Challenged, informed, and connected: Nursing students’ insights following Opioid Use Disorder simulation debriefing

IF 2.5 3区 医学 Q1 NURSING
Monika S. Schuler PhD, FNP, BC , Mary K. McCurry PhD, RNBC, ANP, ACNP , Jennifer Dunbar Viveiros PhD, RN, CNE , Mirinda Tyo PhD, RN, TCRN , Shannon Avery-Desmarais PhD, RN, AGNP-C , Danielle DeGonge PhD, RN, OCN
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引用次数: 0

Abstract

Background

Negative attitudes toward individuals with opioid use disorder (OUD) are common among healthcare providers, including nursing students. While simulation education can reduce stigma, evidence-based simulations incorporating diverse perspectives of individuals with OUD, including LGBTQ+ individuals, rural residents, older adults, and those experiencing human trafficking, are needed.

Methods

This qualitative descriptive study explored the impact of six high-fidelity simulations, co-created with input from the recovery community, on 60 nursing students’ attitudes toward caring for diverse individuals with OUD. Simulation debriefings were analyzed for evolving perspectives.

Results

Initial reflections revealed themes of “Limited knowledge of OUD” and “Out of my comfort zone.” Postdebriefing themes included “recognizing stigma,” “treating the person—not the disorder,” “importance of caring behavior,” and “building connections.” Beyond attitudinal shifts, debriefings elicited personal reflection with some students connecting the simulations to family or friend OUD experiences with new meaningfulness. Trauma informed debriefings helped students process emotions triggered by these reflections.

Conclusion

Community-informed simulations are transformative in nursing education. By addressing knowledge gaps, challenging biases, and fostering empathy, they promote stigma-free, person-centered OUD care.
挑战,知情,和连接:护理学生的见解阿片类药物使用障碍模拟汇报
背景对阿片类药物使用障碍(OUD)患者的负面态度在医疗服务提供者中很常见,包括护生。虽然模拟教育可以减少耻辱感,但需要基于证据的模拟,包括LGBTQ+个人、农村居民、老年人和遭受人口贩运的人在内的OUD患者的不同视角。方法本定性描述性研究探讨了六个高保真度模拟对60名护理专业学生照顾不同OUD患者态度的影响,这些模拟与康复社区的输入共同创建。模拟情况汇报分析了不断变化的观点。结果初步反思的主题是“对OUD的了解有限”和“走出我的舒适区”。汇报后的主题包括“认识耻辱”、“治疗患者而不是疾病”、“关爱行为的重要性”和“建立联系”。除了态度的转变,汇报还引发了一些学生的个人反思,他们将模拟与家人或朋友的经历联系起来,赋予了新的意义。创伤情况汇报帮助学生处理由这些反思引发的情绪。结论社区信息模拟是护理教育的变革。通过解决知识差距、挑战偏见和培养同理心,他们促进了无耻辱感、以人为本的OUD护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
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.
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