Presentación Poster INACSL Texas 2012

1. SUBMISSION ABSTRACT INASCL 2012
Developing strategies of leadership to create high-performance simulation
collaborative groups
Lab Coordination and managment
Novice
Poster Presentation
Patricia Durán, MSc. Microbiologist. MSc.Education
Coordinator of Centro de simulación integral en salud.
Carlos Ernesto Meyer. Administrator.
Administrative Director.
Fundación Universitaria del área Andina. Pereira. Colombia, South America.
pduran@funandi.edu.coPhone contact 0573173008135
cmeyer@funandi.edu.co
Fundación Universitaria del área Andina. Pereira. Colombia, South America.
ABSTRACT
a) Background/Objectives:
Identify tools of leadership and coaching to motivate and create collaborative teams to
build high-performance collaborative teamwork simulation and build scenarios developing
innovative educational materials to strengthen practice in the simulation center of integral
health, to prepare students for making decisions and developed communication skills and
their future performance in real environmental of health sciences.
Several challenges present themselves to the creation and maintenance of a comprehensive
simulation center: Financial, motivational, logistics, resistance to change, and lack of time
among others. But the one which overcomes this line of sight is to maintain motivated
people towards simulation and communication channels based on leadership theories.
Knowing some methodological strategies to address these challenges and achieves the
creation of transdisciplinary collaborative teams that are motivated towards the
appropriation of technology, scenario building, through partnerships with sim-suppliers,
national and international associations, creation of training scenarios, assistance to
webinars, cross-training among managers, directors, teachers and students around
simulation, creating a virtual site of sim-communications, and made budgets based on
strategic watch some of the methodologies are implemented to achieve the sim-purposes.
Sim-labs needs to establish organizational models, establish, maintaining and evaluating
skills laboratories, create business plans, organize de schedules for the day-to-day
operations, evaluate plans and methods among others that required a high performance
leadership training for the members and users of the sim-lab.
b) Methods/ aims or expected outcomes
The Methods used for leadership based on theories as The Affiliative Managerial style
described by the experts on it like HayGroup,can be applied to simulation labs to create
warm, friendly and productive collaborative team-groups in sim-labs. Also, simulation
techniques, must be applied to contribute to the motivation of collaborative groups for
improve the communication in the administration of sim-practice between nurses and other
professionals, using one instrument design for evaluate communication based on the

2. “ISBAR” instrument and adapted for leaderships and sim-users introduce them to play roles
for the administrative team of the sim-lab in order to improve simulation practice in
hospitals and educational institutions. It can help to team members of the collaborative
team in simulation feel valued as individuals and motivated people to the sim-
environments. It recognizes each team member‟s emotional needs: administrative,
chancellors, students, nursing, optometrists, radiologists, physician, physiotherapeut among
others. When using this leadership style as a form for create and maintain the collaborative
groups. One of the most leadership categories that can be applied for achieve it, are:
Promotes friendly interactions among co-workers in simulation
Teach about leadership and new communication techniques
Places more emphasis on meeting team members´ emotional needs than just task
directions, goals and standards.
Pay attention and care for „the whole person‟ and stresses things that keep people
happy around the simulation performance.
Identifies opportunities for positive feedback for best decisions and avoids
performance related confrontations.
Rewards personal characteristics as much as job performance towards the goal:
appropriation and return on investment of the simulation lab.
Leadership is “the process of influencing others to achieve a common goal”, and sim-labs
requires of this as a process to involving a collaborative team like “sim-groups
committees” to made strategy vigilance about new technology and evaluate it, to make
good decisions on investment, to incorporate it in curricula, to schedule the practices, to
incorporate evaluation instruments, to create educative materials and to motivate to the
chancellors and chiefs toward simulation investment. These committees also must to
include students and Public Health experts to feedback the needs of the environment and
social and health priorities. It occurs at many levels of the organization: from the front lines
to the upper management, and that it focuses on goal attainment.
The challenge is to inspire the growth of sim-activities and improve it in all levels to make
centers more productively get the right work. Between the recognizable theories that can be
applied on this project area: Trait Theory, which states that leaders of Simlabs to share
specific attributes such as emotional intelligence and motivation, or the Behavioral Theory
which states that leaders exhibit one of two types of behavior either focusing on skills or
people. (Kreitner and Kinicki, 2008; McShane and Von Glinow, 2005; Shortell and
Kaluzny, 2000). However, the prevailing wisdom, according to most sim-research, seems to
be utilizing different styles of leadership for different situations known as Situational
Theory and Transformational Leadership.
Another method that can be used to promote simulation in the institutions is the use of
several different situational models including the Path-Goal Model and the LEAD Model.
According to this model, leaders help followers be selecting a style of leadership (directive,
supportive, participative or achievement-oriented) that motivates followers and helps them
move toward the desired reward same that the sim-facilitator needs to create a scenario. In
essence, followers are on a path toward a goal, and leaders are there to help followers reach
that goal through guidance, coaching and direction. Path-goal theory is a contingency
theory, in that it predicts how leader‟s style will interact with follower needs and the nature
of the task and to achieve the sim-learning.

3. It argues directive leadership for ambiguous tasks, supportive leadership for repetitive
tasks, participative leadership for unclear, autonomous task and achievement-oriented
leadership for challenging tasks. One of the most widely accepted situational theories is the
Contingency Theory based on the work of Fred Fiedler. This theory states that leadership
effectiveness is contingent upon the variables of different situations, the leader‟s style and
amount of situational control. Fiedler noted that leaders have two different styles described
as either relationship-oriented or task-oriented and that depending on the amount of control
a leader has over a given situation different leadership styles are appropriate (Kreitner and
Kinicki, 2008) all those categories need debriefing after the action. Another situational
leadership theory, the Path-Goal Model developed by Robert House, is based on the
expectancy theory that leader behavior influences the expectations of teacher and students
and subsequently that leader‟s influence subordinate behavior by tying the satisfaction of a
need to “sim-performance”.
c) Findings/ or evaluation data
To goal the objectives at the simulation lab, some strategies must to be developed to
achieve it. It is not the task or just responsibility only of the coordinator or the chancellor,
or of the administrative department, and perhaps of the teacher of simulation alone. Some
strategies for developed collaborative groups have been used to create scenarios in curricula
cross are: invitation to suppliers to show the technological advances, adoption assistance to
National and International events of clinical simulation, share the information between the
committees, to know good experiences of simulation support among clinical centers,
training of teachers and facilitators for creating scenarios and role play, creating continuing
education courses in other fields for nursing as: laparoscopic surgery, interpretation of
radiologic image using 3D, and augmented reality, update teachers in new diagnosis test to
create new scenes for the future simulation performance in clinics, train teachers in
management of audio, video and 3D software, video processing, creation of High fidelity
videos, implement MOODLE, to know how to use tools like survey-monkeys in curricula,
implement the virtual reality, include the creation of avatars like second life and so on.In
order to verify how the sim-lab are working, we implemented a virtual ISBAR
questionnaire adapted to our patient: the sim-lab state of art, security and sustainability and
to verify the compromise of each member of the group with the sim-lab and to know the
way to determine the way forward for the attainment of the objectives:
ISBAR FOR SIMLABS STAFF
EVALUATION FOR COMMUNICATION BETWEEN MEMBERS AND DIRECTIVES OF SIMLABS
Adaptation by Patricia Durán Ospina for the original ISBAR simulation instrument.
Centro de simulación integral en salud
Fundación Universitaria del Área Andina Seccional Pereira
IDENTIFY
I NAME________ DATE___________HOUR________UNITY_____________
CREDENTIALS___________________
ROL ON SIMULATION LAB____________________________
PRESENTATION____________________FACULTY______________________

4. SITUATION (Why you are assistant to this committee)
S I am here because I want to improve simulation practice in our institution__________
Office______________________ Profession___________________________
Or I am assisting because __________
I think that the sim-lab needs to be ____________________
I am concerned about __________________________
BACKGROUND (to count the history)
B I am here at the simlab because there are no teachers and students on
it__________________ or I need the return of investment_____________or I want to
congratulate for successful_____________________
Foundation date of sim-lab____ Number of high fidelity simulators_________
Number of low fidelity simulation___________High-fidelity manikies_______More
used Units__________ Number of teacher that use it_____ How many practices per
week_____________ I am integrating simlab to my curricula___________________
Last training on simulation____________ Simulators I want to buy___________
Number of Case scenarios I am created_____ Number of Visit to the Webpage sim
for new communications ______Courses implemented using simlab__________High
fidelity videos developed by the teachers_________ Ideas for new infrastructure of
the simlab_____________Number of Meetings of the transdiciplinary members at the
simlab__________ We invest Money/dollars/euros to the simlab__________
ASSESMENT (I think that it is going on is)
A I think that the problem/succesful is ___________________________
The sim-lab requires more people/sim/training__________________
I am not sure but I hope that we need ________________ for this we needs
to_________________
Example_________________________________________
Are you compromise with the simlab because________________________________
REQUESTS (things you need to do with the Simlab )
R I suggest that ___________________________
We have to_________________________
We have to join to the INASCL because _______________________________
Do you want to join as to the next meeting of simulation because
____________________________
The sim lab requires of your great ideas___________________
We suggest to _______________________________
d) Conclusion/ Implications
The new leadership strategies to be implemented in the management team, training of
students and the staff members who compromise the simulation laboratory to improve
communication, developments and allows the tangible and intangible investment is
more than an asset and allows for innovation and development within them. All
personnel involved must cross strategies and good leadership succeeds, the same
happen to the patient´s safety is involved for laboratory safety and self-sustainability.
This poster will demonstrate some of the methodologies and achievements created to
form multidisciplinary collaborative teams including nurses, optometrists,
microbiologists, administrators, managers, health personnel, engineering, graphic
designer, and know the equipment must be involved in role play and the stage of a
simulation center.

5. The simulation technology is constantly growing and the practice rooms in hospitals
has advanced in technology, laparoscopy, robotics, new diagnostic test and health
students should acquire these new skills to work in virtual environments more
attractive, which is achieved through clinical simulation if is emotional and
collaborative teams working on it. The clinical simulation theorists have advancing in
the development of validated instruments, in research that shows that the simulation is
an effective method for learning, but form high quality level teams is the only way to
apply these concepts and incorporate them into daily living in hospitals for patient
safety. Leadership techniques are transversal to all the knowledge an attitudes for best
decisions between coordinators, directives and managers to take the best managers to
take the best route to self-sustainability of the sim-lab. The same educational tools can
be adapted to train the staff like an effective method of socialization and motivation to
implement them in context to the needs of the health students.
Each lab-sim must to adapt the skills of their institution, their protocols and their needs
and therefore the materials must be created depending on institutional policies and in
their geographical localization, health public policies, to be more relevant in virtual
environments so they must construct flexible scenarios, open mind adaptations and
investments according to the social categories that wish to influence with the
educational simulation.
In association with the Faculty of Health, the Vice-Chancellor, AdministrativeDirection
some strategies had been implemented to motivate the use of simulation center as a
collaborative team work to select leaders and teacher profiles and collaborate
voluntarily team-works that have been generated some strategies and create innovative
educative materials for simulation such as:
Paid and free academic hours for time for teachers working on educative
materials on simulation from the different programs
Support clinical simulation training assistance and participation in national and
international events
Posters and conferences of teachers on these events
With the students of alliance Andina a program that selects the profile of health
area students who wish to participate in the creation of scenarios,
implementation and support guides with teachers and have discount on the fee.
Developing of high-fidelity videos with different protocols you wish to acquire
skills on other fields (radiology, visual health, laparoscopy, robotics)
We created a Moodle website with basic management guidelines of the
institution simulators (adapted to Spanish) to share all the info and activities for
simulation around the world.
Have developed simulation and training courses for teachers, students, where
managers may attend with the support of clinical simulation providers
We have designed courses that use the continuing education clinic simulación as
one of their methodologies
Visiting other schools and internships are to acquire skills in the teaching of
clinical simulation.
Create a team work between the chiefs and teachers of different health
programs.
Periodical training on high tech simulations and maintenance of these.

6. An internal annual price for the best MEC computerized educative materials on
simulation implemented with TICS
To promote Videoconferences and webinars assistance for all the academic
community.
Pay annual Membership to INASCL and Asociación Colombiana de simulación
clínica.
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e) Relevance to conference themes