#WeMDT - Thursday 22nd February 2018 8pm (GMT Standard Time) Experiences of simulation based education - HEE TEL

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This chat is guest hosted by @NHSE_TEL

With simulation-based education in healthcare growing in both popularity and usage, Health Education England (HEE) has recognised the need for a nationally consistent approach that will encourage innovation, enable equity of access, whilst also providing value for money and ensuring the delivery of best practice. A national strategy is therefore being developed that will be locally led and delivered.  The drivers for the strategy are based on the Department of Health TEL wheel.



In this #WeMDT chat, we will explore the opportunities for simulation in your specialties and roles, its implications for ever-increasing inter-disciplinary, multi-professional teams, and what impact you feel this will have on your training moving forward.

As part of our ongoing work, we want to learn about your experiences within SBE, how you feel it has helped you develop in your career and how you would like to see it further developed, in order to ensure that everyone has a share of voice in the development of the strategy.   

·               Give your views on what needs to be included within the HEE strategic approach

·               Share your experiences of simulation training





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 Chat Summary

 

The discussion kicked off by asking if we understand the role of simulation:










Question 2 asked about accessibility:

 






Question 3 explored the range of simulation:









The discussion then turned to applying feedback received during simulation:






Question 5 asked about how effective simulation is:







Question 6 was all about MDT learning:









Thoughts then turned to good examples:












The last question asked what people would like to see more or less of:












One participant created a poll during the discussion.. the results are here:



Thank you to all who took part in the discussion





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 #WeMDT transcript

 
@WeNurses
22 February 2018 20:00
 Hello wonderful tweeting people Welcome to tonights #WeMDT discussion with the fab @HEE_TEL Please tweet us a greeting if you are joining us for the next hour ... lurkers too! https://t.co/vc3n5SLshv
@AgencyNurse
22 February 2018 20:00
 Hello Teresa here - ready to talk about simulation #WeMDT https://twitter.com/WeNurses/status/966764563797630976
@WeAHPs
22 February 2018 20:01
 Hello #WeMDT https://twitter.com/WeNurses/status/966764563797630976
@WeMidwives
22 February 2018 20:01
 RT @WeNurses: Hello wonderful tweeting people Welcome to tonights #WeMDT discussion with the fab @HEE_TEL Please tweet us a greeting if…
@JosephinePhysio
22 February 2018 20:01
 RT @WeAHPs: Hello #WeMDT https://twitter.com/WeNurses/status/966764563797630976
@nohandsup
22 February 2018 20:01
 @WeNurses @HEE_TEL Hello fellow Tweeters! #WeMDT
@WeNurses
22 February 2018 20:01
 Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #WeMDT to all of your tweets as we go through the Tweetchat ... as then we can all see each other :D https://t.co/Gj640640VD
@WeMidwives
22 February 2018 20:01
 Hello there #WeMDT https://twitter.com/WeNurses/status/966764563797630976
@WeNurses
22 February 2018 20:01
 Hello and welcome #WeMDT https://twitter.com/nohandsup/status/966764884284329985
@Marina_IH
22 February 2018 20:02
 @WeNurses @HEE_TEL Hello, Marina here! #WeMDT
@WeMidwives
22 February 2018 20:02
 RT @WeNurses: Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #We…
@WeAHPs
22 February 2018 20:02
 RT @WeNurses: Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #We…
@WeDocs
22 February 2018 20:02
 RT @WeNurses: Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #We…
@JosephinePhysio
22 February 2018 20:02
 RT @WeNurses: Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #We…
@WeNurses
22 February 2018 20:02
 Lets get started with QUESTION 1 - do we understand the role of simulation ? #WeMDT https://t.co/coquoc9wct
@RichardPriceUK
22 February 2018 20:02
 Good evening #WeMDT! Richard from the #HEETEL team here, joining you from a cold and frosty East Yorkshire ???? I'm a learning technologist currently playing with VR and AR for simulation in my spare time.
@WeNurses
22 February 2018 20:02
 @Marina_IH @HEE_TEL Hi Marina - welcome #WeMDT
@safety_mark
22 February 2018 20:02
 @WeAHPs Hello Mark here from @NWSEN in North West :) #WeMDT
@gingernutter88
22 February 2018 20:02
 Evening ?? #WeMDT
@RunnerNursePhil
22 February 2018 20:02
 @WeNurses @HEE_TEL Hi @HEE_TEL #WeMDT
@K_G_Spearpoint
22 February 2018 20:02
 @WeNurses @HEE_TEL Good evening #WeMDT
@WeAHPs
22 February 2018 20:03
 First question #WeMDT https://twitter.com/WeNurses/status/966765172823150592
@cathy_physio
22 February 2018 20:03
 RT @WeNurses: Tonights #WeMDT discussion will be exploring simulation ... and your experiences of what works well Don't forget to add #We…
@WeMidwives
22 February 2018 20:03
 Question 1 #WeMDT https://twitter.com/WeNurses/status/966765172823150592
@WeDocs
22 February 2018 20:03
 RT @WeNurses: Lets get started with QUESTION 1 - do we understand the role of simulation ? #WeMDT https://t.co/coquoc9wct
@WeNurses
22 February 2018 20:04
 Welcome Richard #WeMDT https://twitter.com/RichardPriceUK/status/966765228863250434
@WeNurses
22 February 2018 20:04
 Glad you could join us #WeMDT https://twitter.com/NWSEN/status/966765250803568640
@NHSE_TEL
22 February 2018 20:04
 @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@WeNurses
22 February 2018 20:05
 @K_G_Spearpoint @HEE_TEL evening #WeMDT
@AgencyNurse
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@safety_mark
22 February 2018 20:05
 @sirmanfer @WeNurses Q1) Personally I think there is no clear understanding of it - people think its only manikins :( #WeMDT
@WeMidwives
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@WeAHPs
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@WeNurses
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@WeDocs
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@WeMHNurses
22 February 2018 20:05
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@RitchieGeorgina
22 February 2018 20:05
 #WeMDT good evening everyone- I’m tweeting/ lurking / bathing 2 children !
@tracyPSC
22 February 2018 20:06
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@AgencyNurse
22 February 2018 20:06
 @NWSEN @sirmanfer @WeNurses a good point - people think that simulation is all high tech stuff #WeMDT
@WeNurses
22 February 2018 20:06
 RT @NWSEN: @sirmanfer @WeNurses Q1) Personally I think there is no clear understanding of it - people think its only manikins :( #WeMDT
@nohandsup
22 February 2018 20:06
 @WeNurses No... I think there is misunderstanding and scepticism regarding the parity-of-esteem with what some refer to as 'real learning' #wemdt
@eleni_keogh
22 February 2018 20:06
 RT @WeNurses: Lets get started with QUESTION 1 - do we understand the role of simulation ? #WeMDT https://t.co/coquoc9wct
@WeNurses
22 February 2018 20:07
 What are other thoughts on this #WeMDT https://twitter.com/nohandsup/status/966766244702629888
@safety_mark
22 February 2018 20:07
 @AgencyNurse @sirmanfer @WeNurses think that is another issue people think it is technical …rather than educational #WeMDT
@HeatherBain9
22 February 2018 20:07
 What do you mean by simulation #weMDT , I think it means different things to different people https://twitter.com/wenurses/status/966765172823150592
@WeNurses
22 February 2018 20:07
 @RitchieGeorgina hello and welcome - thats quite a bit of multitasking there ! #WeMDT
@sirmanfer
22 February 2018 20:08
 @WeNurses #hellomynameis Sam @HEE_TEL #WeMDT https://twitter.com/wenurses/status/966764563797630976
@RunnerNursePhil
22 February 2018 20:08
 @WeNurses No, the role of simulation is still seen by a lot of people as a task trainer when it can and should be so much more. #WeMDT
@WeNurses
22 February 2018 20:08
 RT @HeatherBain9: What do you mean by simulation #weMDT , I think it means different things to different people https://twitter.com/wenurses/status/966765172823150592
@RichardPriceUK
22 February 2018 20:08
 @WeNurses Simulation to me, means: Simulating real practice in a safe, consequence-free, supportive learning environment. #WeMDT What about the delivery though? So many exciting ways of doing this!
@JonathanCliffe8
22 February 2018 20:08
 @WeNurses Useful article about simulation based learning I found interesting - #WeMDT https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2966567/
@WeNurses
22 February 2018 20:08
 @HeatherBain9 what does it mean to you Heather? #WeMDT
@RunnerNursePhil
22 February 2018 20:08
 RT @HeatherBain9: What do you mean by simulation #weMDT , I think it means different things to different people https://twitter.com/wenurses/status/966765172823150592
@WeNurses
22 February 2018 20:08
 @sirmanfer @HEE_TEL welcome Sam #WeMDT
@K_G_Spearpoint
22 February 2018 20:09
 @WeNurses No, Many see sim education as a panacea #WeMDT Some see it as a technology Some think it is all about the scenario & don’t fully understand the critical learning role of the debrief
@susan_speirs
22 February 2018 20:09
 @WeNurses This is true I think sometimes it is hard for people to take simulated learning seriously and see the proper benefits in it at times #WeMDT
@safety_mark
22 February 2018 20:09
 @HEE_TEL @sirmanfer @WeNurses Inform and give a clear message …why do we still refer to clinical skills and simulation ? its a spectrum of simulation #WeMDT
@WeAHPs
22 February 2018 20:09
 Nice definition #WeMDT https://twitter.com/RichardPriceUK/status/966766630213693441
@tracyPSC
22 February 2018 20:09
 RT @JonathanCliffe8: @WeNurses Useful article about simulation based learning I found interesting - #WeMDT https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2966567/
@Midwife_VC
22 February 2018 20:09
 @WeMidwives Think individuals role, depends on their understanding but as a whole no, it is not clearly understood #WeMDT
@WeMidwives
22 February 2018 20:09
 All good points #WeMDT https://twitter.com/K_G_Spearpoint/status/966766811256688640
@AgencyNurse
22 February 2018 20:10
 RT @NWSEN: @AgencyNurse @sirmanfer @WeNurses think that is another issue people think it is technical …rather than educational #WeMDT
@WeNurses
22 February 2018 20:10
 It's time for another QUESTION .... lets call this QUESTION 2 (as it's the second question!) It's all about accessibility of simulation based education: #WeMDT https://t.co/XF0g5LbSUI
@WeMidwives
22 February 2018 20:10
 RT @Midwife_VC: @WeMidwives Think individuals role, depends on their understanding but as a whole no, it is not clearly understood #WeMDT
@JonathanCliffe8
22 February 2018 20:11
 @WeNurses Simulation-based learning can be a way to develop health professionals’ knowledge, skills, and attitudes, whilst protecting patients from unnecessary risks. #WeMDT
@WeAHPs
22 February 2018 20:11
 Is simulation easily accessible in your organisation ? #WeMDT https://twitter.com/WeNurses/status/966767091578793994
@Midwife_VC
22 February 2018 20:11
 @NWSEN @WeNurses @sirmanfer Not helped by language used; low fidelity SIM, high fidelity SIM #WeMDT
@clarepricedowd
22 February 2018 20:11
 @WeNurses @WeNurses #WeMDT No, think it's often misunderstood or confused with 'role play'
@WeMidwives
22 February 2018 20:11
 What are your thoughts ? #WeMDT https://twitter.com/WeNurses/status/966767091578793994
@safety_mark
22 February 2018 20:11
 @WeNurses That depends on the definition …but typically it is cherry picked for certain staff /grades #WeMDT
@jomwlever
22 February 2018 20:11
 @WeNurses @HEE_TEL Evening all, sorry I'm a bit late. Jo here joining you from Greater Manchester. Probably going to be lurking mostly #WeMDT
@NHSE_TEL
22 February 2018 20:11
 @susan_speirs @WeNurses Interesting- do you think people don't understand its impact?#WeMDT
@WeLDnurses
22 February 2018 20:12
 Great point .... are there any downsides? #WeMDT https://twitter.com/JonathanCliffe8/status/966767297628135424
@HeatherBain9
22 February 2018 20:12
 @WeNurses Simulating practice in a safe environment, but I’m wondering what people think of virtual words #wemdt
@WeMidwives
22 February 2018 20:12
 Great point do we need to rethink this? #WeMDT https://twitter.com/Midwife_VC/status/966767368448987137
@MidwiferySHU
22 February 2018 20:12
 @WeMidwives The short answer is no #WeMDT
@safety_mark
22 February 2018 20:12
 @Midwife_VC @WeNurses @sirmanfer Fidelity is the second most misused word after the word simulation ! #WeMDT
@WeNurses
22 February 2018 20:13
 #WeMDT https://twitter.com/HEE_TEL/status/966767699928993793
@WeNurses
22 February 2018 20:13
 @jomwlever @HEE_TEL latecomers and lurkers most welcome #WeMDT
@WeNurses
22 February 2018 20:13
 RT @WeLDnurses: Great point .... are there any downsides? #WeMDT https://twitter.com/JonathanCliffe8/status/966767297628135424
@safety_mark
22 February 2018 20:13
 @HEE_TEL @Midwife_VC @WeNurses @sirmanfer because it is a spectrum of activity it maybe that we just need beep to understand it is simulation …#WeMDT
@WeNurses
22 February 2018 20:14
 Great question - what do people think about virtual worlds? #WeMDT https://twitter.com/HeatherBain9/status/966767647147921408
@HeatherBain9
22 February 2018 20:14
 It’s certainly is but the demand for its use is high #wemdt so therefore it’s potential is limited https://twitter.com/wenurses/status/966767091578793994
@NHSE_TEL
22 February 2018 20:14
 @JonathanCliffe8 @WeNurses The positive impact of simulation training and education? #WeMDT
@safety_mark
22 February 2018 20:14
 @WeNurses great we have a Virtual Hospital in the NW have used it for Dr training, midwives and mental health#WeMDT
@AgencyNurse
22 February 2018 20:14
 RT @HeatherBain9: It’s certainly is but the demand for its use is high #wemdt so therefore it’s potential is limited https://twitter.com/wenurses/status/966767091578793994
@RichardPriceUK
22 February 2018 20:14
 @WeMidwives It's the same problem IT professionals had (still have?) of using complex language to describe a concept. Those in 'the business' need to make language more accessible. Why are Apple products so popular? Because they have lost the 'techy' language and simplified interface #WeMDT
@WeNurses
22 February 2018 20:15
 Sounds fab #WeMDT https://twitter.com/NWSEN/status/966768243636654080
@K_G_Spearpoint
22 February 2018 20:15
 @WeNurses Yes, perhaps use ‘authenticity’ or ‘realism’ instead of technological language like ‘fidelity’ #WeMDT
@Marina_IH
22 February 2018 20:15
 @NWSEN @WeNurses @sirmanfer I think we can change this by the power of example, to show the healthcare professionals what really is simulation based training, to actually participate, to be involved, to learn on your own "skin". Otherwise can be just presumed.#WeMDT
@WeNurses
22 February 2018 20:15
 #WeMDT https://twitter.com/sirmanfer/status/966768305288761344
@RunnerNursePhil
22 February 2018 20:15
 @WeNurses Accessible? May need some defining #WeMDT . Some professions have to have Sim but getting others to attend, despite it being there is very different.
@WeNurses
22 February 2018 20:16
 Would this terminology be better ? #WeMDT https://twitter.com/K_G_Spearpoint/status/966768359365857281
@WeNurses
22 February 2018 20:16
 It's time for QUESTION 3 - What range of simulation is on offer in your organisation? #WeMDT https://t.co/g4uFz8AByI
@WeNurses
22 February 2018 20:16
 Good points - does anyone else see this happening ? #WeMDT https://twitter.com/RunnerNursePhil/status/966768553125928960
@RichardPriceUK
22 February 2018 20:16
 @HeatherBain9 @WeNurses Do you mean like Second Life type 3D virtual environments? #WeMDT. Honestly, I tried them and hated them but... the technology has moved on considerably in the past couple of years. Exciting possibilities of virtual reality headsets in simulation!
@WeNurses
22 February 2018 20:16
 RT @RichardPriceUK: @HeatherBain9 @WeNurses Do you mean like Second Life type 3D virtual environments? #WeMDT. Honestly, I tried them and h…
@Midwife_VC
22 February 2018 20:17
 RT @WeNurses: Thank you for sharing this ... a good read before tonights #WeMDT on Simulation https://twitter.com/nohandsup/status/966724138252603392
@WeDocs
22 February 2018 20:17
 Has anyone had experience of this? What did you think? #WeMDT https://twitter.com/RichardPriceUK/status/966768713826471936
@safety_mark
22 February 2018 20:17
 @RichardPriceUK @HeatherBain9 @WeNurses There are pros and cons ……but you can run a scenario their …I’m waiting for VR in second life though :)#WeMDT
@sirmanfer
22 February 2018 20:17
 #WeMDT get points @K_G_Spearpoint https://twitter.com/wenurses/status/966768567223029761
@RunnerNursePhil
22 February 2018 20:17
 @WeNurses Possibly the biggest challenge for @HEE_TEL is to get the compulsory standard for #MedEd imbedded in all HCProfessions so it becomes the norm #WeMDT
@sminaev2015
22 February 2018 20:17
 RT @HEE_TEL: @WeNurses Evening everyone. Welcome to our SIM chat this evening. #WeMDT
@schoolnurse17
22 February 2018 20:17
 These are great suggestions #WeMDT https://twitter.com/Marina_IH/status/966768402919559169
@WeNurses
22 February 2018 20:18
 An interesting point - how do we overcome this? #WeMDT https://twitter.com/susan_speirs/status/966769061198692352
@NHSE_TEL
22 February 2018 20:18
 @K_G_Spearpoint @WeNurses I feel a glossary of terms might be beneficial to us all. #WeMDT
@Midwife_VC
22 February 2018 20:19
 @HEE_TEL @NWSEN @WeNurses @sirmanfer It may help people to u understand what is meant. #WeMDT
@AgencyNurse
22 February 2018 20:19
 mmm maybe - but who has time to read this ?? Perhaps plain english ?? #WeMDT https://twitter.com/HEE_TEL/status/966769218686521345
@susan_speirs
22 February 2018 20:19
 @WeNurses We use simulation at my uni esp in final year alongside medical students,tutors will simulate different emergencies&see how we react #WeMDT
@WeMidwives
22 February 2018 20:19
 Question 3 is up !! #WeMDT https://twitter.com/WeNurses/status/966768573279539201
@JennieW14
22 February 2018 20:19
 There are lots of examples of simulation in use, however there is such great potential to increase the use of this teaching/learning technique #WeMDT https://twitter.com/WeNurses/status/966768573279539201
@safety_mark
22 February 2018 20:19
 @HEE_TEL @K_G_Spearpoint @WeNurses But it is also about how others use the terms i.e. simulation for behaviouristic training can put people off more immersive simulation #WeMDT
@WeCYPnurses
22 February 2018 20:20
 Q3 #WeMDT https://twitter.com/WeNurses/status/966768573279539201
@WeNurses
22 February 2018 20:20
 This sounds good ... how do students find it? #WeMDT https://twitter.com/susan_speirs/status/966769503207149571
@safety_mark
22 February 2018 20:20
 @JennieW14 all this depends on the definition …..if you are talking clinical skills, face to face sims online learning then yes ..but could be more #WeMDT
@WeNurses
22 February 2018 20:21
 Some great tweets and experiences being shared so far QUESTION 4 is right here - it asks about application of feedback: #WeMDT https://t.co/HSvFs0YIGq
@WeNurses
22 February 2018 20:21
 #WeMDT https://twitter.com/K_G_Spearpoint/status/966769667959336960
@Midwife_VC
22 February 2018 20:21
 @NWSEN @WeNurses Definitely agree with this statement #WeMDT
@nohandsup
22 February 2018 20:21
 @WeNurses As a student we have some practical clinical skills sessions that are taught in a simulated ward environment. We have also been assessed using volunteer patient actors. I'm the adult field course rep & everyone wants more sim practice of clinical skills #WeMDT
@safety_mark
22 February 2018 20:22
 @AEKemp_Tony @HeatherBain9 @WeNurses No safety is more from a constructionist perspective that the learners feel we won’t ridicule them - without that we won’t know why they did something #WeMDT
@WeNurses
22 February 2018 20:22
 So if everyone wants more - we are guessing they find it valuable ? #WeMDT https://twitter.com/nohandsup/status/966770008696279041
@WeNurses
22 February 2018 20:22
 #WeMDT https://twitter.com/samanthaclare/status/966769991122063360
@HeatherBain9
22 February 2018 20:22
 @RGUNandM #wemdt does this too. The students value this teaching method, but not easy to achieve in large cohorts https://twitter.com/wenurses/status/966769758820593664
@WeNurses
22 February 2018 20:22
 #WeMDT https://twitter.com/Sim2AP/status/966770118515724288
@WeNurses
22 February 2018 20:23
 RT @HeatherBain9: @RGUNandM #wemdt does this too. The students value this teaching method, but not easy to achieve in large cohorts https:/…
@K_G_Spearpoint
22 February 2018 20:23
 Great question, one that is critical to successful ‘sim’ education - should also include the learning outcomes being applied to clinical practice Kirkpatrick Level 3 & 4 #WeMDT https://twitter.com/wenurses/status/966769816043364352
@RichardPriceUK
22 February 2018 20:23
 @susan_speirs @WeNurses Good to hear that simulation is multi-disciplinary and not just for doctors or nurses. I think that's the essence of simulation - making it accessible to all, simulating reality but being able to learn from mistakes! #WeMDT
@sirmanfer
22 February 2018 20:23
 More #simulations in Post Reg Nursing and ODP programmes than undergraduate nursing #weMDT https://twitter.com/wenurses/status/966768573279539201
@AgencyNurse
22 February 2018 20:23
 @HeatherBain9 @RGUNandM so what happens with larger cohorts ? #WeMDT
@JonathanCliffe8
22 February 2018 20:23
 @WeNurses I think effective debrief & reflection from any simulation based learning can allow for development of professional practice... both positives & negatives should be taken from simulation. #WeMDT
@safety_mark
22 February 2018 20:23
 @HeatherBain9 @RGUNandM thats why we need to think about breaking down the learning and using other domains to augment face to face sessions #WeMDT
@JennieW14
22 February 2018 20:23
 @NWSEN Agreed, simulation can take many forms & has many definitions. It is about using the right technique for the educational purpose. We need to master the educational jargon to enhance clarity between education providers #WeMDT
@WeMidwives
22 February 2018 20:23
 Question 4 #WeMDT https://twitter.com/WeNurses/status/966769816043364352
@Marina_IH
22 February 2018 20:23
 @susan_speirs @HEE_TEL @WeNurses Yes, is difficult to "trick" the brain in this case, because we respond different in a real case, but as professionals i think we need to focus and to think that this can save lives when "real think" happends. #WeMDT
@clarepricedowd
22 February 2018 20:24
 @WeNurses @WeNurses #WeMDT @NHSLeadership simulate board mtgs & range of situations snr execs may find themselveslves in, gr8 for more than clinical
@WeAHPs
22 February 2018 20:24
 Here is Q4 #WeMDT https://twitter.com/WeNurses/status/966769816043364352
@nohandsup
22 February 2018 20:24
 @wenurses The @nmcnews has proposed that up to half of the current 2300 practice learning hours for student nurses can be replaced with simulation activities. What are your thoughts on this? #WeMDT
@safety_mark
22 February 2018 20:24
 @WeMidwives ? Do you mean I have used what I have learnt ? - then yes and know others do too :) #WeMDT
@louiseb_6
22 February 2018 20:25
 @WeNurses Simulation-based education is an effective training tool, as it enables you to develop knowledge and skills, without risking patient safety in the process. #WeMDT
@susan_speirs
22 February 2018 20:25
 @WeNurses Yes and when it is more than just nurses but rather collaboration it is truer to the reality of working day to day #WeMDT
@WeNurses
22 February 2018 20:25
 In other simulation a good quality debrief has always featured highly ... what is a good quality debrief ? #WeMDT https://twitter.com/JonathanCliffe8/status/966770459378376704
@safety_mark
22 February 2018 20:25
 @louiseb_6 @WeNurses and don’t forget behaviours …and using simulation to develop the organisation too :) #WeMDT
@HeatherBain9
22 February 2018 20:26
 #wemdt @RGUNandM has a great source of volunteer patients. However community setting needs to be promoted more, and we should not be inpatient focussed. Healthcare involves all people across lifespan in many settings https://twitter.com/nohandsup/status/966770008696279041
@RunnerNursePhil
22 February 2018 20:26
 @K_G_Spearpoint Several graduates of yours here tonight (first time I’ve said that!) #WeMDT There are lots of variety in education some good some very poor
@WeNurses
22 February 2018 20:26
 An excellent question ?? #WeMDT https://twitter.com/nohandsup/status/966770656485498881
@RichardPriceUK
22 February 2018 20:26
 @nohandsup @WeNurses @nmcnews Yes, I've heard this before. Is there capacity in the system to even offer this? Even if it was possible to offer it, would clinicians want it and would it be as good as doing the 'real thing'? #WeMDT
@JonathanCliffe8
22 February 2018 20:27
 @WeNurses Found simulation based learning during pre-reg very useful, not only helped with knowledge of practical elements but boosted confidence in a skill which prepared me for practice & then post reg #WeMDT
@WeNurses
22 February 2018 20:27
 wow that sounds brilliant #WeMDT https://twitter.com/samanthaclare/status/966770962216734725
@safety_mark
22 February 2018 20:27
 @WeNurses think we need to think about who will coordinate this as its hours in practice …..#WeMDT
@ShazzaHudson
22 February 2018 20:27
 @WeNurses For me the benefits of simulation are the opportunity to share and learn from peers i.e. in this situation this is how I would behave' then have the safe opportunity to critically analyse #WeMDT
@sarah_janemad
22 February 2018 20:27
 RT @K_G_Spearpoint: @WeNurses Yes, perhaps use ‘authenticity’ or ‘realism’ instead of technological language like ‘fidelity’ #WeMDT
@Midwife_VC
22 February 2018 20:27
 @susan_speirs @HEE_TEL @WeNurses It's also when you get comments like: "I'm not an actor" & "I'd never do... in real life" #WeMDT
@nohandsup
22 February 2018 20:27
 @wenurses A lot of experienced nurses I have spoken to are sceptical of increased simulation time - 'you need to be on the ward' or 'hands-on' is a common response. Yet there is evidence to suggest that nurses who have more sim time have improved clinical competency #WeMDT
@safety_mark
22 February 2018 20:28
 @Midwife_VC @susan_speirs @HEE_TEL @WeNurses thats just a defensive reaction though …..and to be expected ..#WeMDT
@sarah_janemad
22 February 2018 20:28
 RT @K_G_Spearpoint: @WeNurses No, Many see sim education as a panacea #WeMDT Some see it as a technology Some think it is all about the sc…
@RunnerNursePhil
22 February 2018 20:28
 @WeNurses We provide a diverse range of Sim. The key is support from specialities and professions to support delivery. If anyone asks to set up simulation my first question is what do you want to achieve and second is how do you want me to support you #weMDT
@irnbrufan
22 February 2018 20:28
 @WeNurses I believe simulations is very useful but should be in addition to practice hours not in place of. #WeMDT
@WeNurses
22 February 2018 20:29
 Are you ready for QUESTION 5 ? It's all about how effective simulations is ? (Is there any evidence out there re this?) #WeMDT https://t.co/Os32FfURu5
@AgencyNurse
22 February 2018 20:29
 fascinating - is it because we don't fully understand simulation? (old nurse here and we had very little simulation in our training) #WeMDT https://twitter.com/nohandsup/status/966771568188841984
@JonathanCliffe8
22 February 2018 20:29
 @WeNurses Highlighting what went well, what didn’t go well & what could be done better... the facilitator of the simulation & fellow peers observing should also offer their opinion as observing a simulation can be just as important as participating #WeMDT
@HeatherBain9
22 February 2018 20:29
 @AgencyNurse @RGUNandM #wemdt split into smaller groups but resource intensive, therefore less of it
@louiseb_6
22 February 2018 20:29
 @WeNurses Yes, as student Nurses we practised in a simulated ward environment, and were able to develop skills to use in clinical practice. This was a very useful and safe way of learning new skills and developing confidence prior to practising them in 'real-life'. #WeMDT
@WeNurses
22 February 2018 20:29
 What do other people think ? #WeMDT https://twitter.com/irnbrufan/status/966771811190001669
@nohandsup
22 February 2018 20:29
 @WeNurses Yes, absolutely. Every time I seek feedback from the cohort for the termly representatives meeting the issue of more clinical skills practice comes up again and again #WeMDT
@AgencyNurse
22 February 2018 20:30
 @HeatherBain9 @RGUNandM so by default they get less opportunity ? #WeMDT
@K_G_Spearpoint
22 February 2018 20:30
 A learning conversation conducted with psychological safety, facilitated discussion, cueing & probing, advocacy with inquiry, no use of leading questions, listening to the participant’s view of their performance...#WeMDT https://twitter.com/wenurses/status/966771007972356096
@clarepricedowd
22 February 2018 20:30
 #weMDT seems a bit much, can we get the range of exposures needed to develop? Richness of diversity could be lessened https://twitter.com/wenurses/status/966771195176767489
@WeAHPs
22 February 2018 20:30
 Question 5 #WeMDT https://twitter.com/WeNurses/status/966771828776615936
@WeMidwives
22 February 2018 20:30
 Thoughts ? #WeMDT https://twitter.com/WeNurses/status/966771828776615936
@jomwlever
22 February 2018 20:30
 @nohandsup @WeNurses @nmcnews Not sure. I agree that there is a place for simulation training. Up to half practice hours sounds a lot. Students need to see how nurses manage workload for real during a shift. Not sure simulation can reflect this yet.#WeMDT
@HeatherBain9
22 February 2018 20:30
 #wemdt Have no problem with it if managed, but resource intensive - financial and staff https://twitter.com/nohandsup/status/966770656485498881
@JonathanCliffe8
22 February 2018 20:30
 @nohandsup @WeNurses I think they’re needs to be a balance of the two, especially in terms of pre reg programmes. #WeMDT
@WeGPNs
22 February 2018 20:30
 Question 5 #WeMDT https://twitter.com/WeNurses/status/966771828776615936
@charlMidwife
22 February 2018 20:30
 @WeNurses I have found simulation week SO useful, it is a safe environment to practice stressful scenarios. Only gripe is I wish we practised emergencies from yr 1 #WeMDT
@K_G_Spearpoint
22 February 2018 20:31
 @sarah_janemad Uni of Herts https://www.herts.ac.uk/courses/msc-health-and-medical-simulation #WeMDT
@safety_mark
22 February 2018 20:31
 @WeGPNs Very ……..its also developed me by teaching with sim too#WeMDT
@AgencyNurse
22 February 2018 20:31
 wow a simulation week !! That sounds brilliant #WeMDT https://twitter.com/CharleneSTMW/status/966772314695233537
@nohandsup
22 February 2018 20:31
 @WeNurses I think apps are a potentially exciting area of development. Any time, any place, no requirement for specialist equipment or staff...#WeMDT https://t.co/Y0Nx8xYyLT
@WeNurses
22 February 2018 20:32
 #WeMDT https://twitter.com/HEE_TEL/status/966772574041575431
@safety_mark
22 February 2018 20:32
 @nohandsup @WeNurses loads of interesting domains for simulation just understand and link to learning outcomes :)#WeMDT
@sarah_janemad
22 February 2018 20:32
 @nohandsup @WeNurses Really interesting exactly what I’m trying to look - how we can measure it in real terms ? as I know it works, ive seem improvement in confidence & clinical competence / proficiency - @K_G_Spearpoint is there a way to measure outcome ? #WeMDT
@susan_speirs
22 February 2018 20:32
 @Midwife_VC @HEE_TEL @WeNurses Yeah & I think sometimes people react like that out of embarrassment& often times it isn't correctly explained to them e.g why do it #WeMDT
@safety_mark
22 February 2018 20:33
 @HEE_TEL @Midwife_VC @susan_speirs @WeNurses and often lack of understanding of expectations too #WeMDT
@RichardPriceUK
22 February 2018 20:33
 @CharleneSTMW @WeNurses Do you think there is a place for personal sim kits for healthcare students? Would that have been useful to you when studying? For example, I bought a Google Cardboard for £3 on eBay and can now create my own demo simulations using a 360 camera and a smartphone #WeMDT
@RunnerNursePhil
22 February 2018 20:33
 @K_G_Spearpoint #WeMDT focused on the scenario with careful facilitation allowing for some relevant deviation. Also not to ignore any elephants but address non judgementally
@K_G_Spearpoint
22 February 2018 20:33
 In a limited sense, very formative, but debriefing / feedback skills were often under-developed and not fully understood. #WeMDT https://twitter.com/wegpns/status/966772282113904640
@RichardPriceUK
22 February 2018 20:34
 @nohandsup @WeNurses Personal simulation, for anytime, anywhere practice? I like that idea! #WeMDT
@charlMidwife
22 February 2018 20:34
 RT @AgencyNurse: wow a simulation week !! That sounds brilliant #WeMDT https://twitter.com/CharleneSTMW/status/966772314695233537
@nohandsup
22 February 2018 20:34
 @jomwlever @WeNurses @nmcnews This longitudinal study tracked over 600 student nurses who had 10%, 25% or 50% of their practice learning hrs as simulation. There was no statistically significant difference between the groups in terms of clinical competency or manager ratings #WeMDT https://www.ncsbn.org/685.htm
@AgencyNurse
22 February 2018 20:34
 woooaahhh what ?? wow !!! but would they get the same benefit from creating as they do from doing ?? #WeMDT https://twitter.com/RichardPriceUK/status/966772912349962241
@charlMidwife
22 February 2018 20:34
 @AgencyNurse We have everyone year where we practice various skills, it’s brill! @CU_HLS @CovUniLecturers #WeMDT
@NHSE_TEL
22 February 2018 20:34
 @CharleneSTMW @WeNurses What did a week's worth of sim look like? #WeMDT
@WeNurses
22 February 2018 20:35
 We are over 1/2 way through ... time for another question.. QUESTION 6 asks what about MDT learning ? #WeMDT https://t.co/AX2ta9n3t6
@HeatherBain9
22 February 2018 20:35
 Simulation should mirror the practice situation so if managed/planned in this way learning should be equal to in practice with the bonus of planned time to debrief #wemdt https://twitter.com/jomwlever/status/966772231610216454
@charlMidwife
22 February 2018 20:35
 RT @HEE_TEL: @CharleneSTMW @WeNurses What did a week's worth of sim look like? #WeMDT
@louiseb_6
22 February 2018 20:35
 @HEE_TEL @WeNurses I found it most beneficial yes, being able to practise in a simulated ward environment where skills were demonstrated and you were able to practise them, helped me a lot. It allowed me to feel more confident as a result. #WeMDT
@Midwife_VC
22 February 2018 20:35
 RT @irnbrufan: @WeNurses I believe simulations is very useful but should be in addition to practice hours not in place of. #WeMDT
@AgencyNurse
22 February 2018 20:35
 @CharleneSTMW @CU_HLS @CovUniLecturers gosh it sounds it !! Learning from eachother along the way too #WeMDT
@sarah_janemad
22 February 2018 20:35
 @WeNurses Lots of tool to use out there -I like this one #WeMDT https://t.co/J6BN4V9g9a
@ShazzaHudson
22 February 2018 20:36
 @nohandsup @WeNurses @nmcnews 'Yikes' initially. How do you learn the nuance of human interaction for example in end of life care? Essential skills? - Yes Complex human interaction amd the confidence for this? - It's a start but not the whole picture #WeMDT
@safety_mark
22 February 2018 20:36
 @WeNurses Barriers are larger numbers, sometimes people are props ….but benefits are learning about what other professions do as well as opportunity to develop own professional identity #WeMDT
@RichardPriceUK
22 February 2018 20:36
 @AgencyNurse "The best way to learn is to teach" #WeMDT Students build their own virtual reality scenarios using their smartphone and then can share them with their peers via cheap Google Cardboard headsets.
@WeNurses
22 February 2018 20:36
 Thanks for sharing #WeMDT https://twitter.com/sarah_janemad/status/966773562580389888
@AgencyNurse
22 February 2018 20:36
 RT @RichardPriceUK: @AgencyNurse "The best way to learn is to teach" #WeMDT Students build their own virtual reality scenarios using their…
@jomwlever
22 February 2018 20:36
 @patientsafe3 @PennineAcuteNHS @PEFPennineAcute @SalfordRoyalNHS @COSMakin @Ex_Acute @dcshock @danwilljo @GavinWild @ChrisMulryan we are talking about Simulation training & applying learning in practice. Have you got any comments? #WeMDT https://twitter.com/nohandsup/status/966772534585823232
@charlMidwife
22 February 2018 20:36
 @HEE_TEL @WeNurses This year it was simulating obstetric emergencies in our new sim building - shoulder dystocia, haemorrhage, breech birth, neonatal and maternal resus, cord prolapse And estimating blood loss. Essential - I feel I know what to do now #WeMDT
@K_G_Spearpoint
22 February 2018 20:36
 @sarah_janemad @nohandsup @WeNurses Authenticity / realism is key to success, as a stepping-stone, in developing transferable skills. Also important to set up the context of simulation based learning. Outcomes readily measures through Kirkpatrick method of educational evaluation. #WeMDT
@charlMidwife
22 February 2018 20:36
 RT @AgencyNurse: @CharleneSTMW @CU_HLS @CovUniLecturers gosh it sounds it !! Learning from eachother along the way too #WeMDT
@AgencyNurse
22 February 2018 20:36
 @RichardPriceUK sounds ace #WeMDT
@HeatherBain9
22 February 2018 20:36
 @nohandsup @WeNurses #wemdt I’m interested in this as a learning opportunity but not sure we can argue this is simulation that could be classed as practice hours.
@JonathanCliffe8
22 February 2018 20:36
 Those that work together should train together #WeMDT #BetterBirths https://twitter.com/wenurses/status/966773339015409664
@K_G_Spearpoint
22 February 2018 20:37
 RT @RunnerNursePhil: @K_G_Spearpoint #WeMDT focused on the scenario with careful facilitation allowing for some relevant deviation. Also no…
@WeAHPs
22 February 2018 20:37
 Question 6 #WeMDT https://twitter.com/WeNurses/status/966773339015409664
@RunnerNursePhil
22 February 2018 20:37
 @WeNurses Positives, realisation by the participants that an F1 doc is feeling the same feelings as the preceptor Nurse/ newly qualified physio etc. We work as a team so need to train together too. So many more... #WeMDT
@WeMidwives
22 February 2018 20:37
 #WeMDT https://twitter.com/WeNurses/status/966773339015409664
@NHSE_TEL
22 February 2018 20:37
 @louiseb_6 @WeNurses Sounds like it achieved the desired outcome you wanted. Great stuff. #WeMDT
@charlMidwife
22 February 2018 20:37
 @HEE_TEL @WeNurses 1st year was normal labour, admitting a woman on to labour ward, taking a history, performing abdominal palpation etc #WeMDT
@clarepricedowd
22 February 2018 20:37
 @WeNurses @WeNurses #WeMDT shared understanding, appreciation of each others pressures, bettter use if skills
@WeDocs
22 February 2018 20:37
 Q6 #WeMDT https://twitter.com/WeNurses/status/966773339015409664
@WeSchoolNurses
22 February 2018 20:38
 question 6 #WeMDT https://twitter.com/WeNurses/status/966773339015409664
@safety_mark
22 February 2018 20:38
 @HeatherBain9 @nohandsup @WeNurses Don’t tell that to astronauts who learn by or pilots who learn and are passed off using simulation :) #WeMDT
@AgencyNurse
22 February 2018 20:38
 RT @JonathanCliffe8: Those that work together should train together #WeMDT #BetterBirths https://twitter.com/wenurses/status/966773339015409664
@charlMidwife
22 February 2018 20:38
 @RichardPriceUK @WeNurses I can’t imagine how it works #WeMDT
@ShazzaHudson
22 February 2018 20:39
 @WeNurses I can't see any negative. So much of my learning comes from my therapy, social work and medical colleagues #WeMDT #WeMDT
@safety_mark
22 February 2018 20:39
 @ShazzaHudson @WeNurses Its only really the cost that makes it difficult to facilitate #WeMDT
@NHSE_TEL
22 February 2018 20:39
 @CharleneSTMW @WeNurses That sounds amazing. Is once a year enough? #WeMDT
@RunnerNursePhil
22 February 2018 20:40
 @WeNurses This does largely come down to the education of the facilitator however #WeMDT
@WeNurses
22 February 2018 20:40
 RT @clarepricedowd: @WeNurses @WeNurses #WeMDT shared understanding, appreciation of each others pressures, bettter use if skills
@charlMidwife
22 February 2018 20:40
 @HEE_TEL @WeNurses I feel I have to reiterate that Practising in a life like situation but without real life at stake was so essential for building confidence in skills #WeMDT
@MidwiferySHU
22 February 2018 20:40
 @WeMidwives "skills and drills" obstetric emergencies common for midwifery students (and qualified midwives and other members of the MDT as part of annual mandatory training) and play a substantial and vital role in increasing competency and confidence #WeMDT
@clarepricedowd
22 February 2018 20:40
 RT @JonathanCliffe8: Those that work together should train together #WeMDT #BetterBirths https://twitter.com/wenurses/status/966773339015409664
@charlMidwife
22 February 2018 20:40
 RT @HEE_TEL: @CharleneSTMW @WeNurses That sounds amazing. Is once a year enough? #WeMDT
@Sim2AP
22 February 2018 20:40
 RT @RunnerNursePhil: @K_G_Spearpoint #WeMDT focused on the scenario with careful facilitation allowing for some relevant deviation. Also no…
@AgencyNurse
22 February 2018 20:40
 A good point well made #WeMDT https://twitter.com/NWSEN/status/966774147291467777
@safety_mark
22 February 2018 20:40
 @RunnerNursePhil @WeNurses the most important thing in simulation …the faculty !#WeMDT
@Midwife_VC
22 February 2018 20:40
 @samanthaclare @UWEBristol There are some amazing facilities out there @KUStGeorges has a flat & back of ambulance. Issue is that there is a complete range & at other end of scale, you need a good imagination.?? #WeMDT
@RichardPriceUK
22 February 2018 20:41
 @CharleneSTMW @WeNurses A colleague of mine in the US created these on her phone and they work with Google Cardboard. Not quite medical simulations but I think they're pretty cool as a learning tool :-) #WeMDT @MelMilloway http://melslearninglab.com/seattle-scenes/
@charlMidwife
22 February 2018 20:41
 @HEE_TEL @WeNurses No it’s not but I think it’s difficult timetabling it in for more than one week per year and fitting more in with the hours we work. I’ve asked for more though! #WeMDT
@WeNurses
22 February 2018 20:41
 Thanks for sharing Richard #WeMDT https://twitter.com/RichardPriceUK/status/966774870750187520
@WeMidwives
22 February 2018 20:41
 RT @WeNurses: Thanks for sharing Richard #WeMDT https://twitter.com/RichardPriceUK/status/966774870750187520
@ShazzaHudson
22 February 2018 20:41
 @NWSEN @WeNurses Does our service design create the cost pressure? #WeMDT
@K_G_Spearpoint
22 February 2018 20:41
 Huge #patientsafety advantages to a shared learning experience inter / intra professional working. Helps develop better understanding of respective job roles etc. #WeMDT https://twitter.com/weschoolnurses/status/966774136679878656
@MidwiferySHU
22 February 2018 20:41
 @WeNurses Overwhelmingly positive, but is dependent somewhat on the facilitator #WeMDT
@nohandsup
22 February 2018 20:42
 @wenurses There appears to be a huge amount of variation in placement learning for student nurses. Could increased simulation time help to mediate this variation and ensure improved consistency of experiences/clinical skills #WeMDT
@samanthaclare
22 February 2018 20:42
 @Midwife_VC @UWEBristol @KUStGeorges I think it must really put new HCPs minds at rest instead of having to walk into a ward/place completely unfamiliar with it. #wemdt
@Ismalia_S
22 February 2018 20:42
 @WeNurses It certaintly develops the workforce if we all learn with each other! More skilled and knowledgable staff, more able to work as a team. All better for patients!! For eg, we have a MDT Foundation stroke course @ImperialNHS @JenniferNCrow @Louisepenny87 @KCollinsSLT #WeMDT
@WeNurses
22 February 2018 20:42
 An excellent point and one to consider more ... what makes a good simulation facilitator ?? #WeMDT https://twitter.com/MidwiferySHU/status/966775098505154560
@charlMidwife
22 February 2018 20:42
 @RichardPriceUK @WeNurses @MelMilloway That’s amazing! I can see some merit in that for obstetric emergencies #WeMDT
@sarah_janemad
22 February 2018 20:43
 @WeNurses Or #debrief tools - there are ones that have more evidence than others -@K_G_Spearpoint @NWSEN may know the best ones #WeMDT https://t.co/sP5XFhKXAz
@WeNurses
22 February 2018 20:43
 Brilliant - thanks for sharing #WeMDT https://twitter.com/sarah_janemad/status/966775388620967936
@louiseb_6
22 February 2018 20:43
 @WeNurses I found it to be very useful and i did refer back to simulation ward learning experiences when dealing with patients. However, ultimately the most effective way of developing skills is with real patients. But SEL is very useful. #WeMDT
@safety_mark
22 February 2018 20:43
 @WeNurses Same as any skill ..training, feedback and CPD !#WeMDT
@WeNurses
22 February 2018 20:44
 QUESTION 7 (and can we say what great hashtaggers you all are this evening!) Any good examples out there ?? #WeMDT https://t.co/g5xqxOTct4
@RunnerNursePhil
22 February 2018 20:44
 RT @NWSEN: @RunnerNursePhil @WeNurses the most important thing in simulation …the faculty !#WeMDT
@WeMidwives
22 February 2018 20:44
 Some great examples already shared ... any more ? #WeMDT https://twitter.com/WeNurses/status/966775604283658240
@WeAHPs
22 February 2018 20:44
 RT @WeNurses: QUESTION 7 (and can we say what great hashtaggers you all are this evening!) Any good examples out there ?? #WeMDT https:…
@WeHealthVisitor
22 February 2018 20:44
 Question 7 #WeMDT https://twitter.com/WeNurses/status/966775604283658240
@jomwlever
22 February 2018 20:45
 @WeNurses I have experienced learning with folk from other professions. ? it, helps collaborative working, understanding each other's roles & perspective too & breaks down us & them culture. Only negative might be potentially high number of individuals in the group for learning #WeMDT
@safety_mark
22 February 2018 20:45
 @WeNurses we are rolling out a Simulation programme for FY Doctors across NW as well as training staff it is identifying organisational and national issues ! which are being followed up #WeMDT
@HeatherBain9
22 February 2018 20:45
 RT @WeNurses: Brilliant - thanks for sharing #WeMDT https://twitter.com/sarah_janemad/status/966775388620967936
@Sim2AP
22 February 2018 20:45
 RT @NWSEN: @WeNurses Same as any skill ..training, feedback and CPD !#WeMDT
@WeNurses
22 February 2018 20:46
 Thanks for sharing Jo .. sounds like you have had some positive experiences #WeMDT https://twitter.com/jomwlever/status/966775875982282752
@sirmanfer
22 February 2018 20:46
 #WeMDT @WeNurses improvement in communication https://twitter.com/wenurses/status/966771828776615936
@WeNurses
22 February 2018 20:46
 RT @sirmanfer: #WeMDT @WeNurses improvement in communication https://twitter.com/wenurses/status/966771828776615936
@louiseb_6
22 February 2018 20:46
 @WeNurses I think Simulation learning has been helpful and effective for me, because it gave me some confidence and skills ahead of actually carrying out tasks on the ward. For me, it was a very positive in my learning & skill development. #WeMDT
@AgencyNurse
22 February 2018 20:46
 RT @WeMidwives: Some great examples already shared ... any more ? #WeMDT https://twitter.com/WeNurses/status/966775604283658240
@WeNurses
22 February 2018 20:46
 #WeMDT https://twitter.com/Ismalia_S/status/966776283253411841
@Ismalia_S
22 February 2018 20:47
 #WeMDT https://twitter.com/Ismalia_S/status/966776283253411841
@nohandsup
22 February 2018 20:47
 @WeNurses After simulation-based moving and handling training I felt much more confident and understood how to use equipment safely when out on my first placement... from simple slidesheets to hoists and hovermat #WeMDT
@charlMidwife
22 February 2018 20:47
 I think the 7th C should be #collaboration and I can’t think of a negative, the more we talk and share together the safer the care gets for women / patients #WeMDT https://twitter.com/weschoolnurses/status/966774136679878656
@WeNurses
22 February 2018 20:47
 Thats brilliant to hear Louise #WeMDT https://twitter.com/louiseb_6/status/966776276148158464
@MidwiferySHU
22 February 2018 20:47
 @WeNurses Agree - provides a safe environment for practice and ongoing feedback and feed forward #WeMDT
@samanthaclare
22 February 2018 20:48
 @Donnagreenhhft and @shazza270760 well worth taking a look at the #WeMDT hashtag tonight as they’re looking at simulation training. https://twitter.com/wenurses/status/966764563797630976
@sirmanfer
22 February 2018 20:48
 #WeMDT @WeNurses novice can feel intimidated https://twitter.com/wenurses/status/966773339015409664
@WeNurses
22 February 2018 20:49
 #WeMDT https://twitter.com/NWSEN/status/966776813597929473
@Midwife_VC
22 February 2018 20:49
 @WeMidwives @MaudsleySim great example of MDT training together: https://m.youtube.com/watch?v=VWzRiE7wD4s #WeMDT
@WeNurses
22 February 2018 20:49
 RT @sirmanfer: #WeMDT @WeNurses novice can feel intimidated https://twitter.com/wenurses/status/966773339015409664
@jomwlever
22 February 2018 20:49
 @WeNurses Yes, recently did an Immediate Life Support study day thanks to @dcshock . His leadership was fab & he set us scenarios we may each see in practice depending on environment & speciality & role. Gained confidence #WeMDT
@RunnerNursePhil
22 February 2018 20:49
 @WeNurses We have begun in-situ Sim. Early days but already identified areas for changes in practice with particular patient management. Also used sim to assist in rolling out some Diabetes and Endocrine initiatives #WeMDT
@WeNurses
22 February 2018 20:49
 Good point - how do we minimise the risk of this being a problem ? #WeMDT https://twitter.com/sirmanfer/status/966776842588913664
@WeNurses
22 February 2018 20:50
 #WeMDT https://twitter.com/NWSEN/status/966777077805600769
@JonathanCliffe8
22 February 2018 20:50
 @sirmanfer @WeNurses Agree - facilitators should be mindful of this #WeMDT
@sarah_janemad
22 February 2018 20:50
 @WeNurses We run ALERT for Preceptees, often after they don’t feel confident - 3 staff from same ward requested more education - we gave them a series of sims over 8 weeks & monitored their actions management / escalation of pts afterwards - huge improvements ???? #WeMDT
@WeNurses
22 February 2018 20:51
 Wow sounds fab ... how is it going down with participants ? #WeMDT https://twitter.com/RunnerNursePhil/status/966777037095661568
@AlresfordBear
22 February 2018 20:51
 Or illusions of it for CPD. #WeMDT https://twitter.com/WeNurses/status/966777194696540160
@katieteachie
22 February 2018 20:51
 RT @WeSchoolNurses: question 6 #WeMDT https://twitter.com/WeNurses/status/966773339015409664
@samanthaclare
22 February 2018 20:51
 @Ismalia_S @nohandsup @WeNurses @nmcnews Ask your nearest friendly NHS librarian to do a literature search for you! #wemdt
@sarah_janemad
22 February 2018 20:51
 @WeNurses Now looking to a more sim based deteriorating Pt corse instead combined with pre course online module #WeMDT
@WeNurses
22 February 2018 20:51
 What a fab idea #WeMDT https://twitter.com/sarah_janemad/status/966777280738529285
@K_G_Spearpoint
22 February 2018 20:51
 @sarah_janemad @WeNurses @NWSEN Many debriefing cognitive aids out there, more a case of what suits your own style. I use a hybrid, based on the brilliant work of Jenny Rudolph > @GetCuriousNow #WeMDT
@WeNurses
22 February 2018 20:51
 Absolutely !! #WeMDT https://twitter.com/samanthaclare/status/966777462909734912
@WeNurses
22 February 2018 20:52
 Our final question for this evening is QUESTION 8 What would you like to see more of (or even less of!) re simulation based education ? #WeMDT https://t.co/vsz6I884zl
@WeAHPs
22 February 2018 20:52
 Last Question #WeMDT https://twitter.com/WeNurses/status/966777617788661762
@WeMidwives
22 February 2018 20:52
 Question 8 #WeMDT https://twitter.com/WeNurses/status/966777617788661762
@RunnerNursePhil
22 February 2018 20:53
 @WeNurses Tentatively positive. Have some reluctance but anything new does. To achieve has meant a lot of hard work in preparing and some acceptance by the team that some days it may just not happen. Patient needs do come first. #WeMDT
@JennieW14
22 February 2018 20:53
 Often helpful to group learners with a similar level of expereince. Helps encourage people to work togther and learn together #WeMDT https://twitter.com/WeNurses/status/966777077499400192
@safety_mark
22 February 2018 20:53
 @WeNurses less clipboards used in simulation #WeMDT …mandatory behaviouristic simulation can put people off simulation#WeMDT
@Ewout1985
22 February 2018 20:53
 RT @WeNurses: Lets get started with QUESTION 1 - do we understand the role of simulation ? #WeMDT https://t.co/coquoc9wct
@irnbrufan
22 February 2018 20:53
 @WeNurses Only negative if poorly organised, no negatives with the concept, We work as an MDT so why not learn as one? #WeMDT
@WeNurses
22 February 2018 20:53
 Well that sounds good ... hope it progresses well as time goes on #WeMDT https://twitter.com/RunnerNursePhil/status/966777882981879809
@WeNurses
22 February 2018 20:54
 An excellent point #WeMDT https://twitter.com/irnbrufan/status/966778043611144192
@safety_mark
22 February 2018 20:54
 @JennieW14 although opportunity to work with more senior staff /grades can offer insight too ?#WeMDT
@samanthaclare
22 February 2018 20:54
 @sarah_janemad @WeNurses That sounds amazing - did you write it up? #WeMDT
@K_G_Spearpoint
22 February 2018 20:54
 @sarah_janemad @WeNurses @NWSEN As a constructivist educator, I tend to favour debriefing models that sit on top of the work of Kolb and other reflective adult learning concepts. #WeMDT
@sarah_janemad
22 February 2018 20:54
 @WeNurses More Interprofesisonal Sim - across the board students, HCAs, FY1s etc learning together - we don’t work in silos - we are we training in them ? #WeMDT
@MidwiferySHU
22 February 2018 20:54
 @WeNurses Studies evaluated effectiveness of skills training. Evidence associated with improvements in clinical outcomes (e.g. reduction in neonatal injury following training to manage shoulder dystocia; decrease ‘diagnosis to delivery’ interval in cord prolapse) #WeMDT
@RichardPriceUK
22 February 2018 20:54
 @WeNurses As a facilitator, I'd like to see more use of Virtual and Augmented Reality but I appreciate it's not everyone's cup of tea :-) ?? #WeMDT
@nohandsup
22 February 2018 20:54
 @wenurses Can I do a poll whilst we're at it! How much of the current 2300hrs of practice learning time for registration should student nurses spend doing simulation activities? #WeMDT
@AlresfordBear
22 February 2018 20:55
 @RichardPriceUK @WeNurses It isnt. There are no brewed plants. #WeMDT
@WeNurses
22 February 2018 20:55
 Yes of course you can ... poll here folks > #WeMDT https://twitter.com/nohandsup/status/966778357617709057
@sirmanfer
22 February 2018 20:56
 #WeMDT @WeNurses more sim to break down culture submissive barriers https://twitter.com/wenurses/status/966777617788661762
@Lerounxi
22 February 2018 20:56
 @WeNurses Definitely more! Recently taken part in a wider MDT approach to a trauma call simulation with multi specialities nurses, doctors and AHP’s. It shows how we all tried to approach our desired outcomes and collate our approach collaboratively in a safe learning environment! #WeMDT https://t.co/ysRfN32yMd
@RunnerNursePhil
22 February 2018 20:56
 @RichardPriceUK @WeNurses How do you apply it to sim? #WeMDT seen lots of VR task trainers but don’t understand how a team can train in a Sim environment using vr
@RichardPriceUK
22 February 2018 20:56
 @WeNurses Microsoft's Hololens is a great example of augmented reality being used in medical education - anatomy training. (Sorry for cheesy video link! ??) #WeMDT https://www.youtube.com/watch?v=h4M6BTYRlKQ
@sarah_janemad
22 February 2018 20:56
 @samanthaclare @WeNurses Thank you ! No I haven’t - time ?? I’m doing a lot with Sim at moment - we just did a live IPL sim around Human Factors & im designing a really interesting one with Dieticians next week - so may well write that up in future as it’s fairly new idea #WeMDT
@WeNurses
22 February 2018 20:57
 3 minutes until the end of tonights discussion ... what are your key take-a-ways and / or final points ?? #WeMDT https://t.co/4FKJdjidGK
@nohandsup
22 February 2018 20:57
 @samanthaclare @Ismalia_S @WeNurses @nmcnews There is shed-loads (academic term) of literature on simulation and nurse education - generally positive. In one paper I read students described sim as being 'better than, or commensurate with' some placement-based learning #WeMDT
@WeNurses
22 February 2018 20:57
 We don't mind a bit of cheese :D #WeMDT https://twitter.com/RichardPriceUK/status/966778837244809217
@WeMidwives
22 February 2018 20:57
 What are your key take-a-way points ? #WeMDT https://twitter.com/WeNurses/status/966778875433766912
@WeAHPs
22 February 2018 20:58
 RT @WeMidwives: What are your key take-a-way points ? #WeMDT https://twitter.com/WeNurses/status/966778875433766912
@AgencyNurse
22 February 2018 20:58
 RT @WeMidwives: What are your key take-a-way points ? #WeMDT https://twitter.com/WeNurses/status/966778875433766912
@safety_mark
22 February 2018 20:58
 @WeMidwives that i’m glad I attended tonight its always enthusing :)#WeMDT
@WeNurses
22 February 2018 20:58
 heheeh #WeMDT https://twitter.com/samanthaclare/status/966779267311861762
@louiseb_6
22 February 2018 20:58
 @WeNurses I think that learning within the MDT has more positives than negatives. An understanding and respect for everyone's role within the team and their contribution to the learning, the differing levels of skill and expertise would enhance learning. #WeMDT
@JennieW14
22 February 2018 20:59
 @NWSEN Definately. A good reason for using a mixed approach, but learners with a similar skill set/level of expereince can help ease the nerves of those new to simulation. The choice of approach depends on the learning objectives for the session. #WeMDT
@WeNurses
22 February 2018 20:59
 @NWSEN @WeMidwives great to have you join us #WeMDT
@WeNurses
22 February 2018 20:59
 #WeMDT https://twitter.com/clarepricedowd/status/966779381627617281
@RunnerNursePhil
22 February 2018 20:59
 @WeNurses Would love to see more acceptance of sim and more in-situ to develop more than NT HF and move into the systems design testing the whole system and possibly leading to redesign to improve pt care and user experience #WeMDT
@sarah_janemad
22 February 2018 21:00
 RT @sirmanfer: #WeMDT @WeNurses more sim to break down culture submissive barriers https://twitter.com/wenurses/status/966777617788661762
@RichardPriceUK
22 February 2018 21:00
 @RunnerNursePhil @WeNurses I think it could probably be made to work in a team environment but the more practical use would be in a solo learning environment. #WeMDT
@NHSE_TEL
22 February 2018 21:00
 @WeNurses For me its the concept of a Sim Week and how valuable it is to have the time and space to participate. #WeMDT
@Midwife_VC
22 February 2018 21:00
 @WeMidwives More MDT training,including all roles.Can take some coordination but why not start this approach as students,too often people are role playing "others" roles this can put people off as spend too much brain time thinking,I'm a ..., but what should I be saying / doing as... #WeMDT
@WeNurses
22 February 2018 21:00
 We liked this concept too #WeMDT https://twitter.com/HEE_TEL/status/966779763879800833
@jomwlever
22 February 2018 21:00
 @WeMidwives I would like more opportunity for simulation training. I believe the anaesthetists use simulation training where I work & I hope multi-professional training will happen one day, as in theatres we are a multi-professional team who would be likely there at a patient event #WeMDT
@WeNurses
22 February 2018 21:01
 Thats all for this evening lovely tweeting folk .... THANK YOU to everyone who took part and shared their experiences, ideas and thoughts A special THANK YOU to the @HEE_TEL team for being such fab experts in the room tonight #WeMDT https://t.co/doftXu6wU2
@RunnerNursePhil
22 February 2018 21:01
 @RichardPriceUK @WeNurses Would love to know more #WeMDT
@safety_mark
22 February 2018 21:01
 @WeNurses @HEE_TEL Thank you for co hosting too#WeMDT
@WeNurses
22 February 2018 21:02
 Join us on Tuesday for another #WeMDT discussion: Essential skills for networks for health & care > https://buff.ly/2EItA6e With the fab @LizMaddocks & @RobCockburn1 https://t.co/oHsFtC81iT
@sarah_janemad
22 February 2018 21:02
 @WeMidwives Lots of like minded sim enthusiasts out there???? #WeMDT
@G_ONeill10
22 February 2018 21:02
 RT @WeNurses: Join us on Tuesday for another #WeMDT discussion: Essential skills for networks for health & care > https://t.co/TSqBfYqH0…
@RichardPriceUK
22 February 2018 21:02
 @WeNurses @HEE_TEL A great chat tonight folks! Thanks for letting me join you and discuss simulation and learning technology :-) #WeMDT
@sarah_janemad
22 February 2018 21:03
 RT @WeNurses: Join us on Tuesday for another #WeMDT discussion: Essential skills for networks for health & care > https://t.co/TSqBfYqH0…
@katieteachie
22 February 2018 21:03
 #WeMDT Sim training improves team work and communication. If we work together then we should train together. https://twitter.com/weschoolnurses/status/966774136679878656
@WeNurses
22 February 2018 21:03
 If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w3IOi
@charlMidwife
22 February 2018 21:03
 RT @WeNurses: We liked this concept too #WeMDT https://twitter.com/HEE_TEL/status/966779763879800833
@charlMidwife
22 February 2018 21:03
 RT @HEE_TEL: @WeNurses For me its the concept of a Sim Week and how valuable it is to have the time and space to participate. #WeMDT
@NHSE_TEL
22 February 2018 21:03
 Thank you to everyone for taking part tonight and sharing your thoughts. #WeMDT
@sarah_janemad
22 February 2018 21:03
 @WeNurses @HEE_TEL Thank you ! another awesome chat #WeMDT ????
@RunnerNursePhil
22 February 2018 21:04
 @WeNurses Thanks @HEE_TEL @WeNurses #weMDT great chat tonight
@RunnerNursePhil
22 February 2018 21:04
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@Marina_IH
22 February 2018 21:05
 @WeNurses @HEE_TEL Thank you! Great chat tonight!#WeMDT
@RichardPriceUK
22 February 2018 21:06
 @RunnerNursePhil @WeNurses It's more of a hobby for me at the moment but plenty of professional examples out there. @MoorOfALife is doing some amazing patient perspective virtual reality simulation - will try and find a link to share #WeMDT
@schoolnurse17
22 February 2018 21:06
 Thank you great discussion #WeMDT
@sarah_janemad
22 February 2018 21:06
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@AgencyNurse
22 February 2018 21:06
 Great discussion #WeMDT
@louiseb_6
22 February 2018 21:06
 @ShazzaHudson @WeNurses Absolutely agree. Colleagues from all areas of the MDT all have a valuable role within the team and we can all learn from one another. #WeMDT
@jomwlever
22 February 2018 21:07
 @WeNurses @sarah_janemad @HEE_TEL Thank you very much for a virtually real great chat ?? #WeMDT
@NHSE_TEL
22 February 2018 21:08
 If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@pauljebb1
22 February 2018 21:08
 @WeNurses More multi professional simulation #WeMDT
@Sim2AP
22 February 2018 21:08
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@DvhSimulation
22 February 2018 21:09
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@AgencyNurse
22 February 2018 21:09
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@WeNurses
22 February 2018 21:09
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@WeMidwives
22 February 2018 21:10
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@dazman78
22 February 2018 21:10
 Missed the discussion as was heading home from a clinical shift ?? but look forward to catching up on the conversation ?? #WeMDT Modern simulation has big potential to support #Ptexp #ptsafety #communication skills ???? https://twitter.com/weahps/status/966758938053173249
@NursePatty6
22 February 2018 21:12
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@C4STL_NU
22 February 2018 21:12
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@samanthaclare
22 February 2018 21:13
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@eleni_keogh
22 February 2018 21:13
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@RichardPriceUK
22 February 2018 21:14
 @RunnerNursePhil @WeNurses @MoorOfALife #WeMDT Nick is a PHd candidate studying VR in healthcare. This video showcases VR from a patient perspective: https://vimeo.com/119849916 (works best in a VR headset of course!). More info about it here: http://www.wired.co.uk/article/patient-vr-uk-hospital
@HSCCEC
22 February 2018 21:24
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@keiranmbellis
22 February 2018 21:29
 @Deli_1102 @WeNurses Adele, hitting the nail on the head, this is a huge challenge with @UCLanParamedics as they put so much emphasis on the simulation and beat themselves up when it might not go to plan..need to reinforce the learning takes place after and for those observing the practical... #WeMDT
@PUNC14
22 February 2018 21:31
 RT @WeNurses: We don't mind a bit of cheese :D #WeMDT https://twitter.com/RichardPriceUK/status/966778837244809217
@ChristineFurber
22 February 2018 21:39
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@EssexPaulB
22 February 2018 21:51
 RT @WeNurses: Join us on Tuesday for another #WeMDT discussion: Essential skills for networks for health & care > https://t.co/TSqBfYqH0…
@heather_lockett
22 February 2018 22:07
 RT @WeNurses: Essential skills for networks for health & care > https://buff.ly/2GAIGey A #WeMDT discussion with @LizMaddocks & @RobCock…
@emzbry74
22 February 2018 22:09
 @WeNurses #WeMDT it's a practice for placement. Bit when SIMMAN coughs I still jump
@PRHandRSCHMatEd
22 February 2018 22:14
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@PRHandRSCHMatEd
22 February 2018 22:14
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@dazman78
22 February 2018 22:21
 RT @HEE_TEL: If you missed our chat this evening, you can view the summary now. #WeMDT https://twitter.com/WeNurses/status/966780438206468097
@MckeonCarter
22 February 2018 22:22
 RT @WeNurses: An excellent point #WeMDT https://twitter.com/irnbrufan/status/966778043611144192
@missdmharding
22 February 2018 22:38
 RT @WeNurses: If you missed any of tonights #WeMDT on Simulation the transcript is right here > http://www.wecommunities.org/tweet-chats/chat-details/4145 https://t.co/0jGA5w…
@JoHammo81817416
22 February 2018 22:52
 RT @WeNurses: Lets get started with QUESTION 1 - do we understand the role of simulation ? #WeMDT https://t.co/coquoc9wct




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