The Virtual Gaming Simulation Team
Once you have determined the idea the virtual gaming simulation will focus on, your next step is thinking about the logistics of designing the virtual simulation and the team members that will be involved in the development process. Choosing your team is important to the virtual simulation success.
One of the first steps is to talk with your management team to brainstorm about workload, available resources, and the available budget. For many institutions, there is a limited budget to create virtual simulations. Therefore, educators may need to apply for internal and external grants. The management team may be able to assist you in this step by sharing various grant opportunities and connecting you with individuals to support your goal.
Resource Availability
Reflect on what resources are available to you at your institution (e.g., human resources and equipment) and the budget allocation. The goal is to design a realistic simulation that students feel immersed in the scenario and should be authentic to their clinical experience. To infuse realism within the virtual simulation, you want to choose team members that have experience in the simulation topic, equipment that is used in practice, and a location that mimics the clinical experience.
Team Members
Each phase of the development process will involve different team members. When outlining the scenario, you want to invite diverse educators, experts, and students for their knowledgeable input on the scenario topic. For example, if the virtual gaming simulation is focused on a community home health visit with a client with diabetes, you want to choose educators who teach community nursing, experts in diabetes, and students who have clinical practice in community health. The storyline process will be further discussed in Chapter 2.
Filming and Editing Team Members
Once the first draft of your script is completed, the next step in the development process is filming. The focus changes to the various roles of actors, videographers, editors, and instructional designers. Who you invite and/or hire will depend on resources available at your institution and the budget.
At Centennial College, there is a Theatre Arts and Performance program, a Broadcasting and Film program, and a Script to Screen program that educators can collaborate with when creating virtual simulations. These programs also collaborate with external institutions. Professional actors playing the roles of the clients, care partners, family members, and healthcare providers can enhance the realism of the virtual simulation. Depending on your budget, you can also hire your student actors or ask members of your team to volunteer their time playing smaller roles in the simulation. Acquiring actors will be further discussed in Chapter 3 and filming and editing production in Chapter 4.
Other team members to consider during the filming process are make-up artists and moulage specialists. Once again, your institution may have programs specializing in these areas. For example, Centennial College has a Make-up Artistry course that could help to create moulage effects for the simulation. Depending on the focus of your scenario, you may want to create the illusion of jaundice, or have a client with an open wound, or transform a manikin body part onto an actor to imitate pregnancy or the presence of a tracheostomy. Moulage will be further discussed in Chapter 4.
Simulationist Team Members
Review your script to determine what type of equipment you will need to make the scenes life-like, mimicking the clinical environment. If the client will be on a monitor, think about hiring a simulation technician. If the nurse is going to use documentation or medical equipment (i.e., medical notes, medical images, lab values), think about having an image or incorporating the text on screen. A simulation technician or videographer can help highlight this design element within the virtual gaming simulation.
Another step in the development process is to determine what platform you would like to host your virtual gaming simulation. You can choose a free, open access platform (e.g., Pressbooks, H5P, Affinity) or develop your own platform. Virtual simulation platforms will be further discussed in Chapter 5.
Reflecting upon the topic of your virtual gaming simulation, the logistical steps involved, and your budget can help you to determine who you will invite on the team as team members or consultants.
Educator Reflections
In our role as Simulation Coordinators within the collaborative nursing undergraduate program, our team plays a vital role in collaboration with faculty members in the design and filming of virtual gaming simulations (VGS) for nursing students. We possess a deep understanding of both nursing practice and simulation-based education, allowing us to embrace the art and science of nursing in the creation of realistic and authentic clinical scenarios that align with the learning objectives. Through the use of moulage to create blood, mucous, and other interesting body fluids and creative use of lab equipment and props, we create an immersive experience that has a realism that reflects real-life. We constantly seek feedback from faculty to ensure that the supplies and equipment that we provide are up to date with current practice. There is never a dull moment in the world of simulation!
~ Raquel Lashley-Trambulo, RN, BScN, MN(c) Professional Practice and Simulation Coordinator
Steps in Developing a Virtual Gaming Simulation
This is an example of a timeline of developing a virtual gaming simulation. This is what our team has used in the past and re-adapt with each project depending on the content and team. We hope this begins to ignite your ideas!
Additional Resources
International Nursing Association for Clinical Simulation and Learning (INACSL): Healthcare Simulation Standards of Best Practice™
The Healthcare Simulation Standards of Best PracticeTM Professional Integrity outlines the criteria each member on the virtual simulation design team should uphold to ensure ethical behaviours and foster a safe team environment.
If you are collaborating with an interprofessional (IP) team, the Healthcare Simulation Standards of Best PracticeTM Simulation-Enhanced Interprofessional Education may help with your IP virtual simulation design.
References
Bowler, F., Klein, M., & Wilford, A. (2021). Healthcare Simulation Standards of Best PracticeTM Professional Integrity. Clinical Simulation in Nursing, 58, 45–48. https://doi.org/10.1016/j.ecns.2021.08.014
Rossler, K., Molloy, M. A., Pastva, A. M., Brown, M., & Xavier, N. (2021). Healthcare Simulation Standards of Best PracticeTM Simulation-Enhanced Interprofessional Education. Clinical Simulation in Nursing, 58, 49–53. https://doi.org/10.1016/j.ecns.2021.08.015