www.advanceweb.com | 2018 | MAGNET EDITION 23 INITIATIVE Winner: Baylor University Louise Herrington School of Nursing, Dallas, TX “I found this team to have developed a unique strategy for teaching that will not only decrease RN role confusion as they learn, but will also increase collaboration and a sense of team behaviors,” wrote one judge. “The beauty of this method is that it creates a SAFE envi- ronment to expose inaccurate thinking and allows new nurses to reframe their thinking without shame or embarrassment. It’s a GEM! And it sets new nurses up for a great start into a collaborative care environment.” Initiative: LHSON Sim Center’s 2HeadsR >1 Strategy Members of the Simulation Team at Baylor University Louise Herrington School of Nursing (LHSON) are dedicated facilitators, educa- tors, innovators, and technicians. In the fall of 2017, the team developed a new strategy for role assignment in simulation known as Two- Heads-are-Better-than-One (2HeadsR >1). This method of role assignment promotes crit- ical thinking, clinical decision-making, team- work, and collaboration among participants. Background: Role Assignment in Simulation Traditionally, simulation occurring within nursing education includes assigning students predetermined roles that are nursing-spe- cific and responsible for particular duties. Designating primary and secondary nurse roles is another common approach in nursing simulation. This portioning of duties among multiple participants allows students to divide and conquer, rather than prioritize and dele- gate. Students often challenge this distribution of nursing tasks among multiple parties, saying it is not a realistic representation of a nurse’s workload. However, logistical parameters such as time, space, and available resources neces- sitate scheduling multiple participants in one simulation scenario. Research on the effect of role assignment shows that student benefits from simulation are directly tied to their level of involvement in the simulation experience. Students who are assigned roles requiring increased patient involvement display higher levels of critical thinking during the simulation and debriefing process. Method: Description of the 2HeadsR >1 Strategy The 2HeadsR >1 strategy for role assignment in simulation assigns two students to act in the role of one nurse. The students are instructed to move and act as if they are one person; they cannot be in two places at one time, nor can they simultaneously engage in two separate activities. This strategy encourages students to collaborate, prioritize patient care, and dele- gate as needed. The two students verbalize their clinical reasoning with one another, facilitating the development of a plan of care for the simu- lated patient. If there is a difference of opinion regarding the appropriate action to take, the students must provide rationale for their plan in an attempt to sway their partner. Ultimately, an agreement is necessary in order to proceed in their care of the simulated patient. MAGNET EDITION  |  BEST NURSING TEAM