with INACSL standards; write the question based on design."

Question 3/4

Criteria Resources

00:30

*This question was created by Microsoft Co-Pilot AI using the prompt, "Write some good, multiple-choice questions about simulation design; align with INACSL standards; write the question based on design."

Question 4/4

Criteria Resources

00:30

Congratulations! Here is the fourth number of the code for the Meeting Room:

FOURTH number

return to the map

Criteria Resources

What is the password?

Obtained digits

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exit

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• Identify the most appropriate debriefing, feedback, or reflective method for the simulation during the design phase.
• May also also include a guided reflection exercise.
• Use a planned debriefing, feedback session, or a guided reflection exercise to enrich learning and contribute to the consistency of the simulation for learners and facilitators.
• Debriefing facilitators should have formal training in debriefing techniques.

Create a Debriefing or Feedback Session

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• Evaluate the learner and the simulation.
• Plan an evaluation process to determine the quality or effectiveness of the simulation.
• Determine the assessment and evaluation processes.
• Ensure participants understand the method of assessment (formative, summative) before or at the onset of the simulation.
• Use evaluation data for continuous quality improvement.
• Include feedback from participants, peer clinicians. educators, stakeholders, and simulationists.

Develop a Plan for Evaluation

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• Build the simulation to align the modality with the objectives.
• Develop the simulation format based on the needs assessment, available resources, learning objectives, the targeted learners, and the type of assessment or evaluation method.
• Choose a theoretical and/or conceptual framework.
• Develop simulation experiences to include a starting point, structured learner activities, and an end point.

Align Modality with Objectives

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• Plan a learner-centered facilitative approach.
• Driven by the objectives, learners’ knowledge and level of experience, and the expected outcomes.
• Consider facilitators who have formal training in simulation-based pedagogy.
• Incorporate evidence-based components of cultural diversity within the simulation design or scenarios.
• Reference Healthcare Simulationist Code of Ethics re: respect to confidentiality, mutual respect, and creating a safe educational environment.

Plan a Learner Centered Approach

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• Pilot test the entire simulation after designing to ensure that it accomplishes its intended purpose, provides opportunity to achieve objectives, and is effective when used with learners.
• Identify any confusing, missing, or underdeveloped elements of the simulation.
• Make improvements based upon the pilot and revise before fully implenting the simulation.

Pilot Test Simulation

Evokes underlying emotions, beliefs, and self-awareness of learners

Psychological

The setting including the equipment, tools, sensory props, manikin, moulage, etc.

Physical/ Environmental

Vital Signs and lab work reflect the diagnosis

Conceptual

meet the learning objectives/outcomes

Fidelity

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GAME MENU

Use these icons to restart the game or go to the office map. They will accompany you on your adventure.

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• Include preparation materials and briefing to guide participant success in the simulation.
• Consider the experience and knowledge level of the simulation participants.
• Convey important information to participants regarding expectations, agendas, and logistics before beginning the simulation (e.g. ground rules).
• Establish a psychologically safe learning environment during the prebriefing.

Create a Prebriefing Plan

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• Teaching or Evaluation
• Understanding of expectations for learners
• Trained and competent in facilitation of simulation

Facilitation Guidelines

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• Desiginers: - possess formal or informal training in simulation pedagogy and practices.
• Knowledge of ethical standards of simulation & Healthcare Simulationist Code of Ethics.
• Consult subject matter experts (SMEs) and simulationinsts knowlegeable in best practices in sumulation education, pedagogy, and practice.
• SMEs: - possess a general knowledge of simulation and scenario design principles, debriefing methods, and evaluation approaches.

Designed with Experts

Remember it, and if your memory fails, write it down!

S.M.A.R.T.

Cognitive Load & Learner Readiness

Bloom's Taxonomy

Create psychological safety

Guide type of simulation

Build on the learner's current knowledge, skills, and experience

Cognitive/Psychomotor/Affective

Blueprint for simulation design

Objectives

welcome, Educator

Oops! It seems that you've arrived late today… 😬 We have a super important simulation team meeting in the Meeting Room. Hope you remember the password to get in. You don't?! OK - Explore the other rooms to find the password. But hurry, the meeting is about to start! 🚀

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Needs Assessment

Here you can find key information about the needs assessment to help you create the simulation objectives 😊 But first, you need to find it!

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Identifies the gaps in knowledge, skills, and attitudes that the simulation aims to address. ✨

Purpose of a Needs Assessment

Simulation Modality

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• To create the required perception of realism.
• Attention to physical, conceptual, and psychological aspects of fidelity that can contribute to the attaining objectives.
• Less about specific “reality” and instead focus on representing stimuli and cues that would typically be present to drive decision-making and action.
• Use moulage to replicate features or characteristics of the patient situation and when possible.

Use Various Types of Fidelity

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• Include a situation and backstory to provide a realistic starting point from which the structured activity begins.
• Include clinical progression and cues to provide a framework for the advancing of the clinical case or scenario in response to learner actions.
• Incorporate critical actions/performance measures that are required to evaluate achievement of scenario objectives.

Design a Scenario, Case, Or Activity

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Required Elements

• Mission & Vision
• Programmatic Goals
• Needs Assessment, EBP, Stakeholders
• Equity, Inclusivity & Diversity
• New World Kirkpatrick's Model framework
• Healthcare Simulation Standards of Best Practice
• Setting Objectives
• Communicated with Learners

determine the impact of the simulation

Outcomes

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• Build upon the learner's foundational knowledge.
• Develop broad and specific objectives.
• Broad - Overall goal. Reflect on the purpose of the simulation, relate to organizational goals.
• Specific - S.M.A.R.T.

Construct Measurable Objectives

• To estabish foundational evidence of a need for a well-designed simulation expereince.
• Determine underlying cause (RCA, Gap analysis, S.W.O.T).
• Use the results to guide the development of an overarching goal or broad objective for the simulation.
• Use the results to create relevant, innovative, and interactive simulation.

Perform a Needs Assessment

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"Our mission is to provide innovative solutions that improve the lives of our clients, always acting with integrity and commitment to sustainability"

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