ORCID

0000-0002-8330-6595

Keywords

public health, simulation, telehealth

Abstract

Project Narrative

PURPOSE AND NEED

Purpose: Priorities set forth by the Health Resources & Services Administration (HRSA) are addressed in the proposed simulation program in an effort to meet curricular needs and foster care to the medically underserved in Florida, further exposing students to public healthcare needs. Interprofessional (nursing and social work) and intraprofessional (undergraduate nurse and Nurse Practitioner [NP]) instruction is essential in the simulation-based education (SBE) program, promoting important content on identifying risk factors and health assessment of the medically underserved community (MUC) (Education Priority 2, §831). Coordination of medical care is a vicarious learning opportunity for all participants and can have a lasting impact on MUCs when embedded with a caring and empathy paradigm focused on needs and barriers (Practice Priorities 2 & 3, §831). While the Public Health Simulation-Infused Program (PHSIP) program may not change practice, it can influence future behavior changes of undergraduate nursing students along with current healthcare professionals (faculty, NP and MSW students).

Need: Augmentation of current curricula and enhancement of content within curricula is needed to create a healthcare workforce that is competent in assessment and understanding of the increased risk created by social determinants of health (SDOH) such as where one lives or one’s race, ethnicity, and/or economic status (U.S. Department of Health and Human Services, n.d.). These determinants increase a patient’s risk for cardiovascular disease and stroke.

There is a need for scenarios utilizing Healthcare Simulation Standards of Best Practice (R) and validated simulation scenarios (Interantional Nursing Association for Clinical Simulation and Learning (INACSL) Standards Committee, 2016) which incorporate essential elements. The National Council of State Boards of Nursing (Hayden, et al., 2014) approved the use of simulation with validated scenarios and trained facilitators. Validating scenarios using identified criteria ensures the accuracy of a simulation scenario including that it is based on the most current evidence. For this initiative, public health scenarios and a related essential element checklist will be validated by subject matter experts (SME), i.e., simulation and public health experts and community stakeholders. Content validity will be established during the creation of the scenarios by gauging agreement among SMEs regarding the totality of the simulation-based experience (SBE). Evaluation of the scenarios will be conducted using the Simulation Effectiveness Tool-Modified (SET-M) (Leighton et al., 2015).

Characteristics of Target Population Served (Community & Students)

Cardiovascular/Stroke Risks: Over 40 million people annually are killed by non- communicable diseases (NCDs) (71% of all global deaths); 21% of these occur in those aged 30- 69, and greater than 80% of the mortalities transpire in countries who are low- and middle- income (World Health Organization [WHO], 2018).

The incidence of stroke increases with age and is the foremost cause of long-term disability in survivors age 65 and over (CDC, 2020). Strokes account for almost 800,000 people yearly, at a cost of an estimated $34 billion (CDC, 2020). Moreover, stroke mortality has increased in 22 out of 50 states, and death decline has stalled in three out of every four states (Yang et al., 2017).

Publication Date

6-3-2025

Original Citation

Díaz, D.A., Anderson, M., Guido-Sanz, F., Hill, P., Stephenson, S., Peralta, H., Spears, S. Luzincourt, G. (2025). Public Health Simulation Infused Program (PSHIP) 6 U4EHP46219-01-01. WAY Blood Pressure Clinic Simulation.

Document Type

Paper

Publication Version

Publisher's version

College

College of Nursing

Location

Orlando (Main) Campus

Department

Nursing Practice

Accessibility Status

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