UW Heart Failure Team Presents at 2018 Cardiovascular Care Update

Mar 20, 2018

Interprofessional simulation interacts with audience.

In health sciences education, clinicians build skills and confidence with repeated exposures to patients. The growing complexities of patient care require providers to master not only knowledge and technical skills but also the ability to communicate effectively with patients and other members of their health care teams. Simulations provide learners with opportunities to practice technical skills and communication techniques while providing evidence-based treatment and ensuring the safety and well-being of their patients.

On February 15, interprofessional team members from the UW Center for Health Sciences Interprofessional Education, Research, and Practice (CHSIE) and clinicians from the University of Washington (UW) Regional Heart Center presented a heart failure simulation at the 2018 Cardiovascular Care Update. This annual conference, sponsored by the UW Continuing Nursing Education office, provides a forum for learning the latest in evidence-based management of cardiovascular and cerebrovascular disease. This year, it was held at the Shoreline Conference Center and participants included registered nurses, advanced practice nurses, physician assistants, physicians, and other health care providers from around the Puget Sound and WWAMI region.

“A Heart Failure Case Study: Simulation” was presented by Brian K. Ross, PhD, MD; Debra Liner, John Higgins, Kevin O’Brien, MD, FAHA; Megan Miller, Med; and Susan Pambianco, ARNP. As live actors played out a patient intake scenario, audience members used Poll Everywhere (a web-based polling program downloaded to their phones or computers) to answer questions and direct what would happen next.  Theory bursts by a heart failure clinician and interactive discussions helped participants apply patient history and patient-reported symptoms to determine components of a cardiac-focused physical exam; select labs and diagnostic tests to direct therapy; identify New York Heart Association (NYHA) Functional Class; determine initial therapy for heart failure based on current guidelines; and recommend appropriate follow-up or referral(s) for the patient.

Presenter, Megan Miller shared that, “participants found the simulation engaging and life-like with the use of actors, images from diagnostic studies, and audio of heart and lung sounds. They praised the interactive team-based approach and thorough explanations provided in the theory bursts.”

Funding for this simulation was provided by a Federal Health Resources and Services Administration (HRSA) training grant (D09HP28670). The grant team, led by Brenda Zierler, PhD, RN, FAAN (Principal Investigator), formed as an academic-clinic partnership between the School of Nursing and UW Medicine, with the goal to elevate heart failure care and interprofessional practice in rural and medically underserved areas. Contributors to the development of the clinical simulation include members of the presentation team, as well as Brenda Zierler, PhD, RN, FAAN; Cindy Dougherty, ARNP, PhD, FAHA, FAAN; Eleanor Bond, PhD, RN, FAAN, Erin Blakeney, PhD, RN; Jennifer Beckman, ARNP; Mariah Martin, MSN, ARNP-BC; Nanci Murphy, PharmD; Robin Collier, MN; and Todd Dardas, MD, MS.