The Role of Virtual Simulation in De-Escalating a Patient Demonstrating Escalating Behavior.

Meghan Conrad, Nicole Harder, Els Duff, Dieter Schönwetter
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Abstract

Background: Undergraduate nursing students are unprepared to manage patients demonstrating escalating aggressive behavior encountered during their clinical placements. Confidence and competence surrounding de-escalation skills can be achieved through virtual simulated learning opportunities. This study evaluated undergraduate nursing students' perceptions of confidence and success in their de-escalation skills following a virtual simulation intervention.

Method: A quantitative, one-group pretestposttest design was used to complete this study. Students (n = 33) completed a 10-question demographic questionnaire with four additional questions on participants' psychosocial well-being considering the pandemic, and a nine-question pre- and postvirtual simulation de-escalation confidence and knowledge survey.

Results: Virtual simulation had positive effects on participants' feelings of confidence and success. Male students and students who reported Caucasian as their ethnicity were the most comfortable with de-escalating behaviors.

Conclusion: These findings emphasize the effectiveness of de-escalation education. [J Nurs Educ. 2024;63(10):698-702.].

虚拟仿真在缓解患者不断升级的行为中的作用。
背景:护理专业的本科生在临床实习中遇到的病人会表现出不断升级的攻击性行为,他们在处理这些行为时毫无准备。通过虚拟的模拟学习机会,可以增强学生的信心,提高他们掌握缓和行为技巧的能力。本研究评估了护理专业本科生在虚拟模拟干预后对其降级技能的信心和成功的看法:本研究采用了定量、单组前测后测的设计方法。学生(n = 33)填写了一份包含 10 个问题的人口统计学问卷,其中有 4 个问题是关于参与者对大流行病的社会心理健康考虑,另外还有一份包含 9 个问题的虚拟仿真前和虚拟仿真后的逃生信心和知识调查:结果:虚拟模拟对参与者的自信心和成功感产生了积极影响。结果:虚拟模拟对参与者的自信心和成功感产生了积极的影响,男生和高加索人种的学生在采取降级行为时最得心应手:这些发现强调了降级教育的有效性。[J Nurs Educ. 2024;63(10):698-702.]
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