Fostering equity in nursing education and practice: Inclusive simulation for weight bias reduction

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-10-16 DOI:10.1016/j.ecns.2025.101840

Jessica E. Marsack PhD , Melissa A. Bathish PhD , Susan Wintermeyer-Pingel DNP

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引用次数: 0

Abstract

Background

Weight bias impacts overweight/obese patients’ quality of care. Undergraduate nursing education lacks hands-on care of simulated patients with obesity. This project sought to address weight biases related to patients with obesity.

Methods

Sophomore students (N = 130) completed an educational intervention regarding care of overweight/obese patients using obesity suits during simulated patient care activities addressing weight bias. Pre- and immediate-post surveys assessed attitudes, beliefs, and cultural humility regarding overweight/obese persons.

Results

Paired t-tests showed significant prepost intervention improvement on the Attitudes Toward Obese Person scale. Preintervention Cultural Humility Scale scores were high and remained stable postintervention, as did scores for the Beliefs About Obese Persons scale. Regression analyses indicated the intervention was beneficial even when controlling for weight experiences.

Conclusion

This educational intervention improved undergraduate nursing students' attitudes toward patients with obesity, which could ultimately improve inclusive practice skills, reduce weight biases, and improve patient care.

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促进护理教育和实践的公平性：减少体重偏差的包容性模拟

背景：体重偏倚影响超重/肥胖患者的护理质量。本科护理教育缺乏模拟肥胖患者的实际护理。该项目旨在解决与肥胖患者有关的体重偏差。方法大二学生（N = 130）在模拟患者护理活动中使用肥胖服完成了超重/肥胖患者护理的教育干预，以解决体重偏差。前后调查评估了超重/肥胖者的态度、信念和文化谦逊。结果西班牙t检验显示干预前对肥胖者态度量表有显著改善。干预前文化谦逊量表得分很高，干预后保持稳定，肥胖者信念量表得分也是如此。回归分析表明，即使在控制体重经历的情况下，干预也是有益的。结论教育干预可改善本科护生对肥胖患者的态度，最终提高包容性实践技能，减少体重偏差，改善患者护理。

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

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.