Ashley Franklin takes us on a fascinating journey through the evolution of healthcare simulation, drawing from her 16 years of experience as a nurse educator who has never taught without simulation technology. As the current president of INACSL (International Nursing Association for Clinical Simulation and Learning), Ashley offers a unique perspective on how simulation bridges the gap between classroom learning and clinical competence.
The conversation buzzes with excitement about the upcoming INACSL 25 Conference in Denver (June 19-22), featuring keynote speakers Dan Weberg and pilot Amelia Earhart, plus a panel on artificial intelligence in nursing education. Ashley shares the heartwarming tradition of hosting shelter pets in the exhibit hall, where conference attendees can decompress with puppy cuddles between sessions. This practice has even led to adoptions by INACSL members in previous years.
We dive deep into the Healthcare Simulation Standards of Best Practice, currently undergoing their sixth iteration with four updated standards being released this summer. Ashley explains how INACSL's endorsement program has recognized 40 high-quality simulation centers across academic and practice settings worldwide, reflecting the organization's commitment to international excellence. Her personal simulation story about first-semester nursing students successfully managing complex fluid and electrolyte scenarios demonstrates the profound impact of well-designed simulation experiences on building student confidence and competence. Ashley leaves us with a powerful message about the importance of speaking up when something isn't working – because modifiable simulation programs lead to better learning outcomes and ultimately, improved patient safety. Connect with Ashley through Texas Christian University or LinkedIn to continue the conversation about advancing healthcare simulation education.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Disclaimer/ UBISim Ad/ Intr (00:00):
The views and opinions expressed in
this program are those of thespeakers and do not necessarily
reflect the opinions orpositions of anyone at
Innovative Sim Solutions or oursponsors.
Ubsim is a proud sponsor of TheSim Cafe podcast and the annual
INASCL Conference taking placein Denver this year from June
(00:22):
19th through the 22nd.
Taking place in Denver thisyear from June 19th through the
22nd.
Recognized as a time-bestinvention, the UBSIM Immersive
VR Simulation Platform empowersnurses to safely develop
clinical judgment, confidenceand a heart for patient-centric
care.
Learn more at UBSIMcom.
That's U-B-I-S-I-M-V-R dot com.
(00:45):
We'll see you in Denver.
Welcome to The Sim Cafe, apodcast produced by the team at
Innovative Sim Solutions, editedby Shelly Houser.
Join our host Deb Tauber andco-host Jerrod Jeffries as they
sit down with subject matterexperts from across the globe to
(01:07):
reimagine clinical educationand the use of simulation.
So pour yourself a cup ofrelaxation, sit back, tune in
and learn something new from TheSim Cafe ne fro th Si C.
Deb Tauber (01:34):
Welcome to another episode of The Sim Cafe.
Today we're here with AshleyFranklin, and we're really
grateful that you're here withus today, Ashley.
We're excited to hear yourstory, and why don't you go
ahead and get started by sharingsome things about yourself and
then your journey intosimulation?
Ashley Franklin (01:48):
Thank you so much for the invitation to join
you.
I am an academic nurse educatorand I live in the Dallas-Fort
Worth area in North Texas andhave facilitated simulation for
about 16 years at two differentschools of nursing, always with
pre-licensure nursing studentsand for about the same amount of
(02:09):
time I've been very involvedwith INASCL, the International
Nursing Association for ClinicalSimulation and Learning, and
have learned a lot as acommittee member and working on
team projects and on the boardof directors and also in my
current role as president ofthat organization.
Deb Tauber (02:26):
Thank you for sharing that and thank you for
your all of your leadershipthere and currently what you're
doing now.
Jerrod Jeffries (02:34):
So I'm curious on both sides of the coin, but
maybe I'll start with some ofthe actual pieces, if you don't
mind, actually.
So first there's I attended theconference last year in Raleigh
, but where is it this year?
And yeah, what's the tea?
Ashley Franklin (02:49):
That's great, yeah.
So our conference is in DenverJune 19th through 22nd and we're
going to be at the SheratonHotel, and I'm really excited
about INASCL 25.
There are pre-con sessions thatare published on our website.
We do a great job of recruitingpeer simulation experts from
(03:13):
other professional associationsto come in, and we all give
pre-con workshops at eachother's meetings, and so that's
always a highlight.
In Denver, the University ofColorado Anschutz Medical Campus
is right downtown, and so theyhave six simulation centers on
their campus across colleges ofnursing and a pediatric hospital
(03:33):
and an adult hospital, and sothere are some very robust.
They're welcoming an Axelconference attendees to learn
about how they do simulation andsome of their unique spaces and
attributes of their program.
There are two great keynotesplanned for an Axel 25.
(03:55):
We always have a keynotefocused on nursing innovation,
and Dan Wieberg is going to givethat keynote.
It's our named keynote sessionfor the Hayden Vanguard
Lectureship, so I'm reallyexcited to learn from him.
And then we have a leadershipmotivational speaker who's
coming in and is not a nurse.
Her name is Amelia Earhart,which is just cool.
(04:17):
And she's also a pilot, and soshe's going to come and we'll
learn from her.
And then our final keynote.
We've gotten in the habit ofdoing a panel with experts who
are more familiar to us, who arenurse educators, and so the
panel this summer will be aroundartificial intelligence, and
Kelly Bryant is going tofacilitate that, and she's a
(04:37):
very engaging speaker, so wehave a great program lined up.
Deb Tauber (04:42):
Yes, so those are the highlights.
Are you guys going to have thepets there there?
Ashley Franklin (04:48):
There are pets on the exhibit hall floor.
We've done that two or threesummers in a row and it's such a
neat way to engage with thecommunity.
I'm usually an animal shelterfrom the local community and I
remember when we were in I thinkRhode Island was the first time
we did it and all the pets theybrought were adopted by our
members and taken home invarious you know airplane travel
(05:09):
or road trips home.
So yes, I'm not sure if it'sdogs and cats, but we always
partner with one of our vendorsto do animal shelter and it's
just good for the soul, you knowwhen you've been in learning
mode all day and you can justhold a puppy or get some puppy
kisses.
They make for cute pictures too.
Deb Tauber (05:27):
That is for sure.
Jerrod Jeffries (05:29):
Well, I also know.
So it's 25 and there's probablysome updates to the Healthcare
Simulation Standards of BestPractice.
Deb Tauber (05:38):
Are those coming out ?
Jerrod Jeffries (05:38):
before the conference, or are they going to
be shared at the conference andif so, how?
Ashley Franklin (05:42):
Yeah, so they'll be shared at the
conference and if so, how?
Yeah, so they'll be shared atthe conference.
In summer of 25, we anticipatereleasing four updated of the
healthcare simulation standardsof best practice, and those are
living documents.
The first were published in2011.
And I believe this is the sixthiteration, and for the last few
years, teams of INASCL membershave partnered with healthcare
(06:06):
science librarians and done foursystematic reviews around the
topics we call cornerstones.
They relate to professionalintegrity and then phases of
simulation for pre-briefing,facilitation and debriefing.
So actually in April, thesystematic reviews will be
published in our journal, whichis clinical simulation and
(06:28):
nursing, and then the updatedstandards with guidelines and
criteria will probably bepublished around July is what I
anticipate.
But at the conference in Junethere are two deep dive pre-con
workshops and they're small.
Only 50 people can register foreach one of them.
One is at the novice level, oneis at a more advanced level,
(06:53):
and then during the conference,the standards committee will
give a concurrent presentationthat has the capacity for a much
bigger audience related tostandards capacity for a much
bigger audience related tostandards.
And I know that othernon-standards committee
simulation experts submittedabstracts that relate to the
healthcare simulation standardsat best practice.
(07:13):
So those are on the conferenceprogram also and the program's
available online.
I actually was looking at it onmy phone.
It's real easy in a mobileformat or on a traditional web
browser.
Deb Tauber (07:25):
Is there anything unique about the new
cornerstones of best practice?
Ashley Franklin (07:29):
Yeah.
So about the standardsspecifically, just to kind of
bridge that, what I appreciateis that we update those
cyclically, and so there arelots of new references that
underpin the standards, and wehaven't done systematic reviews
before.
So we have also added in thelayer of analysis of publication
(07:51):
bias that goes with systematicreviews, the cornerstones of
best practice, since you askedabout that.
Those are educational modulesthat we offer, and we've offered
cornerstones for several yearsaround those topics professional
integrity, pre-briefing,facilitation and debriefing so
those modules came first, andthen the systematic reviews came
(08:13):
second.
What's new in the cornerstones,though, is that this summer
we'll also release advancedcornerstone modules around the
other six of the healthcaresimulation standards of best
practice.
So volunteers from oureducation committee have worked
very hard over the last yearwith a designer to develop those
(08:33):
modules, and they're hosted onour learning management system.
The neat thing aboutCornerstones is they're
asynchronous, completelyself-paced, and an individual
member can do them one at a time, kind of a la carte, or bundle
them together, and we also offerinstitutional pricing.
So if there's a group of fiveor 10 people from the same
(08:55):
institution who want to startthat professional development
journey together, then they canwork together on a bundle of
modules.
So there are new things aboutthe Cornerstones and we're real
excited about them.
Deb Tauber (09:07):
Excellent, thank you .
Now, INASCL's endorsementprogram celebrating three years
in 2025.
Inaskel's endorsement programis celebrating three years in
2025.
So how would you kind ofarticulate the value of the
Inaskel endorsement toadministrators and communities
of interest?
Tell us a little bit about theendorsement for anybody who
might not be familiar with it.
Ashley Franklin (09:28):
The endorsement program is very closely related
to the healthcare simulationstandards of best practice and
it recognizes simulation centersor programs, which is different
than recognizing individuals.
So we recognize simulationcenters, and they can be in
academic settings or in practicesettings who demonstrate high
(09:50):
quality simulation, and so theendorsement program is based on
those four cornerstones, and soprograms put together an
application.
It's like a dossier paperapplication with tons of
artifacts, most often sharedelectronically in Google Drive
or Dropbox or whatever versionof electronic sharing that your
(10:13):
sim center uses.
But centers provide evidence ofhow they operationalize the
healthcare simulation standardsof best practice and then write
a short narrative to kind ofweave together.
Most programs tell the storywith two or three case exemplars
that are like scenarios of howthey orient learners, how they
(10:36):
maintain psychological safety,how they scaffold pre-briefing
and performance criteria acrosstheir simulation program.
The dossier-based applicationdoes not require, like a site
visit, and so that's maybe oneof the pieces that a member
might use to get buy-in fromtheir administrator to apply.
(10:58):
When you apply for an Axelendorsement, we do two
application cycles a year,typically around March and
around like October, and whenyou are endorsed that's good for
three years initially, and soyou mentioned, we're doing our
three-year kind of celebration.
So this is the first year we'redoing re-endorsement with
(11:21):
programs that were in our pilotphase back in 2022.
But we intend for endorsementto be an ongoing thing to
recognize high-qualitysimulation, that sim centers
continue and the re-endorsementapplication isn't quite as large
.
Just kind of narrating whatchanges have happened in the
interim.
(11:41):
And how many programs have beenendorsed to date 40 programs
have been endorsed and theyrepresent academics and practice
settings, and they're not allin the United States either.
So we're very proud of the simcenters that have put together
their dossier to demonstratehigh quality simulation, because
(12:02):
we continue to learn from them,and that's what simulation is
all about.
Jerrod Jeffries (12:07):
I love seeing the bridge you know
internationally and the growthto say, okay, simulation sites
exist outside the US and Axelpushing that direction too, so
well done and excited for thereaccreditation ones as well.
Hopefully there's a goodretention there.
Ashley Franklin (12:20):
You know we had a lot of international focus in
our strategic plan over thelast three years, so this is one
way we've operationalized thatand I love building the
connections.
Deb Tauber (12:31):
Great, great.
Now, Ashley, do you have afavorite simulation story?
A little bit we'll get into alittle bit of you know
simulation and that you havefrom your vast experience.
Ashley Franklin (12:43):
Sure, One of the unique parts of my
simulation journey and journeyas a nurse educator is that I've
never been an educator withoutsimulation.
So I came to simulation in 2008directly from clinical practice
and I had worked in academicmedical centers.
I'm an adult med surge, ICUnurse and I had precepted new
(13:06):
graduates.
I had an initial interest intechnology and then I had an
unexpected love for the pedagogyof simulation.
When I first started Early on,my interest was around helping
students set priorities anddelegate care as they managed
multiple patients concurrently,just like new graduates do.
(13:27):
That's probably the hardestpart of transition to practice
and in the last eight or soyears I've kind of migrated a
few steps back in our academiccurriculum.
So I've facilitated simulationwith first semester med-surg
learners for about eight yearsand I don't know if this is my
(13:47):
favorite simulation experience,but one that happened recently.
At this point in the semesterI'm facilitating scenarios that
are a bit more complex.
We are doing fluid andelectrolyte type concepts in
simulation just last week and mygroup of learners.
We got to the end of ourfour-hour sim block.
They had taken care of threedifferent patients One had
(14:09):
severe dehydration, another hadfluid volume overload and then
we did an anaphylaxis case andat the end of the day my
learners were reflecting andthey said you know what we could
do, that that was hard but wecould do that because of the
preparation materials andbecause of the care planning we
(14:31):
did at home and we came toconsensus on with our groups and
the way that you oriented us tothe room.
We knew the equipment we neededand it was a foreshadow of hey,
you might need to give a fluidbolus and here's how that works.
And so I felt like my learners,even though they were very
young in our curriculum, wereable to see the intentionality
(14:54):
of you, know the instructionaldesign and then also able to
take care of the patients,titrate oxygen, give fluid bolus
, question and order for a fluid, a patient.
That didn't quite make sense.
So it helped us bring togetherconcepts of fluid and
electrolyte that are really hardfor new nurses and they felt
good and they had performancebehaviors that looked pretty
(15:16):
good too.
Jerrod Jeffries (15:17):
So it was just a great day good, that's great,
and I love hearing all thesedifferent stories because, I
mean, I haven't heard somethingwith fluids, electrolytes, uh
and such.
But it's always great to seethe change you and the growth
you see in learners and it comesfrom almost every simulation
and seeing them reflect and andI think that's really rewarding
(15:37):
to be able to experience that.
So thank you.
Ashley Franklin (15:39):
I agree, and it doesn't happen often that they
share that verbally at the endof the day, that they're like,
hey, we did that.
Sometimes they can share it inwriting and a reflection, you
know, but I don't get to seefacial expressions.
And so this young woman was soproud of herself and shared it
with her group and I'll rememberit for a long time.
It was really neat.
(15:59):
You know, we want to improvetheir confidence, but we also
want to improve their skill,performance and their safety,
and she was capturing that.
We did both of those that day.
Deb Tauber (16:11):
Excellent.
Now, Ashley, are there anythings that you'd like to leave
our listeners with any finalwords?
That's a great question.
Ashley Franklin (16:19):
Thanks for asking.
You know what I would say.
I'm so pleased to be able torepresent INASCL in lots of
different venues.
IN has given to me tremendouslyover the last 15 years and I
hope I've returned some of thatsharing and contributions to the
organization.
I guess what I would share isthe importance of high quality
(16:43):
simulation and that that isrelevant across modalities and
across learner groups, forexample, in academic settings
and also in practice settings,and also in practice settings In
my every week experience.
I always want to encouragepeople to speak up when they see
(17:03):
something, to say something,and I think that applies to
learners who are learning how tocommunicate with each other,
but it applies to simfacilitators too, because our
simulation programs aremodifiable.
You know, when we do PDSA cyclesand we evaluate our outcomes
from various different sources,just like my learner's behaviors
(17:26):
are modifiable, that I can helpthem learn to wash their hands
and learn to do skills or learnto communicate with their
patients, I want our simprograms to be modifiable too.
So if something doesn't work,we have to speak up, and I want
all of the simulationists in mycommunity of interest to have
(17:46):
permission to change theirsimulation program as they go
along, especially if they'reevaluating you know, a new
scenario or simulation in a newcourse and the pilot data looks
like it's not working.
I know that speaking up is hard, but that's what I want people
to do, because I think speakingup is going to help us change
our simulation programs.
(18:07):
It's going to help us improvelearner outcomes and ultimately
make the impact of thesimulation we facilitate more
profound so that we can improvepatient safety.
Deb Tauber (18:19):
Thank you, I like that speaking up and it's very,
very true and very importantbecause see something, say
something right, and how can weget better if nobody speaks up?
Ashley Franklin (18:32):
Yeah, totally agree.
Thank you for echoing that.
Thanks for sharing.
Jerrod Jeffries (18:36):
Totally agree.
Thank you for echoing that.
Deb Tauber (18:37):
Thanks for sharing.
Yeah, now, if our listenersactually want to get a hold of
you, where would they get a holdof you If they want to ask
questions about a INASCL orstandards or anything?
Ashley Franklin (18:47):
as president, Sure, so my day job is at Texas
Christian University and thatinformation is really easy to
find on the website.
I use that email every day andI'm very open to somebody
reaching out.
I've tried to be active onLinkedIn and check those
messages as well, so please doreach out because I would love
(19:10):
to help people get plugged intoan Axel or other you know,
nursing education simulationprojects.
Deb Tauber (19:16):
Thank you, Jerrod.
Do you have anything?
Any other questions or?
Jerrod Jeffries (19:20):
No, this is great.
Appreciate all that E was doingand how you're leading them
this year.
So hopefully you have a greatconference in Denver and thanks
for everything you do.
Ashley Franklin (19:31):
Yes, yeah, echo , thank you for what you guys do
as well and for helping ourcolleagues tell their story,
because we can learn a lot fromone another.
Thank you.
Deb Tauber (19:42):
And with that, happy simulating.
Disclaimer/ UBISim Ad/ I (19:45):
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sponsor of this week's Sim Cafeand the annual Naxal Conference.
We'll see you in Denver.
Thanks for joining us here atThe sim cafe.
(20:11):
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Innovative Sim Solutions isyour one-stop shop for your
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A turnkey solution.
The views and opinions expressed in
this program are those of thespeakers and do not necessarily
reflect the opinions orpositions of anyone at
Innovative Sim Solutions or oursponsors.
Ubsim is a proud sponsor of TheSim Cafe podcast and the annual
INASCL Conference taking placein Denver this year from June
(00:22):
19th through the 22nd.
Taking place in Denver thisyear from June 19th through the
22nd.
Recognized as a time-bestinvention, the UBSIM Immersive
VR Simulation Platform empowersnurses to safely develop
clinical judgment, confidenceand a heart for patient-centric
care.
Learn more at UBSIMcom.
That's U-B-I-S-I-M-V-R dot com.
(00:45):
We'll see you in Denver.
Welcome to The Sim Cafe, apodcast produced by the team at
Innovative Sim Solutions, editedby Shelly Houser.
Join our host Deb Tauber andco-host Jerrod Jeffries as they
sit down with subject matterexperts from across the globe to
(01:07):
reimagine clinical educationand the use of simulation.
So pour yourself a cup ofrelaxation, sit back, tune in
and learn something new from TheSim Cafe ne fro th Si C.
Deb Tauber (01:34):
Welcome to another episode of The Sim Cafe.
Today we're here with AshleyFranklin, and we're really
grateful that you're here withus today, Ashley.
We're excited to hear yourstory, and why don't you go
ahead and get started by sharingsome things about yourself and
then your journey intosimulation?
Ashley Franklin (01:48):
Thank you so much for the invitation to join
you.
I am an academic nurse educatorand I live in the Dallas-Fort
Worth area in North Texas andhave facilitated simulation for
about 16 years at two differentschools of nursing, always with
pre-licensure nursing studentsand for about the same amount of
(02:09):
time I've been very involvedwith INASCL, the International
Nursing Association for ClinicalSimulation and Learning, and
have learned a lot as acommittee member and working on
team projects and on the boardof directors and also in my
current role as president ofthat organization.
Deb Tauber (02:26):
Thank you for sharing that and thank you for
your all of your leadershipthere and currently what you're
doing now.
Jerrod Jeffries (02:34):
So I'm curious on both sides of the coin, but
maybe I'll start with some ofthe actual pieces, if you don't
mind, actually.
So first there's I attended theconference last year in Raleigh
, but where is it this year?
And yeah, what's the tea?
Ashley Franklin (02:49):
That's great, yeah.
So our conference is in DenverJune 19th through 22nd and we're
going to be at the SheratonHotel, and I'm really excited
about INASCL 25.
There are pre-con sessions thatare published on our website.
We do a great job of recruitingpeer simulation experts from
(03:13):
other professional associationsto come in, and we all give
pre-con workshops at eachother's meetings, and so that's
always a highlight.
In Denver, the University ofColorado Anschutz Medical Campus
is right downtown, and so theyhave six simulation centers on
their campus across colleges ofnursing and a pediatric hospital
(03:33):
and an adult hospital, and sothere are some very robust.
They're welcoming an Axelconference attendees to learn
about how they do simulation andsome of their unique spaces and
attributes of their program.
There are two great keynotesplanned for an Axel 25.
(03:55):
We always have a keynotefocused on nursing innovation,
and Dan Wieberg is going to givethat keynote.
It's our named keynote sessionfor the Hayden Vanguard
Lectureship, so I'm reallyexcited to learn from him.
And then we have a leadershipmotivational speaker who's
coming in and is not a nurse.
Her name is Amelia Earhart,which is just cool.
(04:17):
And she's also a pilot, and soshe's going to come and we'll
learn from her.
And then our final keynote.
We've gotten in the habit ofdoing a panel with experts who
are more familiar to us, who arenurse educators, and so the
panel this summer will be aroundartificial intelligence, and
Kelly Bryant is going tofacilitate that, and she's a
(04:37):
very engaging speaker, so wehave a great program lined up.
Deb Tauber (04:42):
Yes, so those are the highlights.
Are you guys going to have thepets there there?
Ashley Franklin (04:48):
There are pets on the exhibit hall floor.
We've done that two or threesummers in a row and it's such a
neat way to engage with thecommunity.
I'm usually an animal shelterfrom the local community and I
remember when we were in I thinkRhode Island was the first time
we did it and all the pets theybrought were adopted by our
members and taken home invarious you know airplane travel
(05:09):
or road trips home.
So yes, I'm not sure if it'sdogs and cats, but we always
partner with one of our vendorsto do animal shelter and it's
just good for the soul, you knowwhen you've been in learning
mode all day and you can justhold a puppy or get some puppy
kisses.
They make for cute pictures too.
Deb Tauber (05:27):
That is for sure.
Jerrod Jeffries (05:29):
Well, I also know.
So it's 25 and there's probablysome updates to the Healthcare
Simulation Standards of BestPractice.
Deb Tauber (05:38):
Are those coming out ?
Jerrod Jeffries (05:38):
before the conference, or are they going to
be shared at the conference andif so, how?
Ashley Franklin (05:42):
Yeah, so they'll be shared at the
conference and if so, how?
Yeah, so they'll be shared atthe conference.
In summer of 25, we anticipatereleasing four updated of the
healthcare simulation standardsof best practice, and those are
living documents.
The first were published in2011.
And I believe this is the sixthiteration, and for the last few
years, teams of INASCL membershave partnered with healthcare
(06:06):
science librarians and done foursystematic reviews around the
topics we call cornerstones.
They relate to professionalintegrity and then phases of
simulation for pre-briefing,facilitation and debriefing.
So actually in April, thesystematic reviews will be
published in our journal, whichis clinical simulation and
(06:28):
nursing, and then the updatedstandards with guidelines and
criteria will probably bepublished around July is what I
anticipate.
But at the conference in Junethere are two deep dive pre-con
workshops and they're small.
Only 50 people can register foreach one of them.
One is at the novice level, oneis at a more advanced level,
(06:53):
and then during the conference,the standards committee will
give a concurrent presentationthat has the capacity for a much
bigger audience related tostandards capacity for a much
bigger audience related tostandards.
And I know that othernon-standards committee
simulation experts submittedabstracts that relate to the
healthcare simulation standardsat best practice.
(07:13):
So those are on the conferenceprogram also and the program's
available online.
I actually was looking at it onmy phone.
It's real easy in a mobileformat or on a traditional web
browser.
Deb Tauber (07:25):
Is there anything unique about the new
cornerstones of best practice?
Ashley Franklin (07:29):
Yeah.
So about the standardsspecifically, just to kind of
bridge that, what I appreciateis that we update those
cyclically, and so there arelots of new references that
underpin the standards, and wehaven't done systematic reviews
before.
So we have also added in thelayer of analysis of publication
(07:51):
bias that goes with systematicreviews, the cornerstones of
best practice, since you askedabout that.
Those are educational modulesthat we offer, and we've offered
cornerstones for several yearsaround those topics professional
integrity, pre-briefing,facilitation and debriefing so
those modules came first, andthen the systematic reviews came
(08:13):
second.
What's new in the cornerstones,though, is that this summer
we'll also release advancedcornerstone modules around the
other six of the healthcaresimulation standards of best
practice.
So volunteers from oureducation committee have worked
very hard over the last yearwith a designer to develop those
(08:33):
modules, and they're hosted onour learning management system.
The neat thing aboutCornerstones is they're
asynchronous, completelyself-paced, and an individual
member can do them one at a time, kind of a la carte, or bundle
them together, and we also offerinstitutional pricing.
So if there's a group of fiveor 10 people from the same
(08:55):
institution who want to startthat professional development
journey together, then they canwork together on a bundle of
modules.
So there are new things aboutthe Cornerstones and we're real
excited about them.
Deb Tauber (09:07):
Excellent, thank you .
Now, INASCL's endorsementprogram celebrating three years
in 2025.
Inaskel's endorsement programis celebrating three years in
2025.
So how would you kind ofarticulate the value of the
Inaskel endorsement toadministrators and communities
of interest?
Tell us a little bit about theendorsement for anybody who
might not be familiar with it.
Ashley Franklin (09:28):
The endorsement program is very closely related
to the healthcare simulationstandards of best practice and
it recognizes simulation centersor programs, which is different
than recognizing individuals.
So we recognize simulationcenters, and they can be in
academic settings or in practicesettings who demonstrate high
(09:50):
quality simulation, and so theendorsement program is based on
those four cornerstones, and soprograms put together an
application.
It's like a dossier paperapplication with tons of
artifacts, most often sharedelectronically in Google Drive
or Dropbox or whatever versionof electronic sharing that your
(10:13):
sim center uses.
But centers provide evidence ofhow they operationalize the
healthcare simulation standardsof best practice and then write
a short narrative to kind ofweave together.
Most programs tell the storywith two or three case exemplars
that are like scenarios of howthey orient learners, how they
(10:36):
maintain psychological safety,how they scaffold pre-briefing
and performance criteria acrosstheir simulation program.
The dossier-based applicationdoes not require, like a site
visit, and so that's maybe oneof the pieces that a member
might use to get buy-in fromtheir administrator to apply.
(10:58):
When you apply for an Axelendorsement, we do two
application cycles a year,typically around March and
around like October, and whenyou are endorsed that's good for
three years initially, and soyou mentioned, we're doing our
three-year kind of celebration.
So this is the first year we'redoing re-endorsement with
(11:21):
programs that were in our pilotphase back in 2022.
But we intend for endorsementto be an ongoing thing to
recognize high-qualitysimulation, that sim centers
continue and the re-endorsementapplication isn't quite as large
.
Just kind of narrating whatchanges have happened in the
interim.
(11:41):
And how many programs have beenendorsed to date 40 programs
have been endorsed and theyrepresent academics and practice
settings, and they're not allin the United States either.
So we're very proud of the simcenters that have put together
their dossier to demonstratehigh quality simulation, because
(12:02):
we continue to learn from them,and that's what simulation is
all about.
Jerrod Jeffries (12:07):
I love seeing the bridge you know
internationally and the growthto say, okay, simulation sites
exist outside the US and Axelpushing that direction too, so
well done and excited for thereaccreditation ones as well.
Hopefully there's a goodretention there.
Ashley Franklin (12:20):
You know we had a lot of international focus in
our strategic plan over thelast three years, so this is one
way we've operationalized thatand I love building the
connections.
Deb Tauber (12:31):
Great, great.
Now, Ashley, do you have afavorite simulation story?
A little bit we'll get into alittle bit of you know
simulation and that you havefrom your vast experience.
Ashley Franklin (12:43):
Sure, One of the unique parts of my
simulation journey and journeyas a nurse educator is that I've
never been an educator withoutsimulation.
So I came to simulation in 2008directly from clinical practice
and I had worked in academicmedical centers.
I'm an adult med surge, ICUnurse and I had precepted new
(13:06):
graduates.
I had an initial interest intechnology and then I had an
unexpected love for the pedagogyof simulation.
When I first started Early on,my interest was around helping
students set priorities anddelegate care as they managed
multiple patients concurrently,just like new graduates do.
(13:27):
That's probably the hardestpart of transition to practice
and in the last eight or soyears I've kind of migrated a
few steps back in our academiccurriculum.
So I've facilitated simulationwith first semester med-surg
learners for about eight yearsand I don't know if this is my
(13:47):
favorite simulation experience,but one that happened recently.
At this point in the semesterI'm facilitating scenarios that
are a bit more complex.
We are doing fluid andelectrolyte type concepts in
simulation just last week and mygroup of learners.
We got to the end of ourfour-hour sim block.
They had taken care of threedifferent patients One had
(14:09):
severe dehydration, another hadfluid volume overload and then
we did an anaphylaxis case andat the end of the day my
learners were reflecting andthey said you know what we could
do, that that was hard but wecould do that because of the
preparation materials andbecause of the care planning we
(14:31):
did at home and we came toconsensus on with our groups and
the way that you oriented us tothe room.
We knew the equipment we neededand it was a foreshadow of hey,
you might need to give a fluidbolus and here's how that works.
And so I felt like my learners,even though they were very
young in our curriculum, wereable to see the intentionality
(14:54):
of you, know the instructionaldesign and then also able to
take care of the patients,titrate oxygen, give fluid bolus
, question and order for a fluid, a patient.
That didn't quite make sense.
So it helped us bring togetherconcepts of fluid and
electrolyte that are really hardfor new nurses and they felt
good and they had performancebehaviors that looked pretty
(15:16):
good too.
Jerrod Jeffries (15:17):
So it was just a great day good, that's great,
and I love hearing all thesedifferent stories because, I
mean, I haven't heard somethingwith fluids, electrolytes, uh
and such.
But it's always great to seethe change you and the growth
you see in learners and it comesfrom almost every simulation
and seeing them reflect and andI think that's really rewarding
(15:37):
to be able to experience that.
So thank you.
Ashley Franklin (15:39):
I agree, and it doesn't happen often that they
share that verbally at the endof the day, that they're like,
hey, we did that.
Sometimes they can share it inwriting and a reflection, you
know, but I don't get to seefacial expressions.
And so this young woman was soproud of herself and shared it
with her group and I'll rememberit for a long time.
It was really neat.
(15:59):
You know, we want to improvetheir confidence, but we also
want to improve their skill,performance and their safety,
and she was capturing that.
We did both of those that day.
Deb Tauber (16:11):
Excellent.
Now, Ashley, are there anythings that you'd like to leave
our listeners with any finalwords?
That's a great question.
Ashley Franklin (16:19):
Thanks for asking.
You know what I would say.
I'm so pleased to be able torepresent INASCL in lots of
different venues.
IN has given to me tremendouslyover the last 15 years and I
hope I've returned some of thatsharing and contributions to the
organization.
I guess what I would share isthe importance of high quality
(16:43):
simulation and that that isrelevant across modalities and
across learner groups, forexample, in academic settings
and also in practice settings,and also in practice settings In
my every week experience.
I always want to encouragepeople to speak up when they see
(17:03):
something, to say something,and I think that applies to
learners who are learning how tocommunicate with each other,
but it applies to simfacilitators too, because our
simulation programs aremodifiable.
You know, when we do PDSA cyclesand we evaluate our outcomes
from various different sources,just like my learner's behaviors
(17:26):
are modifiable, that I can helpthem learn to wash their hands
and learn to do skills or learnto communicate with their
patients, I want our simprograms to be modifiable too.
So if something doesn't work,we have to speak up, and I want
all of the simulationists in mycommunity of interest to have
(17:46):
permission to change theirsimulation program as they go
along, especially if they'reevaluating you know, a new
scenario or simulation in a newcourse and the pilot data looks
like it's not working.
I know that speaking up is hard, but that's what I want people
to do, because I think speakingup is going to help us change
our simulation programs.
(18:07):
It's going to help us improvelearner outcomes and ultimately
make the impact of thesimulation we facilitate more
profound so that we can improvepatient safety.
Deb Tauber (18:19):
Thank you, I like that speaking up and it's very,
very true and very importantbecause see something, say
something right, and how can weget better if nobody speaks up?
Ashley Franklin (18:32):
Yeah, totally agree.
Thank you for echoing that.
Thanks for sharing.
Jerrod Jeffries (18:36):
Totally agree.
Thank you for echoing that.
Deb Tauber (18:37):
Thanks for sharing.
Yeah, now, if our listenersactually want to get a hold of
you, where would they get a holdof you If they want to ask
questions about a INASCL orstandards or anything?
Ashley Franklin (18:47):
as president, Sure, so my day job is at Texas
Christian University and thatinformation is really easy to
find on the website.
I use that email every day andI'm very open to somebody
reaching out.
I've tried to be active onLinkedIn and check those
messages as well, so please doreach out because I would love
(19:10):
to help people get plugged intoan Axel or other you know,
nursing education simulationprojects.
Deb Tauber (19:16):
Thank you, Jerrod.
Do you have anything?
Any other questions or?
Jerrod Jeffries (19:20):
No, this is great.
Appreciate all that E was doingand how you're leading them
this year.
So hopefully you have a greatconference in Denver and thanks
for everything you do.
Ashley Franklin (19:31):
Yes, yeah, echo , thank you for what you guys do
as well and for helping ourcolleagues tell their story,
because we can learn a lot fromone another.
Thank you.
Deb Tauber (19:42):
And with that, happy simulating.
Disclaimer/ UBISim Ad/ I (19:45):
Thanks to UBSim for being a proud
sponsor of this week's Sim Cafeand the annual Naxal Conference.
We'll see you in Denver.
Thanks for joining us here atThe sim cafe.
(20:11):
We hope you enjoyed.
Visit us at www.
innovativesimsolutions.
com.
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