Oral Themed Presentation
Context: : Increases in nursing documentation requirements, adherence to regulatory standards and workforce diversity add to the complexity of delivering safe patient care (Clipper, 2017). In an effort to deliver dull, but necessary regulatory information to nursing staff, a team of nurse educators and nursing quality consultants, used the concepts of a popular social game to develop an escape room. The aim was to reinforce elements of quality and safety in patient care delivery.
Description: : The idea was to create a simple every day experience that could be tailored to any patient situation or healthcare team for the present and in the future. The simulated patient and patient’s chart were created to address a number of HACs, their corresponding care bundles, national bench-marking standards, previous regulatory and accreditation survey observations, as well as a focus on the patient experience.
The 60 minute experience starts with a pre-briefing to orient participants to the escape room. Participants receive report utilizing a standardized patient hand-off document to care for a child on a “typical shift.” Participants conduct a head-to-toe assessment, perform nursing interventions, and document care. As the team provides care they find clues that lead them to puzzle pieces that culminate into successfully "escaping" the scenario. Examples of clue locations include: the urinary catheter, posterior side of the pulse oximetry, and the identification. The debriefing includes a discussion of HAC bundle compliance, appropriate documentation, patient safety, and teamwork.
Observation/Evaluation: : All participants complete an evaluation to assess their experience. An unexpected evaluation finding revealed that nearly 60% of nurses felt the escape room would lead to practice changes. Participants stated that teamwork, communication, and problem solving were necessary to escape the room.
Barriers to hosting the escape room included: inability of bedside nurses to leave the unit due to staffing requirements, the experience level of participants, and complexity of the clues.
Discussion: : The escape room proved to be an innovative, fun way to disseminate knowledge and coach healthcare staff on regulatory standards, HACs, patient care bundles, and patient experience. Future plans of the escape room are aimed at enhancing clinical nurse participation by offering it as a continuing education course held in either the simulation lab or in-situ.