Enhancing Psychological Safety in Advanced Practice Nursing Student Simulation Using an Innovative Visual Tool

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-06-04 DOI:10.1016/j.ecns.2024.101558

Jacqueline Vaughn PhD, RN, CHSE-A , Shannon H. Ford PhD, APRN, CPNP-PC, CNE , April Braswell PhD, APRN, CPNP-PC, CNE , Anka Roberto DNP, MPH, PMHNP-BC, APRN , Tamara Link DNP, APRN, FNP-BC , Laura A. Killam RN, MScN

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Abstract

Background

Psychological safety is a foundational element for effective simulation-based experiences across all healthcare education. This project describes a novel tool the authors developed to visually enhance psychological safety for advanced practice nursing students. The “Simulation Tool to Enhance Psychological Safety” (STEPS) is essentially a photo cube with images that depict evidence-based constructs related to psychological safety. STEPS was designed and evaluated by simulation education experts.

Methods

STEPS was employed in simulation for advanced practice nursing students (N = 56). Pre and post surveys were conducted using the Psychological Safety Survey and open-ended responses.

Results

Findings revealed students’ responses on psychological safety improved post the STEPS intervention. Students’ comments also reflected they found STEPS valuable for enhancing psychological safety.

Conclusions

STEPS is an innovative visual aid that in combination with facilitators’ actions can foster psychological safety for learners in simulation-based experiences. We plan to further evaluate the tool in simulations across nursing programs.

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利用创新视觉工具加强高级实践护理学生模拟训练中的心理安全

背景心理安全是所有医疗保健教育中有效模拟体验的基本要素。本项目介绍了作者开发的一种新工具，该工具可直观地增强高级实习护理学生的心理安全。增强心理安全的模拟工具"（STEPS）本质上是一个照片立方体，其中的图像描述了与心理安全相关的循证结构。STEPS 是由模拟教育专家设计和评估的。结果STEPS干预后，学生对心理安全的反应有所改善。结论STEPS 是一种创新的视觉辅助工具，与主持人的行动相结合，可以在模拟体验中促进学习者的心理安全。我们计划进一步评估该工具在护理课程模拟中的应用。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.