Clinical Simulation in Nursing最新文献

Team building and communication: “Sim Wars” game-based learning and peer-to-peer mentoring 团队建设和沟通：《模拟战争》基于游戏的学习和同伴间的指导

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-19 DOI: 10.1016/j.ecns.2025.101761

Nicole A. Gonzaga Gomez DNP, CRNA, APRN, CHSE, FAANA , Shayne D. Hauglum PhD, CRNA , Greta Mitzova-Vladinov DNP, CRNA, APRN, CHSE, FAANA , Daniel Acevedo MSN, CRNA , Andres F. Ocampo-Salazar MD

{"title":"Team building and communication: “Sim Wars” game-based learning and peer-to-peer mentoring","authors":"Nicole A. Gonzaga Gomez DNP, CRNA, APRN, CHSE, FAANA , Shayne D. Hauglum PhD, CRNA , Greta Mitzova-Vladinov DNP, CRNA, APRN, CHSE, FAANA , Daniel Acevedo MSN, CRNA , Andres F. Ocampo-Salazar MD","doi":"10.1016/j.ecns.2025.101761","DOIUrl":"10.1016/j.ecns.2025.101761","url":null,"abstract":"<div><h3>Background</h3><div>Poor communication and teamwork during perioperative emergencies have been linked with untoward outcomes. Healthcare professionals are required to work in teams, yet they rarely train in teams; however, many graduate healthcare programs recognize simulation-based education’s value. Students’ participation in simulated scenarios with game-based learning prepares them for challenges encountered professionally.</div></div><div><h3>Methods</h3><div>This pilot study examined the impact simulation has on individual and team dynamics utilizing a “<em>Sim Wars</em>”—a peer-to-peer simulation competition where teams of doctoral nurse anesthesia students competed in simulated obstetric and pediatric anesthesia scenarios.</div></div><div><h3>Results</h3><div>Sixty-six doctoral nurse anesthesia students participated and completed all pre- and postsimulation surveys. After each round of the competition, a total of 106 completed surveys were collected. Presimulation outcomes indicated positive correlations toward learning, team-building, and peer-to-peer learning. Postsimulation, students found the experience helpful in communication, and interprofessional team interactions in preparation for clinical practice.</div></div><div><h3>Conclusion</h3><div>Students were satisfied with game-based learning and essential to professional preparation. Simulation experiences with game-based learning enhanced interprofessional communication and team-building skills. Further research in game-based learning in simulation-based education is recommended.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101761"},"PeriodicalIF":3.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314096","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}

引用次数: 0

Use of simulation-based education to improve wound care practice amongst registered and nursing students: An integrative review 利用模拟教育改善注册和护理学生的伤口护理实践：一项综合综述

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-19 DOI: 10.1016/j.ecns.2025.101758

Sharon MacLean RM, RN, PhD, Fiona Geddes PhD, Keryln Carville RN, PhD

{"title":"Use of simulation-based education to improve wound care practice amongst registered and nursing students: An integrative review","authors":"Sharon MacLean RM, RN, PhD, Fiona Geddes PhD, Keryln Carville RN, PhD","doi":"10.1016/j.ecns.2025.101758","DOIUrl":"10.1016/j.ecns.2025.101758","url":null,"abstract":"<div><h3>Background</h3><div>Nursing students (NS) and Registered Nurses (RN) often face challenges in wound management due to limited specialized knowledge. Simulation-based education (SBE) has emerged as a solution to bridge gaps in clinical practice. This review examines the role of SBE in developing wound care skills, focusing on its utilization, methods used to evaluate efficacy, and alignment with Healthcare Simulation Standards of Best Practice® (INACSL Standards Committee, 2021).</div></div><div><h3>Methods</h3><div>Seventeen studies (2014-2024) were reviewed, exploring various SBE modalities in wound care education, including mannequins, task trainers, simulated participants, and virtual/augmented reality. These studies evaluated the impact on nursing students and registered nurses' wound care knowledge, skills, and decision-making.</div></div><div><h3>Results</h3><div>The review found that both qualitative and quantitative methodologies are being used to evaluate the impact of SBE to improve theoretical knowledge and practical skills in wound care. While methodological issues were identified in the reviewed studies, simulation-based training was found to enhance clinical skills and the application of wound care principles. Issues including study design, the use of unvalidated assessment tools, and standardizing simulated participant (SP) recruitment and training procedures were identified.</div></div><div><h3>Conclusion</h3><div>Simulation-based education is a valuable strategy for enhancing wound care education in both student and registered nurses by supporting the development of clinical skills. Simulated participants create realistic, patient-focused scenarios that allow learners to practice clinical reasoning and decision-making in a safe, controlled environment. However, greater methodological rigor is needed to improve the reliability of findings and to better evaluate the true impact of SBE in the context of wound care education.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101758"},"PeriodicalIF":3.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314095","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}

引用次数: 0

The impact of simulated participant simulation on enhancing mental health knowledge, skills and attributes in Diploma of Nursing students 模拟参与者模拟对护理文凭学生心理健康知识、技能和属性的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-17 DOI: 10.1016/j.ecns.2025.101755

Karen Hall PhD , Debra Kiegaldie PhD , Jason Skues PhD

{"title":"The impact of simulated participant simulation on enhancing mental health knowledge, skills and attributes in Diploma of Nursing students","authors":"Karen Hall PhD , Debra Kiegaldie PhD , Jason Skues PhD","doi":"10.1016/j.ecns.2025.101755","DOIUrl":"10.1016/j.ecns.2025.101755","url":null,"abstract":"<div><h3>Background</h3><div>To better meet the mental health training needs of Australian Diploma of Nursing students, it is essential to transition from the current competency-based teaching approach to a more holistic, integrated method using Simulated Participant simulation-based learning.</div></div><div><h3>Methods</h3><div>An embedded mixed methods design with multiple case studies was employed. Ten students enrolled in a mental health nursing unit of a diploma of nursing course completed surveys, which included the adapted Health Communication Assessment Tool and the Lasater Clinical Judgment Rubric, both before and after a simulated participant intervention and clinical placement. Students also completed the Student Satisfaction and Self-confidence in Learning scale and participated in an individual interview following the simulation intervention. Quantitative data were analyzed using descriptive statistics, and qualitative data were examined through inductive thematic and interpretative phenomenological analysis.</div></div><div><h3>Results</h3><div>The findings of this research revealed that Simulated Participant simulation demonstrated an increase in self-reported knowledge, skills and attributes necessary for working effectively with mental health consumers. Additionally, students felt better prepared for a mental health placement.</div></div><div><h3>Conclusion</h3><div>Simulation-based education using Simulated Participant methodology was shown to enhance self-reported knowledge, communication skills, clinical reasoning, confidence, and empathy. This educational approach could potentially address the gaps in the current Diploma of Nursing course, resulting in more proficient and effective nursing care for mental health consumers.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101755"},"PeriodicalIF":3.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298051","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}

引用次数: 0

Using high fidelity simulation to mitigate workplace violence and incivility 使用高保真模拟来减少工作场所的暴力和不文明行为

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-16 DOI: 10.1016/j.ecns.2025.101762

Caroline Ferzoco MSN, RN, CCRN , Kathleen Ryan Avery MSN, RN, CCRN , Barbara E. Lakatos DNP, PMHCNS-BC, APRN , Christine Murphy MS, PMHCNS-BC, CARN-AP , Mary “Maggie” Ryan MS, RN, CHSE , Pamela Brown Linzer PhD, RN, CPHQ, NEA-BC , Mary Pennington MS, RN, SCRN , Kimberly Leger MSN, RN, NE-BC

{"title":"Using high fidelity simulation to mitigate workplace violence and incivility","authors":"Caroline Ferzoco MSN, RN, CCRN , Kathleen Ryan Avery MSN, RN, CCRN , Barbara E. Lakatos DNP, PMHCNS-BC, APRN , Christine Murphy MS, PMHCNS-BC, CARN-AP , Mary “Maggie” Ryan MS, RN, CHSE , Pamela Brown Linzer PhD, RN, CPHQ, NEA-BC , Mary Pennington MS, RN, SCRN , Kimberly Leger MSN, RN, NE-BC","doi":"10.1016/j.ecns.2025.101762","DOIUrl":"10.1016/j.ecns.2025.101762","url":null,"abstract":"<div><h3>Background</h3><div>Workplace violence (WPV) significantly impacts the nursing workforce. Effective mitigation efforts can enhance safety through early recognition, de-escalation, improved reporting, and support of nurse wellbeing.</div></div><div><h3>Methods</h3><div>A simulation-based WPV program was developed focusing on defining WPV, outlining use of mitigation strategies and highlighting available staff resources within a trauma-informed framework. Simulation utilizing standardized patients enhanced the patient to staff and staff to staff scenarios.</div></div><div><h3>Results</h3><div>Increased reporting of WPV incidents and key learning takeaways were noted post-implementation. Overall, there was a 100% increase in SAFE Response activations from the pre-intervention to post-intervention period with the night shift having the most profound increase. Professional conduct safety reports from nurses increased by 14%.</div></div><div><h3>Conclusions</h3><div>A simulation-based program is an effective and innovative method for providing WPV mitigation training to staff and can be adapted to meet the needs of various healthcare organizations.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101762"},"PeriodicalIF":3.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298052","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}

引用次数: 0

Effectiveness of in situ simulation for knowledge of mental health emergencies, aggression minimization skills, and perceived self-confidence among undergraduate nursing students in Oman: A quantitative study 现场模拟对阿曼本科护理学生心理健康突发事件知识、攻击最小化技能和感知自信的有效性：一项定量研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-16 DOI: 10.1016/j.ecns.2025.101756

Khalood Al-abri PhD , Judie Arulappan PhD , Divya Kuzhivilayil Yesodharan MSN , Erna Judith Roach PhD , Rasha Abubaker MSN , Mohammed Ghalib Qutishat MSN

{"title":"Effectiveness of in situ simulation for knowledge of mental health emergencies, aggression minimization skills, and perceived self-confidence among undergraduate nursing students in Oman: A quantitative study","authors":"Khalood Al-abri PhD , Judie Arulappan PhD , Divya Kuzhivilayil Yesodharan MSN , Erna Judith Roach PhD , Rasha Abubaker MSN , Mohammed Ghalib Qutishat MSN","doi":"10.1016/j.ecns.2025.101756","DOIUrl":"10.1016/j.ecns.2025.101756","url":null,"abstract":"<div><h3>Background</h3><div>In situ simulation (ISS) is a promising approach for realistic, team-based training in clinical environments, yet its effectiveness for undergraduate nursing students in psychiatric emergency settings remains underexplored. This study evaluated the impact of an ISS training program on students’ knowledge of psychiatric emergencies, aggression minimization skills, and self-confidence, as well as factors influencing training outcomes.</div></div><div><h3>Methods</h3><div>Ninety-one undergraduate nursing students completed a two-day aggression management simulation training program. Data were collected using three instruments. Pre- and post-training scores were compared using the Wilcoxon signed-rank test, and multivariate analysis assessed factors influencing training outcomes.</div></div><div><h3>Results</h3><div>Significant pre-post improvements were observed in knowledge, aggression minimization skills, and confidence (<em>p</em> < .001). Students with lower baseline scores demonstrated greater gains.</div></div><div><h3>Conclusion</h3><div>ISS training significantly enhances nursing students’ competencies in managing psychiatric emergencies. Tailored strategies addressing diverse baseline capabilities are essential. The integration of ISS programs into nursing curricula is recommended to strengthen professional preparedness.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101756"},"PeriodicalIF":3.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298050","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}

引用次数: 0

Development and evaluation of an integrative-fidelity nursing simulation education program using extended-reality smart glasses: A quasi-experimental study 使用扩展现实智能眼镜的综合保真护理模拟教育计划的开发和评估：一项准实验研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-10 DOI: 10.1016/j.ecns.2025.101754

Jiyoung Kim RN, ANP, PhD , Narae Heo RN, PhD , Mingyo Seo RN , Hyunjung Shin RN

{"title":"Development and evaluation of an integrative-fidelity nursing simulation education program using extended-reality smart glasses: A quasi-experimental study","authors":"Jiyoung Kim RN, ANP, PhD , Narae Heo RN, PhD , Mingyo Seo RN , Hyunjung Shin RN","doi":"10.1016/j.ecns.2025.101754","DOIUrl":"10.1016/j.ecns.2025.101754","url":null,"abstract":"<div><h3>Background</h3><div>Cutting-edge technologies have been developed for improved clinical competency and professional expertise in healthcare education. Therefore, this study aimed to evaluate the effects of integrative-fidelity nursing simulation education program using extended-reality smart glasses.</div></div><div><h3>Methods</h3><div>In this quasi-experimental study, participants were divided into experimental and control groups (39 participants each). In the low-fidelity stage, participants used a head-mounted display to view 360-degree immersive content and practiced neurological assessment and infusion pump operation using a partial model or mannequin. The high-fidelity stage included hybrid simulation using high-fidelity simulator and standardized patient. The smart glasses provided patient information and nursing records with first-person action recordings used for debriefing. The scores for positive attitudes toward wearable displays, perceived importance, critical thinking disposition, satisfaction, and self-confidence were analyzed.</div></div><div><h3>Results</h3><div>The experimental group had significantly higher scores in positive attitudes toward wearable displays, perceived importance, prudence as a critical thinking subscale, and satisfaction.</div></div><div><h3>Conclusion</h3><div>The integrative-fidelity nursing simulation program using extended-reality smart glasses facilitated nursing education with effective, in-depth, integrated learning.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101754"},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254826","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}

引用次数: 0

Preparing psychiatric-mental health nurse practitioner students for patient death from suicide via standardized patient simulation 通过标准化的病人模拟，为精神病-心理健康执业护士学生准备病人自杀死亡

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-05 DOI: 10.1016/j.ecns.2025.101753

Sean Convoy DNP, PMHNP-BC, Dana Convoy RN, MSN, CHSE, Jamie Lord DNP, PMHNP-BC, Courtney Calhoun RN, DNP, CNE, CHSE, Nicole Petsas Blodgett PhD, RN, CHSE, Marissa D. Abram PhD, PMHNP-BC, CARN-AP, FIAAN

引用次数: 0

Development and usability of the mixed reality–based intubation nursing simulation: A mixed methods study 基于混合现实的插管护理模拟的开发和可用性：一项混合方法研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-02 DOI: 10.1016/j.ecns.2025.101759

Sun-Hee Moon PhD , Hwi-Gon Jeon MS, RN , Mi Jin Choi PhD

{"title":"Development and usability of the mixed reality–based intubation nursing simulation: A mixed methods study","authors":"Sun-Hee Moon PhD , Hwi-Gon Jeon MS, RN , Mi Jin Choi PhD","doi":"10.1016/j.ecns.2025.101759","DOIUrl":"10.1016/j.ecns.2025.101759","url":null,"abstract":"<div><h3>Background</h3><div>Integrating mixed reality (MR) into nursing simulation education, particularly for procedural training such as endotracheal intubation, offers a promising avenue to the repetitive training of practical execution and collaboration. This study aimed to develop an MR-based intubation nursing (MRIN) simulation tailored for nursing professionals and focused on usability.</div></div><div><h3>Methods</h3><div>This study used a mixed methods design. The MRIN scenario with eight steps was developed using HoloLens 2 and evaluated by 12 nursing master’s students experienced in intubation. After two simulation sessions, quantitative data for the simulation task load index (SIM-TLX) and task completion time were evaluated, while qualitative data were gathered through think aloud (TA) interviews.</div></div><div><h3>Results</h3><div>The subtotal task load of the SIM-TLX decreased from 4.25/10 ± 2.21 in the first simulation to 3.08/10 ± 1.37 in the second simulation, with reduced task completion time. TA interviews highlighted the need for modifications to enhance realism, procedural accuracy, and the program’s strengths.</div></div><div><h3>Conclusion</h3><div>The MRIN simulation represents an advancement in MR technology for nursing education, offering an immersive and effective platform for procedural training.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101759"},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195019","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}

引用次数: 0

Exploring the experiences of undergraduate students as standardized participants 探索本科生作为标准化参与者的经历

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-30 DOI: 10.1016/j.ecns.2025.101751

Meg CW Lagunas PhD , Krista Collins MSN

引用次数: 0

Piloting a brief psychoeducational intervention to reduce the impact of social anxiety on mental health simulations for nursing students 试点简短的心理教育干预，以减少社会焦虑对护理学生心理健康模拟的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-28 DOI: 10.1016/j.ecns.2025.101734

Mark Kenwright, Patricia Awty, Chris Bye, Donna Doherty, Daniela Leese, Emily Edwards

{"title":"Piloting a brief psychoeducational intervention to reduce the impact of social anxiety on mental health simulations for nursing students","authors":"Mark Kenwright, Patricia Awty, Chris Bye, Donna Doherty, Daniela Leese, Emily Edwards","doi":"10.1016/j.ecns.2025.101734","DOIUrl":"10.1016/j.ecns.2025.101734","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based learning can trigger disabling social anxiety in mental health simulations where interpersonal skills are observed and critiqued by others, yet an effective cognitive behavioural intervention has been developed to address social anxiety.</div></div><div><h3>Methods</h3><div>In this uncontrolled observational multi-methods cohort study, 56 third-year undergraduate Mental Health Nursing students completed anonymous online measures of social anxiety after a first mental health simulation. A session of psychoeducation and skills practice based on the principles of Cognitive Behavioural Therapy for social anxiety (Clark and Wells, 1997) was then delivered for all students. The following week a second mental health simulation took place, and post-simulation ratings were repeated.</div></div><div><h3>Results</h3><div>Students rated less social anxiety (pre-post Effect Size 0.3); less impact on their attention (pre-post E.S. 1.0) and less challenge to their learning/ performance (pre-post E.S. 0.9) during the second, post-psychoeducation simulation. Students expressed a preference for smaller groups and more unobserved practise due to feeling alienated by cameras.</div></div><div><h3>Conclusions</h3><div>Brief psychoeducation on social anxiety appears efficacious in reducing its negative impact on student performance and learning during simulation. Such training could be easily incorporated into simulation-based healthcare education programmes.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101734"},"PeriodicalIF":3.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167703","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}

引用次数: 0