Utilizing StoryCare: A Story Based Simulation Program to Improve Team Effectiveness and Patient Outcomes

Submitter Information

Author: Tanya Parker, MA, MSN, RN, NPD-BC
Title: Nursing Professional Development Program Director
Institution: New York Presbyterian Hospital
Email: tap9069@nyp.org

Competency Category(s)
Evidence-Based Practice, Patient-Centered Care, Teamwork and Collaboration

Learner Level(s)
Continuing Education, Faculty Development Strategies, Graduate Students, New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN, Staff Development

Learner Setting(s)
Classroom, Clinical Setting

Strategy Type
Modules

Learning Objectives

Define how the context and meaning of the Story Simulation demonstrates improvement in a variety of safety and patient satisfaction behaviors (Patient-Center Care, Teamwork, and Collaboration )

Design a plan to utilize a Story Discussion Guide to share best practices with the team based on a clinical practice issue (Patient-Center Care, Evidenced-Based Practice, Teamwork, and Collaboration)

Outline how to utilize a Story Discussion Guide to generate ideas or integrate into the group discussion based on a clinical practice issue (Patient- Center Care, Evidenced-Based Practice, Teamwork, and Collaboration)

Strategy Overview

Using storytelling to recreate an experience to teach, engage and develop others, complemented with reflected learning can result in behavioral changes which lead to improved outcomes.

Utilizing storytelling as an alternative teaching methodology can enhance critical thinking regarding a clinical experience to develop a deeper insight to guide future practice. It provides an opportunity to expand on existing clinical knowledge, verify practice and explore transferable best practice strategies.

Submitted Materials

QSEN-TS-Story-Instructors-Guide.docx
QSEN-TS-Discussion-Guide.docx
QSEN-TS-Discussion-Guide.pdf
QSEN-TS-Story-Handout.pdf

Additional Materials

Student handouts (2) – story #215
•Discussion guide (2x)- story #215
•Instructor guide-Story #215
• Student guide- Story #215
•YouTube recording of story of #215 (https://youtu.be/Gsq8PlkkS4U)

Evaluation Description

The unit leader was able to observe staff behavior and monitor positive change during the defined improvement cycle. Staff was able to identify the strategies utilized by the team to include at least one behavior or strategy that can be adopted as a best practice. Staff was able to self-discover insights regarding alternatives methods in addressing patient situations/issues. Staff was able to advocate for improving team effectiveness while providing safer patient care.

Comparison of key organizational quality indicators (i.e. HCAHPS & NDNQI) before and after using Story simulation to demonstrate the effectiveness of the education.