Clinical Skills Development

(ARLED)

JILLIAN A. BEJOC, RN, MSN, PhD(cand)

Cebu Normal University
bejocj@cnu.edu.ph
My Presentation...

I. Designing ARLED Modules

II. Clinical Simulation
III. Points to Ponder
Rapidly changing academic climate
o Declaration of a worldwide COVID-19 pandemic by WHO
& national lockdowns across many countries
➢ Dilemma:
✓Inadequate time to consider best pedagogical approach for
learners or to engage in training programs for digital
competency.
✓Teaching had to continue and existing platforms were therefore
utilized.
✓Academics worked tirelessly to provide the teaching and
learning materials for their students and meet the outcomes for
the curriculum
➢ Challenge: development of clinical skills
 Rapidly changing academic climate
o The COVID-19 pandemic was a catalyst for academics
across the globe to think differently about the delivery of
simulation-based education and clinical skills
(Miller & Guest, 2021).
o provides opportunities to embrace the technology and be bold
in trying new pedagogies to support the ongoing learning
of students
o implementation of innovative technologies
✓virtual simulation
✓ web-based resources
What have we done? . . . Are Doing?
o Inventory of Resources
o rubrics, performance rating checklists
o RLE forms (soft copies)
o materials (to tailor-fit skills development)
o Capacity – building
o Alternative Related Learning Experience Delivery
(ARLED)
▪ Designing ARLED Modules
▪ Clinical Simulation
Designing INCEPTION
ARLED
Modules FINAL
REVIEW & CREATION OF
TEMPLATE
APPROVAL
DESIGNING
ARLED
MODULES
INITIAL
REVIEW CRAFTING
PROTOTYPE
& MODULE
REVISION
CRAFTING
PRIMARY
MODULES
& TWEAKS
Designing ARLED Modules

✓ Benchmarking
✓ Meetings & Consultations
INCEPTION - content
- review process
- deadline for submission/posting
Designing ARLED Modules

➢ Focal person: RLE Coordinator

✓ Benchmarking
CREATION OF
TEMPLATE
✓ Meetings & Consultations
- segments/sections/content
- concurrence/dissemination
Designing ARLED
Modules

CREATION OF
TEMPLATE
Designing
ARLED
Modules

CREATION OF
TEMPLATE
Designing
ARLED
Modules

CREATION OF
TEMPLATE
Designing
ARLED
Modules

CREATION OF
TEMPLATE
Designing
ARLED
Modules

CREATION OF
TEMPLATE
Designing
ARLED
Modules

CREATION OF
TEMPLATE
 ➢ Focal Persons: Subject Coordinator
Designing Level Coordinator
ARLED RLE Coordinator
Modules
✓ Meetings & Consultations
- deliberation of cases
✓ Building scenarios
- literature reviews
CRAFTING
PROTOTYPE - student case studies (compiled)
MODULE - consultations with alumni/staff nurses,
doctors in affiliated hospitals/
communities
✓ Concurrence
✓ Dissemination
Designing ➢Focal Persons: Clinical Instructors assigned to
ARLED handle RLE (weekly basis)
Modules ✓Building scenarios
- literature reviews
- student case studies (compiled)
CRAFTING - consultations with alumni/staff nurses,
PRIMARY
MODULES doctors in affiliated hospitals/
& communities
TWEAKS ✓Consultation with Subject/Level Coordinator
✓Sharing of modules to “Tweakers”
✓Submission of Modules for Review
Designing ➢ Focal Persons:
▪ Subject or Level Coordinator
ARLED ▪ RLE Coordinator
Modules ▪ Program Chair
▪ Dean/OIC Dean

INITIAL ✓Module presentation & critiquing

REVIEW - concurrence to template
&
REVISION
- logical progression of scenarios/
tasks/requirements
- achievement of DLOs/ELO’s
Designing
ARLED Modules

INITIAL
REVIEW
&
REVISION
Designing ➢ Focal Person:
ARLED ▪ CNU-CN Instructional Materials
Committee (CNU-CN IMC)
Modules - RLE Coordinator
- Program Chair
- Faculty representative
FINAL - College Dean/OIC-Dean
REVIEW &
✓ concurrence to template, tasks/
APPROVAL
requirements (vs. achievement of
DLOs/ELO’s)
✓ Approval
 ➢ Focal Person:
Clinical ▪ RLE Coordinator
Simulation
✓ 1. creates google classroom
per RLE group
✓ 2. invites respective CIs
Preparations
assigned
✓ 3. posts relevant RLE materials
Clinical
Simulation

Preparations
Clinical
Simulation

Preparations
Clinical
Simulation

Preparations
 ➢ Focal Person:
Clinical ▪ CI per RLE group
Simulation
✓ 1. secures email address
✓ 2. invites students
Preparations ✓ 3. posts relevant RLE
materials
Clinical
Simulation

Preparations
 ➢ Focal Persons:
Clinical ▪ Level/Subject Coordinator
Simulation
✓ create group chat on
messenger (ARLED Team)
✓ post announcements, ARLED
Preparations
materials
✓ deliberate emerging ARLED
needs/concerns
Clinical
Simulation

Preparations
 Distribution
of Approved
Clinical ARLED
Modules
Simulation Post-ARLED
Posting of
Modules in
Conference the ARLED
Classroom

Clinical
Simulation
Knowledge,
Skills, Pre-ARLED
Attitude conference
Checks
Assigning
Case
Scenarios
 ➢ Focal Persons:
Clinical ▪ Level/Subject Coordinator
▪ ARLED Module Writers
Simulation ▪ Tweakers

✓ 1. Respective ARLED Module

Writers/Tweakers will “chop-
Distribution of chop” the modules
Approved
ARLED Modules o daily case scenarios
✓ 2. Share the “chop-chop”
modules in the ARLED Team
Group Chat
Clinical
Simulation

Distribution of
Approved
ARLED
Modules
 ➢ Focal Person:
Clinical ▪ ARLED Module Writers
Simulation ▪ Tweakers

✓ create classworks
✓ upload case scenarios
Posting of
Modules in the
✓ pre-assigns case scenarios to
ARLED
Classroom
students (to schedule postings)
- preparing student’s patient
assignment plan
Clinical
Simulation

Posting of
Modules in the
ARLED
Classroom
Clinical
Simulation

Posting of
Modules in the
ARLED
Classroom
Clinical
Simulation

Posting of
Modules in the
ARLED
Classroom
 ➢ Focal Person:
▪ Respective CIs per RLE group
Clinical
Simulation ✓ usually conducted through
google meet
✓ done before ARLED duty
- attendance
Pre-ARLED - plan of activities
conference - reminders re RLE policies
- materials/clinical duty forms
- creation of links, drives, GC on
messenger
 ➢ Focal Person:
Clinical ▪ Respective CIs per RLE group
Simulation
✓ posting in the google
classroom:
- daily case scenarios
Assigning
Case
- additional forms needed
Scenarios
✓ morning circle & patient
endorsement using Kardex
Clinical
Simulation

Assigning
Case
Scenarios
Clinical
Simulation

Assigning
Case
Scenarios
Clinical
Simulation

Assigning
Case
Scenarios
 ➢ Focal Persons:
Clinical ▪ Respective CIs per RLE group

Simulation ✓ posting in the google

classroom:
- additional forms needed
Knowledge, - Performance Checklists
Skills, - Product Assessment Rubrics
Attitude ✓ supervision of some procedures:
Checks
• medications
• bedside procedures (ex: MHSB)
✓ oral revalida/individual conferece
Clinical
Simulation

Knowledge,
Skills,
Attitude
Checks
 ➢ Focal Person:
Clinical ▪ Respective CIs per RLE group
Simulation
✓ case presentation
✓ case sharing
Post- ✓ post test (written)
ARLED ✓ oral revalida
Conference
✓ feedbacking
✓ submission of other requirements
✓ signing of RLE clearance
Clinical
Simulation

Post-
ARLED
Conference
Clinical
Simulation

Post-
ARLED
Conference
Clinical
Simulation

Post-
ARLED
Conference
Clinical
Simulation

Post-ARLED
Conference
Clinical
Simulation

Post-
ARLED
Conference
Clinical
Simulation

Post-
ARLED
Conference
Clinical
Simulation

Post-ARLED
Conference
 ➢ Focal Person:
Clinical ▪ RLE Coordinator
Simulation ✓ short meeting on last day of
every RLE week
- what went well
- points for improvement
Feedbacking
✓ course audit at end of
every semester
- inputs in crafting learning materials
for upcoming semester
Clinical
Simulation

Feedbacking
Points to Ponder (Harrington & Simon, 2020)
❑ Simulation scenario design
➢ best completed in a stepwise fashion focusing on intended learners,
goals and objectives, gaps to fill, level of fidelity, feedback, and
didactics.

❑ Goal of an educational scenario:

➢ make it challenging enough to be engaging, but not so challenging
that it is frustrating
➢ Know your audience.
Points to Ponder (Harrington & Simon, 2020)

❑ Allow enough time for debriefing sessions

➢ simulation without debriefing solidifies rather than corrects
mistakes and misconceptions

❑ Get feedbacks
➢ affirmation that we are on the right track
➢ modify and fine-tune scenarios for future success
References:

CNU-CN ARLED Module Template

CNU-CN ARLED Modules
CNU-CN ARLED Google Classroom
CNU-CN Level 2 ARLED Team Group Chats
Personal email@cnu.edu.ph
Harrington, DW and Simon LV. 2020. Designing a Simulation Scenario.
https://www.ncbi.nlm.nih.gov/books/NBK547670/

Miller, A. & Guest, K. 2021. Rising to the Challenge: The Delivery of Simulation and Clinical Skills
during COVID-19. Comprehensive Child and Adolescent Nursing, 44(1): 6-14,
DOI: 10.1080/24694193.2021.1883156.