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Adapting for diversity: The case for reshaping nursing education to meet the needs of all students 适应多样性:重塑护理教育以满足所有学生需求的案例
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-12-16 DOI: 10.1016/j.profnurs.2025.12.003
Vanessa Segura, Emily Canale, LeAnne Prenovost
The purpose of this paper is to examine how traditional nursing education structures inadequately serve the increasingly diverse population of modern nursing students. Many students are now working adults, caregivers, first-generation college attendees, or pursuing nursing as a second career. These students often face financial, familial, and technological barriers that are incompatible with rigid academic schedules, unpaid clinical requirements, and limited institutional support. This review synthesizes current evidence on alternative educational models, including hybrid and part-time programs, paid clinical experiences, and wraparound services such as mentoring, childcare, and digital access support. Results show that these flexible approaches maintain academic rigor while improving student satisfaction, retention, and licensure outcomes. Programs that support students holistically—especially those from underserved backgrounds—are more likely to reduce attrition and strengthen the future nursing workforce. The major conclusion is that student-centered, inclusive reforms are critical for sustaining nursing education and addressing ongoing workforce shortages.
本文的目的是研究传统的护理教育结构如何不能充分服务于日益多样化的现代护理学生。许多学生现在是有工作的成年人,照顾者,第一代大学生,或追求护理作为第二职业。这些学生经常面临经济、家庭和技术障碍,这些障碍与严格的学术时间表、无薪临床要求和有限的机构支持不相容。这篇综述综合了目前关于替代教育模式的证据,包括混合和兼职课程,付费临床经验,以及指导、托儿和数字访问支持等一揽子服务。结果表明,这些灵活的方法在保持学术严谨性的同时,提高了学生的满意度、保留率和许可结果。全面支持学生的项目,特别是那些来自服务不足背景的学生,更有可能减少人员流失,加强未来的护理队伍。主要结论是,以学生为中心的包容性改革对于维持护理教育和解决持续的劳动力短缺至关重要。
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引用次数: 0
Evaluating nurse practitioner faculty compensation, workload, and job satisfaction: A descriptive study 评估执业护士的薪酬、工作量和工作满意度:一项描述性研究
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-12-12 DOI: 10.1016/j.profnurs.2025.12.002
Tricia Neu, Jennifer Rode, Ashlyn Johnson

Background

There is a growing demand for qualified nurse practitioner faculty. Barriers to attracting and retaining nurse practitioner faculty include high workload demands and significantly lower salaries than clinical practice.

Purpose

The purpose of this study is to identify program characteristics, workload models, and compensation factors associated with nurse practitioner job satisfaction.

Methods

This descriptive study employed a quantitative descriptive design using a cross-sectional survey to explore nurse practitioner faculty programs, workload policies, and compensation. Data was collected to assess participant demographics, program characteristics, workload structures, compensation structures, and job satisfaction.

Results

Seventy percent of respondents (n = 171) reported no workload reduction for clinical practice. A chi-square test of independence revealed that nurse practitioner perception of fair compensation had a significant association with nurse practitioner faculty job satisfaction (1, n = 111) = 12.918, p ≤0.001). Qualitative analysis also identified the need to increase faculty salaries to align with clinical practice as the theme present across all open-ended questions.

Conclusion

To support recruitment and retention of qualified nurse practitioner faculty, universities may need to re-evaluate compensation structures so that they are better aligned with those in clinical practice. Furthermore, universities should consider developing workload policies that recognize clinical practice as a valuable contribution to workload.
对合格执业护士的需求在不断增长。吸引和留住执业护士的障碍包括高工作量要求和明显低于临床实践的工资。目的本研究的目的是确定项目特征、工作量模型和补偿因素与护士从业人员工作满意度的关系。方法:本描述性研究采用定量描述性设计,采用横断面调查,探讨护士执业教师计划、工作量政策和薪酬。收集数据以评估参与者的人口统计、项目特征、工作量结构、薪酬结构和工作满意度。结果70%的受访者(n = 171)表示临床实践的工作量没有减少。独立性卡方检验显示,执业护士对公平薪酬的感知与执业护士教师工作满意度显著相关(1,n = 111) = 12.918, p≤0.001)。定性分析还确定了增加教师工资的必要性,以配合临床实践,作为所有开放式问题的主题。结论为了支持招聘和留住合格的执业护士队伍,大学可能需要重新评估薪酬结构,使其与临床实践更好地保持一致。此外,大学应该考虑制定工作量政策,承认临床实践对工作量有价值的贡献。
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引用次数: 0
Stress, extraversion, social support, and resilience in pre-nursing students: A correlational study 护理预科学生压力、外向性、社会支持与心理弹性的相关研究
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.profnurs.2025.11.013
Leslie A. Jennings, Regina W. Urban, Kelle N. George, Daisha J. Cipher

Background

To address the persistent nursing shortage, universities are increasingly focusing on nursing student retention. However, nursing students face numerous obstacles that hinder academic progress. In pre-nursing students who haven't started formal nursing education or clinical courses, a negative correlation exists between stress and persistence. Understanding the relationships between stress, extraversion, social support, and resilience will provide new insights into pre-nursing student well-being, success, and retention.

Aim/objective

The aim of this research study is to describe the differences between and relationships among perceived stress, extraversion, social support, and resilience levels in two groups of pre-nursing students taking an Introduction to Nursing course: those opting for a traditional, on-campus (OC) modality, and those choosing an accelerated online (AO) modality.

Design/methods

This IRB-approved study used a survey-based cross-sectional design with convenience sampling. Pre-nursing students preparing to apply to the University of Texas at Arlington were invited to participate during the fall of 2024.

Results

Participants (n = 319) were female (88.1 %), ethnically diverse (Hispanic 31.0 %, Black 22.6 %, Asian 22.3 %, White 21.3 %), first generation students (52.4 %), and a mean age of 23.3 years. Relationships among social support, stress, and resilience were statistically significant, and perceived support from friends was negatively associated with stress and positively associated with resilience.

Conclusion

The consistent findings between pre-nursing students and those in formal nursing programs suggest that aspects of well-being are present before entering nursing school, but research on how extraversion and social support influence pre-nursing student persistence and success is lacking. Focusing on psychosocial health and social support can help educators tailor early interventions for pre-nursing students to manage stress, increase resilience, and enhance social support, thereby promoting future nursing student success.
为了解决持续的护理短缺问题,大学越来越关注护理专业学生的保留。然而,护理专业的学生面临着许多阻碍学业进步的障碍。在未接受正规护理教育或临床课程的护理预科学生中,压力与坚持之间存在负相关。了解压力、外向性、社会支持和恢复力之间的关系将为护理前学生的幸福感、成功和保留率提供新的见解。目的/目的本研究的目的是描述两组护理预科学生的感知压力、外向性、社会支持和弹性水平之间的差异和关系:选择传统的校园(OC)模式和选择加速在线(AO)模式。设计/方法本irb批准的研究采用基于调查的横断面设计,方便抽样。准备申请德克萨斯大学阿灵顿分校的护理预科学生被邀请在2024年秋季参加。结果参与者(n = 319)为女性(88.1%),不同种族(西班牙裔31.0%,黑人22.6%,亚洲人22.3%,白人21.3%),第一代学生(52.4%),平均年龄23.3岁。社会支持、压力和心理弹性三者之间存在显著的相关关系,而来自朋友的支持与压力呈负相关,与心理弹性呈正相关。结论护理预科学生与正规护理专业学生的幸福感在进入护理学校之前就已经存在,但关于外向性和社会支持如何影响护理预科学生的坚持和成功的研究尚缺乏。关注社会心理健康和社会支持可以帮助教育工作者为护理预科学生量身定制早期干预措施,以管理压力,增强弹性,增强社会支持,从而促进未来护理学生的成功。
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引用次数: 0
Nursing students’ experiences of seeking feedback in clinical practice context: A qualitative explorative descriptive study 护生在临床实践中寻求反馈的经验:一项质性探索性描述性研究
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.profnurs.2025.11.014
Vistolina Nuuyoma (Senior Lecturer) , Martha Sinvula (Bachelor of Nursing Science (clinical) Honours) , Agnes Makhene (Associate Professor)

Background

Feedback is a fundamental aspect of educational strategies used in clinical practice. It encourages reflective practice and experiential learning, fostering the development of evaluative judgements and promoting active learning. The emphasis has been placed on giving and receiving feedback. However, there is a gap in understanding nursing students' experiences with seeking feedback in clinical practice contexts.

Aim

To explore and describe the experiences of nursing students in seeking feedback in clinical practice.

Design

The study followed a qualitative explorative descriptive design.

Methods

Data were collected from 17 nursing students, conveniently selected for semi-structured interviews, using an interview guide. The audio-recorded interviews were transcribed verbatim for a reflexive thematic analysis.

Results

Four themes emerged, namely: motives for seeking feedback, factors considered prior to seeking feedback, strategies for seeking feedback, and hindrances to seeking feedback.

Conclusions

The study provided evidence that nursing students seek feedback for learning and adherence to standards in clinical practice. Students do prior preparation and approach potential feedback providers based on their competencies, demeanour, and relationships. Strategies for seeking feedback include inquiry and monitoring. However, students reported limited time, lack of corrective feedback, lack of interest from potential feedback providers, and fear of criticism as hindrances to seeking feedback. These findings are unique, as they supplement the available evidence on seeking feedback among students in medical education and general higher education.
反馈是临床实践中使用的教育策略的一个基本方面。它鼓励反思性实践和体验式学习,促进评估性判断的发展,促进主动学习。重点放在给予和接受反馈上。然而,在了解护理学生在临床实践中寻求反馈的经验方面存在差距。目的探讨和描述护生在临床实践中寻求反馈的体会。设计本研究采用定性探索性描述性设计。方法选取17名护生进行半结构化访谈,采用访谈指南。录音采访内容逐字抄录,以便进行反身性专题分析。结果发现了四个主题,即寻求反馈的动机、寻求反馈前考虑的因素、寻求反馈的策略和寻求反馈的障碍。结论护理专业学生在临床实践中积极寻求学习反馈和遵守标准。学生们会根据他们的能力、行为举止和关系,提前准备并接近潜在的反馈提供者。寻求反馈的策略包括询问和监测。然而,学生们报告说,时间有限,缺乏纠正性反馈,缺乏潜在反馈提供者的兴趣,以及害怕批评,这些都阻碍了他们寻求反馈。这些发现是独特的,因为它们补充了在医学教育和普通高等教育学生中寻求反馈的现有证据。
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引用次数: 0
Baccalaureate nursing students' beliefs about peer feedback in the skills lab: A longitudinal study 护理本科学生对技能实验室同伴反馈的看法:一项纵向研究
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-26 DOI: 10.1016/j.profnurs.2025.11.011
Danielle Scott Ph.D., RN, CEN

Background

Peer feedback is an evidence-based instructional strategy that promotes reflective practice, communication, and skill development in nursing education. Despite its benefits, limited research has examined how nursing students' beliefs about peer feedback evolve over time in skills laboratory settings.

Objectives

This study explored longitudinal changes in baccalaureate nursing students' beliefs about peer feedback across four semesters, focusing on its perceived value, quality, and importance as a professional skill.

Methods

A quantitative, repeated-measures design was used to analyze archival data from 35 students enrolled in a competency-based BSN program. Participants completed the Beliefs About Peer Feedback Questionnaire (BPFQ) at four time points. Data were analyzed using one-way repeated measures ANOVA to assess changes across four subscales: instructional value, feedback given, feedback received, and skill importance.

Results

Statistically significant improvements were observed across all subscales (p < .05). Students reported increasing confidence in the value and quality of peer feedback and its relevance to professional practice.

Conclusions

Structured peer feedback in skills labs positively influences nursing students' beliefs over time. Integrating peer feedback into curricula may enhance feedback literacy, critical thinking, and readiness for collaborative clinical environments.
同伴反馈是一种基于证据的教学策略,可促进护理教育中的反思性实践、沟通和技能发展。尽管有好处,但有限的研究调查了护理专业学生对同伴反馈的看法是如何随着时间的推移在技能实验室环境中演变的。目的探讨护理本科学生在四个学期中对同伴反馈的看法的纵向变化,重点关注同伴反馈的感知价值、质量和作为一种专业技能的重要性。方法采用定量、重复测量设计,对35名参加以能力为基础的BSN项目的学生的档案数据进行分析。参与者在四个时间点完成同伴反馈信念问卷。数据分析采用单向重复测量方差分析来评估四个子量表的变化:教学价值、给出的反馈、收到的反馈和技能重要性。结果在所有子量表中均观察到统计学上显著的改善(p < 0.05)。学生们报告说,他们对同伴反馈的价值和质量及其与专业实践的相关性越来越有信心。结论技能实验室中有组织的同伴反馈对护生的信念有积极的影响。将同伴反馈整合到课程中可以提高反馈素养、批判性思维和对协作临床环境的准备。
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引用次数: 0
Impact of simulation-based education on pediatric and medical-surgical nursing education: A meta-analysis 基于模拟的教育对儿科和内科外科护理教育的影响:一项荟萃分析
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-23 DOI: 10.1016/j.profnurs.2025.11.010
William D. Taala PhD , Fahad M. Althobaiti PhD , Rino S. De Sagun PhD , Rock P. Cordero PhD , Jake Canapi PhD , Jon Jon Martinez PhD

Purpose

In this meta-analysis, researchers examined the impact of high-fidelity simulation (HFS) and low-fidelity simulation (LFS) on the development of psychomotor skills, cognitive outcomes, and self-efficacy among nursing students, emphasizing pediatric and medical-surgical nursing.

Methods

In total, 18 studies involving over 4000 nursing students were systematically reviewed. Studies that focused on simulation-based education were included. The effect size for each simulation type was calculated for psychomotor skills, cognitive outcomes, and self-efficacy using the standardized mean difference.

Results

Compared with LFS, which exhibited a moderate effect size of 0.56, HFS significantly improved clinical skills, cognitive outcomes, and self-efficacy, with a pooled effect size of 0.86. Pediatric nursing students demonstrated the highest improvement (effect size, 0.82), followed by medical-surgical nursing students (effect size, 0.65), thereby indicating that HFS simulation was more effective for pediatric and medical-surgical specialties.

Conclusion

HFS and LFS instructional techniques can significantly improve the clinical decision-making, skill, and confidence levels of students. These findings provide insights into the incorporation of HFS in the nursing education curriculum, especially in pediatric and medical-surgical nursing, where clinical judgment is vital.
目的研究高保真模拟(HFS)和低保真模拟(LFS)对护生心理运动技能、认知结果和自我效能感发展的影响,重点研究儿科护理和内科外科护理。方法系统回顾18项研究,涉及护生4000余人。研究重点是基于模拟的教育。每种模拟类型的效应量使用标准化平均差计算精神运动技能、认知结果和自我效能。结果与LFS相比,HFS表现出0.56的中等效应值,显著提高了临床技能、认知结果和自我效能感,合并效应值为0.86。儿科护理专业的学生表现出最高的改善(效应量,0.82),其次是内科外科护理专业的学生(效应量,0.65),从而表明HFS模拟对儿科和内科外科专业更有效。结论hfs和LFS教学方法能显著提高学生的临床决策、技能和信心水平。这些发现为将HFS纳入护理教育课程提供了见解,特别是在儿科和内科外科护理中,临床判断至关重要。
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引用次数: 0
Understanding the barriers to reporting bullying among nursing students in clinical settings: A systematic review 了解护理学生在临床环境中报告欺凌的障碍:一项系统综述
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-22 DOI: 10.1016/j.profnurs.2025.11.007
Mohammed Qutishat , Majdi Alhadidi , Eilean Rathinasamy Lazarus , Al-Azhar Sulaiman Alghunaimi

Background

Workplace bullying in clinical settings undermines nursing students' learning, mental health, and professional development, posing significant challenges to nursing education and patient safety. Despite its high prevalence, underreporting due to systemic and cultural barriers hampers efforts to address the issue effectively.

Objectives

This scoping review aims to identify and explore the barriers preventing nursing students from reporting bullying and to discuss the implications to decrease bullying and enhance the reporting process in nursing education and clinical practice.

Methodology

Following the Arksey and O'Malley framework and PRISMA guidelines, a systematic search was conducted across nine databases for studies published between 2015 and 2024. Inclusion criteria encompassed peer-reviewed original research focusing on nursing students' experiences with bullying reporting barriers. Data were extracted, quality-assessed using the JBI tool, and synthesized narratively, emphasizing thematic analysis of identified challenges.

Results

28 studies involving diverse global populations revealed nine key themes: fear of retaliation, distrust in reporting systems, normalization of bullying, feelings of shame and isolation, concerns over professional reputation, lack of awareness and education on reporting protocols, peer pressure, and fear of negative evaluations. These interconnected barriers foster a culture of silence, hindering effective intervention.

Conclusion

The findings highlight the urgent need for nursing education programs to implement strategies addressing these barriers. Creating supportive environments and improving awareness of reporting protocols are essential for promoting the mental health and professional growth of nursing students in clinical settings.
临床环境中的职场欺凌损害了护理学生的学习、心理健康和专业发展,对护理教育和患者安全构成了重大挑战。尽管发病率很高,但由于制度和文化障碍而造成的报告不足阻碍了有效解决这一问题的努力。目的本综述旨在识别和探讨护生报告欺凌行为的障碍,并探讨减少欺凌行为和提高护理教育和临床实践报告过程的意义。方法:遵循Arksey和O’malley框架和PRISMA指南,对2015年至2024年间发表的9个数据库进行了系统搜索。纳入标准包括同行评议的原创研究,重点关注护理学生在欺凌报告障碍方面的经历。提取数据,使用JBI工具进行质量评估,并进行综合叙述,强调对确定的挑战进行专题分析。结果涉及全球不同人群的28项研究揭示了9个关键主题:对报复的恐惧、对报告系统的不信任、欺凌的正常化、羞耻和孤立感、对职业声誉的担忧、缺乏对报告协议的认识和教育、同侪压力以及对负面评价的恐惧。这些相互关联的障碍助长了一种沉默文化,阻碍了有效的干预。结论研究结果表明,护理教育计划迫切需要实施解决这些障碍的策略。创造支持性环境和提高对报告协议的认识对于促进临床环境中护理学生的心理健康和专业成长至关重要。
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引用次数: 0
Increasing nursing faculty preparation through innovation in graduate and doctoral education 通过创新研究生和博士教育,增加护理师资的准备
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-14 DOI: 10.1016/j.profnurs.2025.11.008
Carolyn J. Kerns , Monika Wedgeworth

Background

The nursing faculty shortage is an ongoing problem, partly due to a lack of doctoral-prepared nurses.

Purpose

This article explains innovative approaches to better prepare nursing faculty for an academic nurse educator role.

Methods

A Doctor of Education (EdD) in Instructional Leadership with a Nursing Education concentration prepares academic nurse educators to engage in the full scope of their role and advance the science of nursing education. The EdD equips nurses to critically assess complex educational challenges, design multifactorial solutions, and contribute to the advancement of nursing education. A Master of Science in Nursing (MSN) in Nursing Education and a Doctor of Nursing Practice (DNP) Nursing Education micro-credential provide options for nurses to obtain foundational education competencies.

Results

The EdD program currently enrolls the most active students among the three programs. Many students earn the Certified Nurse Educator (CNE) credential through the National League for Nursing. Graduates serve as nursing faculty, administrators, researchers, clinical nurse educators, and consultants.

Conclusion

The EdD, MSN in Nursing Education, and DNP Nursing Education micro-credential provide feasible solutions to better prepare nursing faculty and help alleviate the nursing faculty shortage.
护理师资短缺是一个持续存在的问题,部分原因是缺乏有博士学位的护士。目的本文解释了创新的方法,以更好地准备护理教师的学术护理教育家的角色。方法:护理教育方向的教学领导教育博士(EdD)培养学术护理教育工作者,使其充分发挥其作用,推动护理教育科学的发展。EdD使护士能够批判性地评估复杂的教育挑战,设计多因素解决方案,并为护理教育的进步做出贡献。护理教育理学硕士(MSN)和护理实践博士(DNP)护理教育微证书为护士提供了获得基础教育能力的选择。结果目前三个项目中,EdD项目的学生人数最多。许多学生通过全国护理联盟获得注册护士教育者(CNE)证书。毕业生担任护理教师、管理人员、研究人员、临床护理教育者和顾问。结论EdD、护理教育MSN、DNP护理教育微证书为更好地培养护理人才、缓解护理人才短缺提供了可行的解决方案。
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引用次数: 0
Racial microaggressions against Black students in health professions education: An integrative review with implications for Bachelor of Science in Nursing Education 卫生专业教育中黑人学生的种族微侵犯:一项对护理教育理学士的综合评价
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-13 DOI: 10.1016/j.profnurs.2025.11.006
Andrea Paige Krispin, Julie K. Zadinsky

Background

Racial microaggressions are present in health professions education. Research has shown that Black students in health professions education programs frequently experience racial microaggressions, leading to negative mental, emotional, and behavioral outcomes.

Purpose

The purpose of this integrative review of the literature was to examine the presence and effect of racial microaggressions experienced by Black students in health professions education and to explore the implications for Bachelor of Science in Nursing education.

Method

Using Toronto and Remington's methods, a review of the literature was conducted to evaluate the presence and effects of racial microaggressions in Black health education profession students.

Results

Racial microaggressions were present in health professions education and were frequently experienced by Black nursing students. Black nursing students who experienced racial microaggressions reported negative emotional and behavioral consequences in both didactic and clinical environments.

Conclusions

Nursing programs should provide training for students and faculty about racial microaggressions and provide support for Black students. More nursing specific research is needed to further understand the effects of racial microaggressions in nursing students.
背景:在卫生专业教育中存在着种族微侵犯现象。研究表明,卫生专业教育项目中的黑人学生经常经历种族微侵犯,导致消极的心理、情感和行为结果。目的本研究旨在探讨黑人学生在卫生专业教育中所经历的种族微侵犯的存在及其影响,并探讨其对护理学学士学位教育的启示。方法采用多伦多法和雷明顿法,对黑人健康教育专业学生种族微侵犯行为的存在及其影响进行文献回顾。结果黑人护生在卫生专业教育中普遍存在种族微侵犯行为。经历过种族微侵犯的黑人护理专业学生在教学和临床环境中都报告了负面的情绪和行为后果。结论护理项目应对学生和教师进行有关种族微侵犯的培训,并为黑人学生提供支持。为了进一步了解种族微侵犯对护生的影响,需要更多的护理研究。
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引用次数: 0
Standardized patient simulation in undergraduate mental health nursing education: A scoping review 大学生心理健康护理教育中标准化病人模拟:范围综述
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-11-10 DOI: 10.1016/j.profnurs.2025.11.004
Michelle R. Pinto , Mary K. McCurry , Jennifer Dunbar Viveiros

Background

A global shortage of trained mental health professionals and pervasive stigma towards individuals with mental health conditions have intensified the need to prepare nurses entering practice with the knowledge, skills, and confidence to care for patients with mental health conditions (MHCs). Simulation with standardized patients can be used in undergraduate mental health nursing courses to provide students with realistic opportunities to practice skills and improve self-efficacy.

Objective

To map the scope of literature available regarding the use of standardized patient simulation in traditional undergraduate mental health nursing education.

Method

A scoping review of published research between 2016 and 2024 was conducted as per the JBI Scoping Review Framework and PRISMA-ScR guidelines. This included systematic search of the electronic databases CINAHL, Medline, and PsycINFO, and a hand search of bibliographies. Study selection followed a three-stage review process. Studies were included if standardized patient simulation was used in the mental health nursing course in a traditional undergraduate nursing program. At the conclusion of stage three, 29 studies were selected for data extraction and charted to facilitate identification of themes in the research.

Results

The scope of available research between 2016 and 2024 supports standardized patient simulation positively impacted student preparedness for clinical experiences by increasing confidence and decreasing student anxiety. Students valued realism, a safe environment for practicing skills, and more varied experiences than provided by clinical experiences alone. Two studies measured the effect of standardized patient simulation on student attitudes towards patients with mental illness.

Conclusions

The use of standardized patient simulation in mental health nursing education has been studied at universities around the world and across study designs to improve knowledge, skills, confidence, and preparedness for clinical experiences. The addition of standardized patient simulation to mental health nursing clinical courses may reduce negative attitudes towards patients with mental health conditions. Future research on the impact of standardized patient simulation on empathy and attitudes of student nurses towards patients with mental illness is needed.
背景:全球缺乏训练有素的精神卫生专业人员以及对精神卫生状况患者普遍存在的耻辱感加剧了对护士的需求,使其具备护理精神卫生状况患者(MHCs)的知识、技能和信心。在本科心理健康护理课程中采用标准化患者模拟,为学生提供实践技能、提高自我效能感的现实机会。目的了解在传统本科心理健康护理教育中使用标准化病人模拟的文献范围。方法根据JBI范围审查框架和PRISMA-ScR指南对2016年至2024年已发表的研究进行范围审查。这包括对电子数据库CINAHL、Medline和PsycINFO的系统搜索,以及对参考书目的手工搜索。研究选择遵循三个阶段的审查过程。在传统护理专业的心理健康护理课程中采用标准化病人模拟进行研究。在第三阶段结束时,选择29项研究进行数据提取并绘制图表,以方便确定研究的主题。结果2016年至2024年间的现有研究范围支持标准化患者模拟,通过增加信心和减少学生焦虑,积极影响学生为临床经验做好准备。学生们看重现实主义,一个安全的练习技能的环境,以及比单纯的临床经验提供的更多样化的经验。两项研究测量了标准化病人模拟对学生对待精神病患者态度的影响。结论在世界各地的大学和不同的研究设计中,对在心理健康护理教育中使用标准化患者模拟进行了研究,以提高知识、技能、信心和临床经验的准备。在心理健康护理临床课程中加入规范化的患者模拟,可以减少对心理健康患者的消极态度。标准化患者模拟对学生护士对精神疾病患者共情和态度的影响有待进一步研究。
{"title":"Standardized patient simulation in undergraduate mental health nursing education: A scoping review","authors":"Michelle R. Pinto ,&nbsp;Mary K. McCurry ,&nbsp;Jennifer Dunbar Viveiros","doi":"10.1016/j.profnurs.2025.11.004","DOIUrl":"10.1016/j.profnurs.2025.11.004","url":null,"abstract":"<div><h3>Background</h3><div>A global shortage of trained mental health professionals and pervasive stigma towards individuals with mental health conditions have intensified the need to prepare nurses entering practice with the knowledge, skills, and confidence to care for patients with mental health conditions (MHCs). Simulation with standardized patients can be used in undergraduate mental health nursing courses to provide students with realistic opportunities to practice skills and improve self-efficacy.</div></div><div><h3>Objective</h3><div>To map the scope of literature available regarding the use of standardized patient simulation in traditional undergraduate mental health nursing education.</div></div><div><h3>Method</h3><div>A scoping review of published research between 2016 and 2024 was conducted as per the JBI Scoping Review Framework and PRISMA-ScR guidelines. This included systematic search of the electronic databases CINAHL, Medline, and PsycINFO, and a hand search of bibliographies. Study selection followed a three-stage review process. Studies were included if standardized patient simulation was used in the mental health nursing course in a traditional undergraduate nursing program. At the conclusion of stage three, 29 studies were selected for data extraction and charted to facilitate identification of themes in the research.</div></div><div><h3>Results</h3><div>The scope of available research between 2016 and 2024 supports standardized patient simulation positively impacted student preparedness for clinical experiences by increasing confidence and decreasing student anxiety. Students valued realism, a safe environment for practicing skills, and more varied experiences than provided by clinical experiences alone. Two studies measured the effect of standardized patient simulation on student attitudes towards patients with mental illness.</div></div><div><h3>Conclusions</h3><div>The use of standardized patient simulation in mental health nursing education has been studied at universities around the world and across study designs to improve knowledge, skills, confidence, and preparedness for clinical experiences. The addition of standardized patient simulation to mental health nursing clinical courses may reduce negative attitudes towards patients with mental health conditions. Future research on the impact of standardized patient simulation on empathy and attitudes of student nurses towards patients with mental illness is needed.</div></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"62 ","pages":"Pages 105-116"},"PeriodicalIF":2.9,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Professional Nursing
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