HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

8th Edition of Nursing World Conference

October 17-19, 2024 | Baltimore, USA

October 17 -19, 2024 | Baltimore, USA
NWC 2024

Neuro ICU training: dive into scenario simulation

Speaker at Nursing Conferences - Brian Ace Mones
Houston Methodist Hospital, United States
Title : Neuro ICU training: dive into scenario simulation


Purpose: The purpose of this Quality Improvement (QI) project was to evaluate the impact of SBS as a training strategy in neurocritical care to enhance the (1) knowledge, (2) confidence, and (3) competency of new staff nurses within the Neuro-ICU setting.

Relevance/Significance: In the dynamic Neuro Intensive Care Unit (ICU), where rapid decision-making is crucial, new staff nurses often face persistent knowledge gaps post-orientation. Scenario-based simulation (SBS) emerges as a powerful, immersive tool that not only addresses these gaps but also empowers nurses to expertly recognize deterioration cues. Beyond a training strategy, SBS stands as a transformative force shaping confident and competent healthcare providers ready for the complexities of Neuro-ICU.

Strategy/Implementation/Methods: Nine nurse participants received SBS intervention between June and August 2022. Participants took part in a simulation session consisting of three scenarios: (1) post transsphenoidal surgery with complications; (2) unstable hemorrhagic stroke and intracranial pressure crisis; and (3) post thrombectomy with complications, intubation and code blue. Scenarios were reviewed by clinical resource experts and simulation specialists. To evaluate the impact of SBS on the participants’ learning, confidence and competency, three instruments were used, both before and after the intervention: Knowledge Test, Modified Self-Efficacy Scale (MSES) and Modified Creighton Competency Evaluation (C-CEI).

Evaluation/Outcomes/Results: The utilization of scenario-based simulation in training new hires within the neuro ICU has yielded highly positive outcomes. This innovative approach has not only significantly improved the knowledge, confidence, and competence of new staff nurses but has also effectively bridged the knowledge-practice gap. By immersing individuals in realistic scenarios, it successfully equips them to manage rapidly deteriorating patients in a controlled environment. The demonstrated success underscores the effectiveness of this training strategy in preparing new staff for the intricacies of neuro ICU care.

Conclusions/Implications: The success of SBS underscores hands-on, experiential learning's vital role in staff training. It enhances new nurses' preparedness for delivering high-quality care in the complex neuro-ICU, amplifying knowledge, confidence, and competence, leading to safer patient care and improved outcomes.

Audience Take Away Notes:

  • The audience will explore how simulation closes the experience gap for new staff nurses in Neuro-ICU, offering valuable insights into enhancing knowledge, confidence, and competency. A must attend for nurse leaders and educators.
  • The audience will not only gain insight into the art of crafting and implementing simulations but will be compelled to recognize the unparallel efficacy of an immersive training approach, particularly in the context of onboarding new staff. This presentation is a call to action, urging professionals to embrace simulation as the definitive catalyst for unparallel training in their respective fields.


Education: Master's Degree, Nursing Administration, Central Philippine University, PH (2016) BSN, Central Philippine University, PH (2007).
Experience: Former Preceptor, Skill Validator and Resource Staff in Neuro ICU, Professional Practice Leader and Unit Educator for both Neurology and Neurosurgery Acute Care Units, HMH Simulation Facilitator, Member – HMH Clinical Informatics Technology & Innovation Council