Scenario Validation for Opioid Use Disorder Stigma-Related Nursing Simulations.

Mirinda Tyo, Jennifer Viveiros, Mary McCurry, Shannon Avery-Desmarais, Monika Schuler, Brianna Kauranen
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Abstract

Background: Six high-fidelity simulations were developed to promote empathetic, evidence-based care devoid of stigma for individuals with opioid use disorder (OUD). Study aim was to validate simulation scenario and content for accuracy and clinical relevance.

Method: Simulations were video recorded in August 2022 for content validation. Expert assessment was conducted in September 2022 via focus groups using videoconferencing.

Results: A panel of OUD experts that included healthcare providers (n = 10), who were also nurse educators (n = 5) or family members affected by OUD (n = 1), validated simulation content. Thematic analysis identified themes: (a) strategies for enhancing realism, (b) recognition for diverse patients, (c) additional cueing to generate empathetic responses, (d) refining cueing to focus on stigma, (e) recognizing OUD as a chronic illness, (f) novel approach to standardized patients, and (g) limitations of mannequins.

Conclusion: Evaluation of simulations provided content validation increasing the potential effectiveness of the simulations to achieve desired learning outcomes.

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阿片类药物使用障碍耻感相关护理模拟的情景验证。
背景:开发了六个高保真模拟,以促进阿片类药物使用障碍(OUD)患者的移情,循证护理,消除耻辱感。研究目的是验证模拟场景和内容的准确性和临床相关性。方法:于2022年8月录制模拟视频,进行内容验证。专家评估于2022年9月通过焦点小组使用视频会议进行。结果:一组OUD专家,包括医疗保健提供者(n = 10),他们也是护理教育者(n = 5)或受OUD影响的家庭成员(n = 1),验证了模拟内容。专题分析确定了以下主题:(a)增强现实主义的策略,(b)对不同患者的认识,(c)产生移情反应的额外线索,(d)细化线索以关注耻辱,(e)认识到OUD是一种慢性疾病,(f)标准化患者的新方法,以及(g)人体模型的局限性。结论:模拟的评估提供了内容验证,增加了模拟的潜在有效性,以达到预期的学习结果。
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