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16.01.2019 09:26

SimE project - Simulation pedagogy in learning ethics in practice in health care

Teija Franck, Riitta-Liisa Lakanmaa, Riikka Teuri, Kati Kulju, Kati Manninen, Gunilla Björling and Jelena Kuznecova

Central Baltic Interreg programme is funding project SimE - simulation pedagogy in learning ethics in practice in health care. The project aims to increase ethical competence among nursing students and prepare professionals to retain an equal and ethical capability within the health-care systems in the Central Baltic region. The project partners are Turku University of Applied Sciences (Finland), The Swedish Red Cross University College (Sweden) and Riga Medical College of University of Latvia (Latvia).

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In Spring 2018 SimE project pilot tested simulation scenario “Breaking the bad news” in ICU unit Turku University Hospital.

The project aim will be achieved by proving a safe and effective learning environment for nursing students to practice complex ethical skills through simulation, discussion and practical training.

The results of the SimE project are three Central Baltic region compatible study courses: 1. Basic theories of Ethics (2 ECTS), 2. Ethical Coffee Room in digital environment (1 ECTS) and 3. Simulation of ethical issues (3ECTS).

Course 1 - Basic ethics in health care (2 ETCS) consists of the basic theories of ethics. Learning methods are online lectures, web seminar and low practice simulations. Course 1 includes essential concepts of ethics: ethics, moral and norms (concept definition) - values (e.g. equality, justice) principles and norms in healthcare and nursing, a comparison of ethical guiding principles and laws in the participant's country, i.e. patients' rights and self-determination, as well as professional ethics and the essential challenges in healthcare, i.e. internationalization, multi-culturalism and refugees (challenges in health care ethics).

Course 2 - Ethical Coffee Room (1 ETC) is arranged during clinical practice in hospital or nursing homes. The students evaluate and discuss together in Ethical Coffee Room (ECR), an electronical platform environment developed for the purpose. The discussions are about ethical issues and dilemmas they meet during their practice. The mentors and teachers supervise the discussions in ECR and give example cases, perspectives and advices to think about regarding ethical questions and solutions. The participants are anonymous while discussing. The ECR includes cases created by teachers and students’ own experiences of situations and dilemmas – discussions based on ethical codes and norms - learning of ethical sensitivity in practice and how to discuss difficult issues.

Course 3 - Ethics in simulations (3 ETCS) consists of six simulation practices. The students have preliminary exercises before the simulation sessions and afterwards they reflect on and discuss about their own ethical sensitivity and competence. The students also practice giving feedback on ethical activity for the peers. During simulation, students experience seldom occured situations where they can act in a professional role, they get feedback of their ethical acting and decision-making and can practice ethical theories.

The SimE project will continue until August 2019.

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SimE project group having a partner meeting in Riga in October 2018. During the meeting visiting local hospital.
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Text by Teija Franck, Riitta-Liisa Lakanmaa, Riikka Teuri, Kati Kulju, Kati Manninen, Gunilla Björling and Jelena Kuznecova


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