CE Webinar:

Replacing Traditional Clinical Rotations with
Nursing Simulation

Presented by: Dustin Chan, RN, BScN, EMBA (candidate), Viola Manokore, PhD
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The CE webinar will share how the presenters replaced traditional nursing clinical practicums with a percentage of nursing simulation which enhanced student learning.
  • Recorded: May 2nd, 2024
  • Access: FREE for Live Event,
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  • Access: Unlimited with Subscription
  • Access: FREE Open-Access Anytime!
  • Certificate: 1 Contact Hour of RN CE
  • Guarantee: 30-Day Money Back
  • Method: Lecture with Slides
  • Duration: 1 Hour
  • Level: Intermediate

Presentation Abstract:

A groundbreaking study done in the USA provided empirical evidence that substituting high-quality simulation-based experiences for up to 50% of traditional clinical hours was just as effective in providing learners with requisite knowledge and skills students would need upon graduation (Hayden, Keegan, Kardong-Edgren, & Smiley, 2014). In simulated based learning, learners work on complex problems in controlled environments that mimic real word scenarios (Lateef, 2010). Simulation-based education (SBE) is used in healthcare to facilitate students’ acquisition knowledge and skills through working with ‘ex-vivo’ patients in controlled safe learning environments without compromising the safety of real patients (Alinier & Oriot, 2022; Alinier & Platt, 2014; Aqel & Ahmad, 2014; Shin, Park & Kim, 2015).

Our project replaced 25% of clinical hours in medicine and surgery with simulations in a practical nursing program. A total of 22 students and their 3 instructors participated in this project. Evidence based approach was used throughout the design and implementation of the project to make sure that learning outcomes were met without compromising the quality of students’ learning. We documented the process of instructor training, curriculum development, implementation and feedback from students, staff and instructors. The project's main purpose was to explore ways of addressing three important issues:

  1. Shortage of nurses and increase in enrollment,
  2. Scarcity of clinical placements and
  3. To address disparities of student experiences.


The modalities of simulation included medium to high-fidelity manikins (16%), standardized patients (SPs) (6%) and virtual reality (3%). EDI learning opportunities were woven into relevant scenarios. Students and instructor feedback shows that learners gained confidence, practiced skills they would not have encountered in traditional clinical, learnt the importance of critical reflective practice, collaboration, problem solving skills and resolving issues related to equity diversity and inclusion. The learnings from this project are being used to scale up the simulated based learning by replacing 50% of traditional clinical hours in continuing care for the internationally trained nurses that is currently running. The following academic year we will take these learnings and scale to over 400 students per semester at 25% replacement.

Our presentation will focus on the disruption of traditional clinical students’ experiences and the relearning process of new pedagogical strategies in nurse education. We will outline the pre-implementation activities, implementation process, the outcomes of the project and what we learned as discussion the way forward.

Learning Objectives:

  1. Understand how replacing clinical education rotation hours with nursing simulation as an approach can enhance clinical learning outcomes.
  2. Understand what steps were taken, logistics, and operational resources were used to execute replacing clinical hours with healthcare simulation.
  3. Apply these learnings from the presentation to the participant's organization, to initiate or build on replacing clinical rotation hours with clinical simulation activities.

Meet the Presenter:

Dustin Chan, RN, BScN, EMBA (candidate)

Manager at Norquest College
Dustin has been in the post-secondary education for over 16 years in a variety of roles including faculty, associate chair, senior manager of projects, academic program manager, and in the last 3 years as manager of the Olson Center for Health Simulation. He has led many projects to completion in varying sizes and enjoys operational leadership and strategic thinking. Dustin has a passion for experiential learning and educational innovation. He along with a small team, pioneered virtual reality training to NorQuest College over 7 years ago and today has incorporated multiple modalities of simulation at their sim center including virtual simulation games, VR, high and low fidelity mannikins, and standardized participant. NorQuest's simulation center serves over 20 multidisciplinary health programs with simulation and has hosted over 3000 student simulation experiences last year and is estimating a growth of 30% for next academic year. Last year the NorQuest simulation center was able to achieve the goal of incorporating equity, diversity, and inclusion learning objectives in all scenarios as well as some antiracism scenarios to better prepare learners to be mindful and responsible practitioners. In his spare time, he enjoys running, hiking, camping, and spending time with his family.
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Disclosures: None.

Viola Manokore, PhD

Faculty at Norquest College
Viola is an instructor and researcher at NorQuest College where she teaches in the department of Practical Nursing. She is a certified educator and holds a PhD in curriculum instruction and teacher education from Michigan State University. Her first and second degrees are in biological sciences. Viola is an internationally recognized scholar with university teaching experience at various levels. She was the recipient of the 2020 Gold Medal in leadership in teaching from Colleges and Institutes Canada (CICan). The CICan award recognizes a faculty member who has made personal growth and enhanced academic growth for students. In recognition of her research contributions at NorQuest College in 2019 Viola was the recipient of the “Quest for Excellence” research award. This award recognizes research contributions for faculty at NorQuest College. She was also the recipient of the 2020/2021 Scholarship of Teaching and Learning award from Alberta Colleges and Institutes Faculties Association (ACIFA). Viola has more than 25 publications in refereed journals. She has mentored and supervised a significant number of doctoral masters and undergraduate students. She is the founder and editor of a peer reviewed Journal of Practical Nurse Education and Practice. Viola is the lead on a project that is exploring mental health awareness and systems navigation in Alberta. The project has a newsletter that is widely distributed in Alberta and beyond.
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Disclosures: None.

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Webinar Reviews:

Meet the Webinar Hosts:

Lance Baily, BA, EMT-B

Founder / CEO - HealthySimulation.com
Lance W. Baily, BA, EMT-B is the Founder / CEO of HealthySimulation.com, the world’s leading healthcare simulation resource website which supports thousands healthcare professionals a month. As an experienced entrepreneur, digital media producer and administrative professional, Lance has the background and the experience necessary to help guide the clinical simulation industry to mass adoption.

Lance is also the Founder of SimGHOSTS.org, the leading 501(c)3 non-profit organization dedicated to supporting healthcare professionals operating clinical simulation technologies which has organized over twenty hands-on training conferences around the globe since 2011. His co-edited  book “Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice” provides 400 pages of in-depth articles supporting the technical integration of medical simulation in any sized program.

Formerly he served as Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas, Simulation Technician for the LA Community College District, and volunteer Fire-Fighter, after receiving his BA in Film and Digital Media Production and working on Hollywood production sets. He currently lives with his wife and two young daughters in Las Vegas.
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Disclosures: Founder/CEO/Owner of HealthySimulation.com, Founder of SimGHOSTS.org

Melissa Jo Tully, BSN, MHPE, RN-BC

Simulation Educator at Medical Simulation Consulting
Melissa Jo Tully, BSN, MHPE, RN-BC, is a highly accomplished healthcare professional with a passion for education and patient safety. With a Master’s degree in Health Professional Education from the College of Medicine at Vanderbilt University, Melissa has honed her expertise in developing innovative programs to enhance healthcare performance and quality. As an experienced nurse, Melissa followed her passion for lifelong learning by exploring nursing specialties through her early nursing career as a float nurse, including working in critical care, emergency room, labor and delivery, and hospice. Melissa launched her career in consulting, by starting Medical Simulation Consulting. Her firm’s primary focus lies in designing, developing, and evaluating simulation programs that integrate augmented and virtual reality technology, as well as audiovisual technologies.
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Disclosures: Melissa is a consultant.

Teresa Gore, PhD, DNP, APRN, FNP-BC, CHSE-A, FSSH, FAAN

Content Manager at HealthySimulation.com
Teresa Gore, PhD, DNP, APRN, FNP-BC, CHSE-A, FSSH, FAAN - Dr. Gore has experience in educating future nurses in the undergraduate and graduate nursing programs. Dr. Gore has a PhD in Adult Education, a DNP as a family nurse practitioner, and a certificate in Simulation Education. Dr. Gore is an innovative, compassionate educator and an expert in the field of healthcare simulation. In 2007l Teresa started her journey in healthcare simulation. She is involved in INACSL and SSH. She is a Past-President of INACSL and is a Certified Healthcare Simulation Educator Advanced (CHSE-A). In 2018, she was inducted as a Fellow in the American Academy of Nursing (FAAN). In 2021, she was inducted as a Fellow in the Society of Simulation in Healthcare Academy (FSSH) and selected as a Visionary Leader University of Alabama at Birmingham School of Nursing Alumni. During her career, Dr. Gore has led in the development and integration of simulation into all undergraduate clinical courses and started an OSCE program for APRN students. Her research interests and scholarly work focus on simulation, online course development and faculty development. She has numerous invited presentations nationally and internationally on simulation topics.
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Disclosures: Dr. Gore is employed by HealthySimulation.com

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