RESEARCH
1. The Center is funded by Agency for Healthcare Research and Quality (AHRQ) as a Patient Safety Learning Lab advancing patient safety through design, systems engineering, and health services research (1R18HS029124-01). The PI is Dr. Vinciya Pandian. This research activity is in year one of four years of funding.
https://reporter.nih.gov/search/ZwsBSWdELEKT7MDbZAy8GQ/project-details/10555850
. This research aims to consider and balance human and system factors, and utilize the AHRQ systems engineering methodology to identify, design, develop, implement, and evaluate solutions to CLABSI. We, as a Center, plan to pursue the following aims: 1) foster a new generation of interprofessional clinicians actively engaged in providing safe patient care using virtual simulation and virtual reality to decrease the rate of CLABSI, 2) establish the Johns Hopkins CILDI as an interdisciplinary and patient/family informed, sustainable infrastructure to advance the science of patient safety in preventing and controlling CLABSI using augmented reality approaches, and 3) leverage unique patient safety learning laboratory environment strengths to enhance translation of systems engineering-based robotic interventions for optimal management of CLABSI.
2. Comparison of surgical cricothyroidotomy training: a randomized controlled trial of a swine model versus an animated robotic manikin model. We performed a prospective randomized controlled study comparing training for surgical cricothyroidotomy using hands-on training on swine versus inanimate manikin. We enrolled medical students who had never performed or had formal instruction on surgical cricothyroidotomy. We randomized their instruction to use either a swine model or the inanimate version of the Operative Experience Inc. advanced surgical manikin. Participants’ skills were then evaluated on human cadavers and on an advanced robotic manikin. Tests were scored using checklists modified from Objective Structured Assessment of Technical Skills and Tactical Combat Casualty Care. We compared scores between the groups using Wilcoxon rank sum tests and generalized linear models. Pandian V, Leeper WR, Jones C, Pugh K, Yenokyan G, Bowyer M, Haut ER. Comparison of surgical cricothyroidotomy training: a randomized controlled trial of a swine model versus an animated robotic manikin model. Trauma Surg Acute Care Open. 2020 Apr 26;5(1):e000431. doi: 10.1136/tsaco-2019-000431. PMID: 32399492; PMCID: PMC7204537.
3. Curricular Integration of Virtual Reality in Nursing Education: We conducted a quantitative cross-sectional study to evaluate the VR experience using the System Usability Scale (SUS)® and the Simulation Effectiveness Tool-Modified (SET-M). Post-simulation evaluations were completed by 127 prelicensure and 28 advanced practice students. On the SUS scale, students found the overall VR system easy to navigate, and on the SET-M, they rated the VR experience positively.
Presentations
National/International Simulation Presentations (abbreviated)
2022 Brown, K.M., Swoboda, S.M., Gilbert, G.E., Horvath, CH., Sullivan, N. (2021). Virtual Simulation in Nursing: A Roadmap for a VR Curriculum, 22nd International Meeting on Simulation in Healthcare (IMSH 2022), January 18, 2022
2021 Brown, K.M., Swoboda, S.M., Gilbert, G.E., Horvath, CH., Sullivan, N. (2021). Virtual Reality Curriculum for Nursing Education, E-Poster, American Academy of Nursing 2021 Health Policy Conference, October 7-9, 2021
2021 Johns Hopkins University Provost’s Teaching with Technology DELTA Symposium. Deconstructing Healthcare Silos: Interprofessional Education Using Multiplayer Virtual Simulation and Virtual Reality for Medical & Nursing Trainees [DELTA Grant]. Kristen M. Brown, DNP, CRNP, CPNP-AC, CHSE-A, FAAN Assistant Professor & Advanced Practice Simulation Coordinator, School of Nursing
2020 Invited Webinar: National Organization of Nurse Practitioner Faculty (NONPF), (2019). Getting Started-Simulation Best Practices for NP Faculty: 3 Part Webinar Series; Developing a Business Plan for Standardized Patient Simulation, Simulation 101, and Briefing Basics. Conelius, J (Chair) and the NONPF Simulation Committee; Brown, K (co-chair), Kauschinger, E., Smith, T., Westin, C., Schneidereith, T., Loomis, J., Nye, C., Lioce, L., Brennan, M., and Canady, K.
2020 Tanner, E., Sullivan, N., Swoboda, S., Moreno, J., McAvinue, S. “Responding to COVID19 induced limitations in nursing student clinical experiences : Using online IPE simulations for clinical experiences”, NEXUS 2020, virtual (presenter). August 6, 13, 20, 2020.
2020 Sullivan N, Swoboda SM, Ockimey J, Hudson K. Operationalizing a Multiple Patient Simulation Virtually: Nuts and Bolts. Virtual IMSH Conference, 2020.
2019 Sullivan, N., Swoboda, S., Breymier, T., Lucas, L., Sarasnick, J., Rutherford-Hemming, T., KardongEdgren, S. Evidence toward a 2:1 clinical to Simulation ratio revealed: A study comparing
traditional clinical and simulation. The International Nursing Association for Clinical Simulation & Learning, Phoenix, AZ (Podium)2019 Tanner, E., Sullivan, N., Swoboda, S. & Beroz, S. Pursuing excellence in simulation-based learning: A guide for developing eight faculty healthcare simulation training modules. The International Nursing Association for Clinical Simulation & Learning, Phoenix, AZ (Podium)
PUBLICATION
Brown, K.M., Swoboda, S.M., Gilbert, G.E., Horvath, C., Sullivan, N. (2021). Integrating Virtual Simulation into Nursing Education: A Roadmap. Clinical Simulation in Nursing.
Hudson, K.W., Swoboda, S.M., Redd, M., Hunter, M.D. & Sullivan, N. (2021). Virtual Clinical Activities: Lessons Learned with First Semester Nursing Students. Journal of Nursing Education and Practice, 11(3).
Perretta JS, Duval-Arnould J, Poling S, Sullivan N, Jeffers JD, Farrow L, Shilkofski NA, Brown KM, Hunt EA. (2020). Best practices and theoretical foundations for simulation instruction using rapid-cycle deliberate practice. Simulation in Healthcare 15(5), 356-362. doi: 10.1097/SIH.0000000000000433
Brown KM, Swoboda SM, Gilbert GE, Horvath C, Sullivan N. Curricular Integration of Virtual Reality in Nursing Education. J Nurs Educ. 2023 Jan 30:1-10. doi: 10.3928/01484834-20230110-01. Epub ahead of print. PMID: 36701128.
Pandian V, Dino MJS, McLennan L, Brown KM, Sullivan N, Coker D, Pandian OBR, Matta HR, Davidson P, Szanton SL. Nursing education in uncharted waters: Are we successfully navigating the industrial revolutions ahead? J Clin Nurs. 2022 Sep;31(17-18):e26-e28. doi: 10.1111/jocn.16319. Epub 2022 Apr 11. PMID: 35411638.
Berges AJ, Lina IA, Ospino R, Tsai HW, Brenner MJ, Pandian V, Rule AM, Hillel AT. Quantifying Viral Particle Aerosolization Risk During Tracheostomy Surgery and Tracheostomy Care. JAMA
Otolaryngol Head Neck Surg. 2021 Sep 1;147(9):797-803. doi: 10.1001/jamaoto.2021.1383. PMID: 34292321; PMCID: PMC8299368.
Rushton CH, Swoboda SM, Reller N, Skarupski KA, Prizzi M, Young PD, Hanson GC. Mindful Ethical Practice and Resilience Academy: Equipping Nurses to Address Ethical Challenges. Am J Crit Care. 2021 Jan 1;30(1):e1-e11. doi: 10.4037/ajcc2021359. PMID: 33385208.
Beroz S, Schneidereith T, Farina CL, Daniels A, Dawson L, Watties-Daniels D, Sullivan N. A Statewide Curriculum Model for Teaching Simulation Education Leaders. Nurse Educ. 2020 Jan/Feb;45(1):56-60. doi: 10.1097/NNE.0000000000000661. PMID: 30950918.
Brown KM, Swoboda SM, Gilbert GE, Horvath C, Sullivan N. Curricular Integration of Virtual Reality in Nursing Education. J Nurs Educ. 2023 Jan 30:1-10. doi: 10.3928/01484834-20230110-01. Epub ahead of print. PMID: 36701128.