“It felt real”: Nursing students’ experiences of mental health simulation utilizing service users as standardized patients

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-08-30 DOI:10.1016/j.ecns.2025.101794

Jiyoung Kim PMH-APN, PhD , Suyoun Ahn RN, PhD , Jaewon Joung PMH-APN, PhD

{"title":"“It felt real”: Nursing students’ experiences of mental health simulation utilizing service users as standardized patients","authors":"Jiyoung Kim PMH-APN, PhD , Suyoun Ahn RN, PhD , Jaewon Joung PMH-APN, PhD","doi":"10.1016/j.ecns.2025.101794","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Involving service users as standardized patients in mental health simulation enhances the authenticity of learning and fosters recovery-oriented, person-centered nursing values. This study explored nursing students’ experiences of a simulation involving a person with lived experience of mental illness as a standardized patient.</div></div><div><h3>Methods</h3><div>A simulation scenario depicting a patient with schizophrenia who refused medication due to delusions and auditory hallucinations was implemented. A trained service user acted as a standardized patient. Eighty-nine fourth-year nursing students participated and submitted written reflections. Data were analyzed using inductive content analysis.</div></div><div><h3>Results</h3><div>Three main themes emerged: (a) learning effectiveness enhanced by realistic situations, (b) challenges arising from unfamiliar and innovative instructional approaches, and (c) growing a caring attitude. Reflections revealed increased empathy toward individuals with mental illness, strengthening students’ commitment to compassionate care.</div></div><div><h3>Conclusion</h3><div>Involving service users as standardized patients in mental health simulations can bridge the gap between theoretical learning and real-world practice, enriching mental health nursing education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101794"},"PeriodicalIF":2.5000,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139925001112","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Involving service users as standardized patients in mental health simulation enhances the authenticity of learning and fosters recovery-oriented, person-centered nursing values. This study explored nursing students’ experiences of a simulation involving a person with lived experience of mental illness as a standardized patient.

Methods

A simulation scenario depicting a patient with schizophrenia who refused medication due to delusions and auditory hallucinations was implemented. A trained service user acted as a standardized patient. Eighty-nine fourth-year nursing students participated and submitted written reflections. Data were analyzed using inductive content analysis.

Results

Three main themes emerged: (a) learning effectiveness enhanced by realistic situations, (b) challenges arising from unfamiliar and innovative instructional approaches, and (c) growing a caring attitude. Reflections revealed increased empathy toward individuals with mental illness, strengthening students’ commitment to compassionate care.

Conclusion

Involving service users as standardized patients in mental health simulations can bridge the gap between theoretical learning and real-world practice, enriching mental health nursing education.

查看原文本刊更多论文

“感觉真实”：护生以服务使用者为标准化病人的心理健康模拟体验

背景将服务使用者作为标准化患者参与心理健康模拟，提高了学习的真实性，并培养了以康复为导向、以人为本的护理价值观。本研究探讨了护理专业学生对一个有精神疾病生活经历的人作为一个标准化病人的模拟体验。方法模拟一名精神分裂症患者因妄想和幻听拒绝服药的情景。训练有素的服务使用者充当标准化的患者。89名四年级护理学生参与并提交了书面反思。采用归纳内容分析法对数据进行分析。结果出现了三个主要主题：(a)通过现实情况提高学习效率；(b)不熟悉和创新的教学方法带来的挑战；(c)培养关心的态度。反思显示，学生对精神疾病患者的同情心增加了，这加强了他们对同情关怀的承诺。结论将服务使用者作为标准化患者参与心理健康模拟，可以弥补理论学习与现实实践的差距，丰富心理健康护理教育。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.