High fidelity Simulation Research Papers (original) (raw)

Providing high quality care for dying patients and their families has been highlighted as a national
priority in the United Kingdom (UK)1 with national guidelines and policies existing to
provide direction specific to the provision of end-of-life care (EOLC). These include National
Institute for Health and Care Excellence ‘Guidance for end-of-life care in adults’.2 and ‘Endof-
life Care Strategy: Promoting high quality care for adults at the end of their life’ from the
Department of Health.3 The challenges faced by dying patients are substantial and potentially
overwhelming4 and those near the end-of-life may experience perhaps extreme symptoms that
include physical, spiritual and psychosocial suffering.5 It is recognised that quality EOLC can
only be delivered when the needs of both patients and their support network, such as families,
are addressed; taking into account their priorities, preferences and wishes.6

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- High fidelity Simulation

Increased manufacturing expenses and increased competition have made it an automation process to improve the overall operational and energy efficiency at the manufacturing systems. Electric motors impact a wide range of manufacturing equipment, especially the manufacturing equipment that has an advance level of automation. An accurate real time simulation is required for predicting the high-quality motor performance and making the motor systems more reliable and easier to use inside of the complete manufacturing system. FPGAs for real simulation have become both increasingly powerful and increasingly affordable. As a result, the use of highly sophisticated hardware that not only could run high-fidelity simulation of electric motors but also this hardware allows getting result in real time. This paper shows real time simulation models of DC and AC machines on FPGAs in state space. Implementation of the real time numerical integration method with digital logic elements is presented and discussed using fixed point. A real-time simulation of DC and AC machines is carried out on FPGAs platform and real time results are shown. These results are compared to simulation results obtained through commercial off line simulation software.

This study evaluated the effect of high-fidelity simulation with both mannequins and live actors on flexible and reflective thinking of nursing students. Students enrolled in an undergraduate nursing program were recruited to participate in this study. Ninety students, all female, completed both pre-and post-surveys. The researchers conducted a paired samples t-test to determine if there is a statistically significant difference in students' level of flexible thinking before and after they experienced the high-fidelity simulation. Moreover, we conducted multivariate correlational analysis to examine the relationships between flexible thinking and reflective thinking. In general, statistical results in this study provide empirical support for the values of clinical simulation and debriefing on nursing students' flexible and reflective thinking. High-fidelity simulation can expose students to controlled and dynamic clinical environments, allowing them to attempt the transfer of theory to practice, learn from collaborative and active learning tasks, and be open-minded to multiple perspectives and in diverse situations. We conclude that critical reflection is an important piece of development in flexible thinking and reflective learning. During the time of post-simulation interactions, students are encouraged to reflect objectively on their performance in each scenario. The input from peers and instructors provides students with the opportunity to assess their personal ability to transfer theory to practice and evaluate if the theory design of the course is providing them with the needed information to care for the clients presented in the clinical simulation scenarios.

- by Hungwei Tseng
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- Reflection, Reflective Thinking, High fidelity Simulation

Practitioners will face acute illness episodes in a plethora of conditions, and simulation technologists have traditionally aimed to model these environments in order to facilitate experiential learning. Actual cars have been demolished for roadside accident simulations; Human Patient Simulators are left in woodland areas with amputations; and simulated wards and theatres are created with working beds and ventilators for in-hospital emergency management. Yet, with all the advancements in healthcare simulation technology, there still remains a lack of simulated environments for the community setting, even though their utility has been proven (Distelhorst and Wyss, 2013; Yeager and Gotwals, e129-e156, 2009). With the future drive toward more home based clinical treatment due to the rising cost of acute care and cuts to the National Health Service, clinicians should be prepared to confront health crisis as it occurs in patient’s homes. Here, the authors discuss the creation of a Daily Living Simulation Suite for pre-registration Allied Health and Nursing education. The need for simulated home environments, practical considerations for implementation and model simulations through video discussion will be presented in order to conceptualise the approach. The suite is still a work in progress, and discussions around optimisation for individual curriculums will be discussed.

The use of situated learning in sign language interpreter Education in an HE context.