Clinical Simulation in Nursing最新文献

英文中文

Utilizing co-design and research for authentic simulation development 利用共同设计和研究进行真实模拟开发

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-09-01 DOI: 10.1016/j.ecns.2024.101609

引用次数: 0

Evaluation of simulation-based intervention for implicit bias mitigation: A response to systemic racism 对减少内隐偏见的模拟干预进行评估：应对系统性种族主义

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-27 DOI: 10.1016/j.ecns.2024.101596

Background

Training health care professionals to mitigate implicit biases can reduce health inequities caused by racism. Implicit bias mitigation strategies (IBMS) have been shown to reduce biased behaviors. This study aimed to determine the impact of IBMS practice simulation on learners’ behaviors and family experience in one hospital unit.

Methods

This study used a quasi-experimental design in a large pediatric hospital. In total, 195 participants completed a simulation-based education intervention. Learners practiced IBMS with Simulated Participants. Participant perceptions were measured at four time points, and translational outcomes were collected using survey results and other outcomes.

Results

Situational judgment test results improved postintervention and at follow-up. Participants reported using IBMS skills at time points three and four. Internal and External Motivation Scale and family satisfaction scores remained unchanged. Family experience measures improved, showing decreases in security dispatch calls for perceived family escalation and in deny entries and behavioral contracts stratified by race.

Conclusions

Simulation can shift perspectives and behaviors. More research is needed on the impact of simulation-based interventions on IBMS skill development and translational outcomes.

背景培训医疗保健专业人员以减轻内隐偏见，可以减少种族主义造成的健康不平等。内隐偏见缓解策略（IBMS）已被证明可以减少偏见行为。本研究旨在确定 IBMS 模拟实践对学习者行为和家庭体验的影响。共有 195 名学员完成了模拟教育干预。学员与模拟学员一起练习了 IBMS。在四个时间点测量了参与者的感知，并通过调查结果和其他成果收集了转化成果。参与者在第三和第四个时间点报告使用了 IBMS 技能。内部和外部动机量表以及家庭满意度得分保持不变。家庭体验测量结果有所改善，显示因认为家庭情况恶化而拨打的安全调度电话有所减少，按种族分层的拒绝进入和行为合同有所减少。关于模拟干预对 IBMS 技能发展和转化成果的影响，还需要进行更多的研究。

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引用次数: 0

Stepping Up Psychosis: The Use of Virtual Reality in Pre-registration Mental Health Nursing Education 走出精神病：在注册前心理健康护理教育中使用虚拟现实技术

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-27 DOI: 10.1016/j.ecns.2024.101597

Background

There has been growing interest in the development of mental health-related simulation packages for pre-registration mental health nursing education. The authors will present the creation of a simulation package created for pre-registration mental health nurses during their final year.

Method

The simulated experience consisted of a five-minute Virtual Reality (VR) recording which shares the experience of living with symptoms of psychoses. The package, not only looked at the hearing of voices, but in addition enhances the user's experience by simulating visual perception and placing the student within a secluded environment. This was delivered to students in their final six months of the program.

Results

Students noted the increase in empathy for patients experiencing these symptoms and how it would enhance the care they gave.

Conclusion

The results of this innovation demonstrate how virtual reality (VR) could be used to standardize student nurses' education in the field of mental health.

背景为注册前心理健康护理教育开发心理健康相关模拟包的兴趣日益浓厚。作者将介绍为注册前心理健康护士在最后一年创建模拟包的情况。方法模拟体验包括一段五分钟的虚拟现实（VR）录音，其中分享了精神病症状患者的生活体验。该软件包不仅能听到声音，还能通过模拟视觉感知和将学生置于隐蔽的环境中来增强用户体验。结果学生们注意到，他们对出现这些症状的病人的同理心增强了，这将如何提高他们的护理水平。结论这项创新的结果表明，虚拟现实（VR）可用于规范心理健康领域的学生护士教育。

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引用次数: 0

Using simulated patients to teach de-escalation during Registered Nurses' onboarding 在注册护士入职培训中使用模拟病人来教授降级方法

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-24 DOI: 10.1016/j.ecns.2024.101598

Background

Workplace violence and aggression toward healthcare professionals are concerning trends in the industry, with increasing incidents over the last decade. The COVID-19 pandemic put additional stress on health systems, healthcare workers, patients, and family members. These additional stressors resulted in increased aggressive behaviors. Education and training on de-escalation techniques is paramount to increased safety of health professionals and patients. Nursing education programs and hospital orientation programs often lack de-escalation training.

Methods

From January to October 2023, 102 nurses participated in a de-escalation simulation encounter. Quantitative and qualitative data was captured via Redcap survey. Facilitators tracked behaviors of the simulated patients and reactions of the nurses, in real-time, using a survey designed by the education team. Participants completed a post-survey which elicited information about prior de-escalation training and application of skills learned during the de-escalation simulation encounter to future practice.

Results

Sixty-five percent of new graduate nurses revealed that they had some form of de-escalation training most of which was provided through a lecture (36%) or online module (19%). Following participation in the simulation encounter, 98.5% of participants felt better prepared to manage an escalating patient/family member situation. Structured debriefings identified educational gaps regarding hospital resources, behavioral strategies for averting escalating incidents, methods for maintaining safety, and discreetly seeking assistance.

Conclusion

The simulated patient training offered participants an opportunity to apply de-escalation techniques in a safe environment. Targeted de-escalation training using simulated patients increased the authenticity and realism of the immersive experience and resulted in enhanced de-escalation skill development in new hire nurses.

背景针对医护人员的工作场所暴力和侵犯行为是该行业令人担忧的趋势，在过去十年中，此类事件不断增加。COVID-19 大流行给医疗系统、医护人员、患者和家庭成员带来了额外的压力。这些额外的压力导致了攻击行为的增加。要提高医护人员和患者的安全，最重要的是对他们进行降级技巧的教育和培训。从 2023 年 1 月到 10 月，102 名护士参加了降级模拟训练。通过 Redcap 调查获取定量和定性数据。主持人使用教育团队设计的调查表实时跟踪模拟病人的行为和护士的反应。结果65% 的新毕业护士表示他们接受过某种形式的降级培训，其中大部分培训是通过讲座（36%）或在线模块（19%）提供的。参加模拟训练后，98.5% 的参与者认为自己在处理患者/家属病情升级的情况时准备得更加充分。结构化汇报指出了在医院资源、避免事件升级的行为策略、维护安全的方法以及谨慎求助等方面存在的教育差距。使用模拟病人进行有针对性的降级培训增加了身临其境体验的真实性和逼真性，从而提高了新聘护士的降级技能。

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引用次数: 0

Navigating the Virtual Frontier: A Virtual Patient Simulation Pilot Study in Prelicensure Baccalaureate Nursing Education 领航虚拟前沿：执照前本科护理教育中的虚拟病人模拟试点研究

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-23 DOI: 10.1016/j.ecns.2024.101589

Background

Clinical reasoning and effective communication are foundational to patient outcomes, and therefore, key concepts in nursing education. There is a growing body of evidence to support virtual patient simulation in nursing and other health professions, but to date none that focuses specifically on whether virtual simulation impacts clinical reasoning in on-campus baccalaureate nursing health assessment courses.

Sample

First semester prelicensure baccalaureate nursing students.

Methods

A quantitative, quasi-experimental design with a pre-test post-test methodology grounded in Experiential Learning Theory was used. The Student Performance Index score measured clinical reasoning and simulation software automatically calculated communication variables.

Results

In the sample of 19 students, a two-tailed paired samples t-test found statistically significant improved outcomes for most variables.

Conclusion

Virtual patient simulation positively impacts clinical reasoning and communication skills and is an appropriate pedagogical tool for nurse educators.

背景临床推理和有效沟通是患者治疗效果的基础，因此也是护理教育的关键概念。有越来越多的证据支持在护理和其他健康专业中进行虚拟病人模拟，但迄今为止，还没有任何证据专门研究虚拟模拟是否会影响校内学士学位护理健康评估课程中的临床推理。方法采用定量、准实验设计和基于体验学习理论的前测后测方法。结果在 19 名学生的样本中，通过双尾配对样本 t 检验发现大多数变量的结果都有显著的统计学改善。结论虚拟病人模拟对临床推理和沟通技能有积极影响，是护士教育者的合适教学工具。

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引用次数: 0

Enhancing graduate nursing and social work students’ collaboration through screening, brief intervention, and referral to treatment and simulated education 通过筛查、简单干预、转诊治疗和模拟教育，加强护理研究生和社会工作专业学生的合作

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-21 DOI: 10.1016/j.ecns.2024.101594

Background

Nurses and social workers are frontline providers to at-risk patients of substance and alcohol abuse but have limited education.

Methods

A one-semester program incorporated multimodal education and simulated patients teaching graduate nursing and social work students SBIRT and interprofessional skills. Students completed the Interprofessional Collaborative Competency Assessment Scale pre- and post-program measuring interprofessional competencies.

Results

One hundred graduate students (58 social work, 42 nursing) participated across two cohorts. There was significant increase in total competency post-program, t(99) = 7.19, p < .001, and among all subscales.

Conclusion

Multimodal education with simulation increases graduate students’ interprofessional competency, preparing them for careers with at-risk patients.

背景护士和社会工作者是药物和酒精滥用高危患者的一线服务提供者，但所受教育有限。方法一个学期的课程结合了多模式教育和模拟患者，向护理和社会工作专业的研究生传授 SBIRT 和跨专业技能。结果 100 名研究生（58 名社会工作专业，42 名护理专业）分两批参加了该项目。结果 100 名研究生（58 名社会工作专业学生、42 名护理专业学生）参加了两期课程，课程结束后，他们的总能力有了明显提高，t(99) = 7.19, p < .001, 而且所有分量表都有提高。

引用次数: 0

The work behind an interdisciplinary team: Creating a postpartum hemorrhage virtual reality training platform 跨学科团队背后的工作：创建产后出血虚拟现实培训平台

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101595

Background

This article examines an interdisciplinary team's collaboration experience in the development of a virtual reality (VR) training platform for postpartum hemorrhage management. The project started during the COVID-19 pandemic to support remote training in nursing.

Methods & Processes

Comprised of multidisciplinary specialists, the team collaborated through virtual meetings and digital tools such as an online whiteboard. The project went through three processes: (a) initial process, in which the team established the mutual goal, determined the targeted training, understood the subject matter, and created the framework; (b) VR development process, in which members contributed their expertise to map the task flow, create 3D objects, and develop the VR prototype; and (c) evaluation process, in which tests were performed among team members, subject matter experts, and undergraduate nursing students, to gain insights and fix problems.

Conclusion

Lessons learned from this interdisciplinary collaboration include the accommodation of different objectives, workload expectations and distribution, changes of team members, and evaluation implementation.

背景本文探讨了一个跨学科团队在开发产后出血管理虚拟现实（VR）培训平台过程中的合作经验。该项目始于 COVID-19 大流行期间，旨在支持护理方面的远程培训。方法与过程该团队由多学科专家组成，通过虚拟会议和在线白板等数字工具开展合作。该项目经历了三个过程：(a) 初始过程，在此过程中，团队建立了共同目标，确定了目标培训，了解了主题内容，并创建了框架；(b) VR 开发过程，在此过程中，成员们贡献了自己的专业知识，绘制了任务流程图，创建了三维对象，并开发了 VR 原型；(c) 评估过程，在此过程中，团队成员、主题专家和护理专业本科生进行了测试，以获得见解并解决问题。结论从这一跨学科合作中学到的经验包括如何兼顾不同的目标、工作量的预期和分配、团队成员的变动以及评估的实施。

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引用次数: 0

Comparison of the Effects of Haptic Virtual Versus High-Fidelity Simulations on Knowledge, Skills and Satisfaction of Nursing Students in Cardiopulmonary Resuscitation Training 比较触觉虚拟模拟与高保真模拟对护理专业学生心肺复苏培训的知识、技能和满意度的影响

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101586

Background

Simulation provides learners with a realistic learning environment where they experience real-life situations. Cardiopulmonary resuscitation (CPR) is performed to maintain respiration and circulation. Nursing students may experience CPR unexpectedly. Simulation types are increasing in line with the needs of nursing education. The study aims to compare the effects of haptic virtual simulations (HVS) versus high-fidelity simulations (HFS) in CPR training of nursing students on their knowledge, skills, satisfaction, and self-confidence levels.

Methods

The study sample consisted of 60 students, 30 in the HVS group and 30 in the HFS group. The same scenario was used in both simulations. Data were collected with the Sociodemographic Data Form, the Cardiopulmonary Resuscitation Knowledge Test, the Cardiopulmonary Resuscitation Skills Checklist, and the Student Satisfaction and Self Confidence in Learning Scale.

Results

The CPR knowledge level of both groups increased significantly after the simulation (p < 0.05). No significant difference was found between the practice skill levels between the groups (p > 0.05). The satisfaction and self-confidence levels of the students in HFS group were significantly higher than in HVS group (p < 0.05).

Conclusions

Haptic virtual and high fidelity CPR training simulations equally affect students' knowledge and skill levels. On the other hand, students' satisfaction and self-confidence levels in learning increased more with high-fidelity simulators.

背景模拟为学习者提供了一个逼真的学习环境，让他们体验真实的生活场景。进行心肺复苏术（CPR）是为了维持呼吸和血液循环。护理专业学生可能会意外体验心肺复苏术。随着护理教育的需要，模拟类型也在不断增加。本研究旨在比较触觉虚拟模拟（HVS）和高保真模拟（HFS）在护理学生心肺复苏培训中对其知识、技能、满意度和自信心水平的影响。两种模拟均采用相同的情景。通过社会人口学数据表、心肺复苏知识测试、心肺复苏技能检查表以及学生满意度和学习自信心量表收集数据。结果模拟训练后，两组学生的心肺复苏知识水平都有显著提高（p <0.05）。两组学生的实践技能水平无明显差异（P> 0.05）。结论触觉虚拟和高保真心肺复苏模拟训练同样影响学生的知识和技能水平。另一方面，高保真模拟器更能提高学生的满意度和学习自信心。

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引用次数: 0

Comparative study on the effects of role changes in simulation training among Korean nursing students 韩国护理专业学生模拟训练中角色转变效果的比较研究

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101585

Background

Simulation education, based on experiential learning, helps nursing students develop coping strategies through reflective problem-solving in a safe environment. This enhances their ability to respond to similar new experiences and improves their caring abilities. Most nursing schools use simulation education, although the applications vary. This study identified a more effective simulation teaching method for nursing students by comparing the effects between two groups: one that performs one role per scenario and another that rotates through multiple roles per scenario.

Methods

Using a randomized control group pre-post design, we equally divided 62 students aged ≥19 years enrolled at a university in Changwon city, South Korea into a single-scenario role rotation group (SRRG) and a multiscenario role fixation group (MRFG). Data were analyzed by performing χ² tests, independent t-tests, and paired t-tests.

Results

Learning confidence and critical thinking significantly changed in the SRRG; clinical competency significantly changed in the MRFG.

Conclusions

Exposure to multiple scenario simulations improves clinical competency. Changing roles in a single scenario boost learning confidence and critical thinking disposition.

背景模拟教育以体验式学习为基础，帮助护理专业学生在安全的环境中通过反思解决问题来发展应对策略。这能增强他们应对类似新体验的能力，并提高他们的护理能力。大多数护理学校都使用模拟教学，但应用情况各不相同。本研究通过比较两组的效果，为护理专业学生确定了一种更有效的模拟教学方法：一组在每个场景中扮演一个角色，另一组在每个场景中轮流扮演多个角色。方法采用随机对照组前-后设计，将韩国昌原市一所大学的 62 名年龄≥19 岁的学生平均分为单场景角色轮换组（SRRG）和多场景角色固定组（MRFG）。通过χ2检验、独立t检验和配对t检验对数据进行分析。结果SRRG组的学习自信心和批判性思维发生了显著变化；MRFG组的临床能力发生了显著变化。在单一情景中转换角色可增强学习信心和批判性思维能力。

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引用次数: 0

Health professions students' perspectives of a stigma-reducing simulation including simulated patients with lived experience of addiction and recovery 卫生专业学生对减少污名化模拟的看法，包括具有吸毒和康复经历的模拟病人

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing

Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101588

Background

Stigma surrounding substance use disorders (SUDs) hinders treatment. This study explores perceptions of health professions students following simulation-based training involving individuals with lived experience of addiction and recovery.

Methods

Thematic analysis of self-reflection narratives was conducted to identify themes.

Results

Thirty-three graduate students from various health disciplines participated. Four themes were identified: humanizing addiction, cultivation of hope, attitude of gratitude, and transformation and growth. Findings highlight contact-based simulations' potential to challenge stereotypes and foster empathy.

Conclusion

Integrating stigma reduction interventions into health curricula is crucial. Contact-based simulation training shapes positive attitudes towards individuals with SUDs.

背景围绕药物使用障碍（SUD）的污名化阻碍了治疗。本研究探讨了健康专业学生在接受有成瘾和康复经历的个人参与的模拟培训后的看法。方法对自我反思叙述进行专题分析，以确定主题。确定了四个主题：成瘾的人性化、希望的培养、感恩的态度以及转变和成长。研究结果凸显了接触式模拟在挑战陈规定型观念和培养同理心方面的潜力。基于接触的模拟训练可以塑造对患有药物依赖性疾病的人的积极态度。

引用次数: 0

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