Clinical Simulation in Nursing最新文献_第2页

Structured Prebrief for Clinical Judgment in Nursing Simulation: A Quasi-Experimental Study 护理模拟临床判断的结构化预摘要：一项准实验研究

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-23 DOI: 10.1016/j.ecns.2025.101826

Elizabeth Parker EdD, RN, CNE, CHSE , Jane K. Dickinson RN, PhD, CDCES, FAAN , Cynthia Crews DNP, RN, CNE, CHSE , Elizabeth Zirkle MSN, RN, FNP-C

{"title":"Structured Prebrief for Clinical Judgment in Nursing Simulation: A Quasi-Experimental Study","authors":"Elizabeth Parker EdD, RN, CNE, CHSE , Jane K. Dickinson RN, PhD, CDCES, FAAN , Cynthia Crews DNP, RN, CNE, CHSE , Elizabeth Zirkle MSN, RN, FNP-C","doi":"10.1016/j.ecns.2025.101826","DOIUrl":"10.1016/j.ecns.2025.101826","url":null,"abstract":"<div><h3>Background</h3><div>The literature on simulation prebriefing is limited. This study explored the impact of structured prebriefing on nursing students’ clinical judgment and self-perceived patient care ability.</div></div><div><h3>Methods</h3><div>A quasi-experimental design compared standard (control) and structured (intervention) prebriefing in 55 undergraduate nursing students. Outcome measurements the Laseter Clinical Judgment Rubric (LCJR) and the Perceptions to Care in Acute Situations (PCAS).</div></div><div><h3>Results</h3><div>Both groups showed improvement in mean scores on PCAS, with no significant difference in LCJR scores between groups.</div></div><div><h3>Conclusion</h3><div>Structured prebriefing did not yield statistically significant improvements. This study's limitations, including a relatively small sample, a rise in student attrition rate, the use of one site, and one-time exposure to the intervention, highlight the need for further research to determine the impact of structured prebriefing on clinical judgment and development of a prebriefing model.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101826"},"PeriodicalIF":2.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119863","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

A novel collaborative simulation for emergency and neonatal nurse practitioner students 一个新颖的协作模拟急诊和新生儿护士执业学生

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-22 DOI: 10.1016/j.ecns.2025.101823

Colleen Reilly Moss DNP APRN NNP-BC C-ELBW , Eric Hall MSN RN NI-BC CSSWB , Mindy Johnson DNP APRN FNP-BC AGACNP-BC ENP-C , Helen Nation DNP APRN NNP-BC NPT , Jennifer Wilbeck DNP ACNP-BC FNP-BC ENP-C FAANP FAAN

引用次数: 0

A telenursing simulation to assess nursing students’ readiness for practice in screening adolescents for depression 远程护理模拟评估护理学生准备实践筛选青少年抑郁症

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-20 DOI: 10.1016/j.ecns.2025.101812

Lori P. Moore DNP, FNP-BC, CHSE, SANE-A, Brady B. Urquhart DNP, RN, Ashleigh F. Bowman DNP, RN, CRNP, CPNP-AC, SANE-A, SANE-P, Carol Pierce MSN, RN, Candice N. Selwyn PhD

{"title":"A telenursing simulation to assess nursing students’ readiness for practice in screening adolescents for depression","authors":"Lori P. Moore DNP, FNP-BC, CHSE, SANE-A, Brady B. Urquhart DNP, RN, Ashleigh F. Bowman DNP, RN, CRNP, CPNP-AC, SANE-A, SANE-P, Carol Pierce MSN, RN, Candice N. Selwyn PhD","doi":"10.1016/j.ecns.2025.101812","DOIUrl":"10.1016/j.ecns.2025.101812","url":null,"abstract":"<div><div>Mental health diagnoses have become prevalent among pediatric patients, leading to the enhanced need for undergraduate nursing students to be competent and comfortable screening and caring for these individuals. Using video-conferencing software as a simulated, telenursing, virtual platform, nursing learners engaged in a simulated scenario with a standardized patient (SP) acting as an adolescent experiencing clinically significant depressive and anxiety symptoms. This simulation was implemented to improve the knowledge, skills, and attitudes of learners in identifying and caring for adolescents experiencing these symptoms. Learners reported a perceived increase in knowledge (<em>M</em> = 3.45 out of 5, <em>SD</em> = 0.93) and self-reported a significant increase in confidence to care for patients reporting depressive symptoms postsimulation (<em>M</em> = 3.49, <em>SD</em> = 0.50) to postsimulation (<em>M</em> = 3.67, <em>SD</em> = 0.52; <em>t (196)</em>= -5.14, <em>p <</em> .001, <em>d</em> = -0.37). Telenursing simulation in undergraduate nursing education introduces nursing students to the principles of telenursing best practices while aligning the nursing curriculum with the American Association of Colleges of Nursing’s <em>Essentials</em> and enhancing practice readiness for the future nursing workforce.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101812"},"PeriodicalIF":2.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098498","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

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

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-20 DOI: 10.1016/j.ecns.2025.101820

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

{"title":"Challenged, informed, and connected: Nursing students’ insights following Opioid Use Disorder simulation debriefing","authors":"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","doi":"10.1016/j.ecns.2025.101820","DOIUrl":"10.1016/j.ecns.2025.101820","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"108 ","pages":"Article 101820"},"PeriodicalIF":2.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145098497","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

Psychological safety mediates the relationship between climate of silence and team learning in simulation debriefing 心理安全在模拟汇报中沉默气氛与团队学习的关系中起中介作用

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-18 DOI: 10.1016/j.ecns.2025.101821

Hyang Eun Yoo MSN , Young Sook Roh PhD

引用次数: 0

Exploring three modalities of clinical education for prelicensure nursing students and the impact on transition to practice in rural settings 探讨三种模式的临床教育的准护士学生和过渡到实践在农村设置的影响

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-17 DOI: 10.1016/j.ecns.2025.101806

Carrie Miller PhD, RN, CHSE-A, IBCLC, FAAN, Laura Larsson PhD, MPH, RN, FAAN, Annika Lawrence, Leigh Sturges MS, Susan Wallace Raph DNP, RN, NEA-BC

{"title":"Exploring three modalities of clinical education for prelicensure nursing students and the impact on transition to practice in rural settings","authors":"Carrie Miller PhD, RN, CHSE-A, IBCLC, FAAN, Laura Larsson PhD, MPH, RN, FAAN, Annika Lawrence, Leigh Sturges MS, Susan Wallace Raph DNP, RN, NEA-BC","doi":"10.1016/j.ecns.2025.101806","DOIUrl":"10.1016/j.ecns.2025.101806","url":null,"abstract":"<div><h3>Background</h3><div>Educational pedagogical modalities have shifted recently. The Clinical Learning Environment Comparison Survey (CLECS 2.0) offers insights into the impact of nursing education modalities and their influence in preparing nursing students for the transition to practice. The research team explored traditional clinical experiences and the use of simulation, in-person/face-to-face simulation, and screen-based simulation in the transition-to-practice for nursing students six months or more after graduation.</div></div><div><h3>Methods</h3><div>The CLECS 2.0, a quantitative research survey research approach, was utilized to compare traditional clinical experiences and simulated learning opportunities for postgraduate nursing students. Using the Qualtrics survey, 261 novice nurses were recruited via email solicitation.</div></div><div><h3>Results</h3><div>Nursing graduates were surveyed at least six months postgraduation. Ninety participants completed the survey, all respondents were exposed to traditional clinical experiences, face-to-face simulation and screen-based simulation. Results suggest students felt traditional clinical experiences were the most beneficial, followed by in-person simulation, with the lowest overall scores in screen-based simulation.</div></div><div><h3>Conclusion</h3><div>Novice nurses identified traditional clinical and face-to-face simulation-based learning experiences as influential factors in the transition to practice readiness. Screen-based simulations lacked applicability to practice readiness but were helpful in developing critical thinking.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101806"},"PeriodicalIF":2.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096380","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

Effects of beef tongue and virtual reality in episiotomy training on self-efficacy and anxiety in midwifery students: Randomized controlled trial 牛舌和虚拟现实在会阴切开术训练中对助产学学生自我效能感和焦虑的影响：随机对照试验

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-15 DOI: 10.1016/j.ecns.2025.101817

Yasemin Hamlaci Baskaya PhD , Büşra Yolcu MSc , Zeliha Demir Kaymak PhD , Serefraz Akyaman PhD , Zekiye Turan PhD , Gülüzar Çit PhD

{"title":"Effects of beef tongue and virtual reality in episiotomy training on self-efficacy and anxiety in midwifery students: Randomized controlled trial","authors":"Yasemin Hamlaci Baskaya PhD , Büşra Yolcu MSc , Zeliha Demir Kaymak PhD , Serefraz Akyaman PhD , Zekiye Turan PhD , Gülüzar Çit PhD","doi":"10.1016/j.ecns.2025.101817","DOIUrl":"10.1016/j.ecns.2025.101817","url":null,"abstract":"<div><h3>Background</h3><div>The application and repair of an episiotomy is a skill that midwifery students must acquire. The type and realism of training methods may influence students' anxiety levels and self-efficacy.</div></div><div><h3>Aim</h3><div>This study was conducted to evaluate the effects of practice training provided with Beef tongue and virtual reality simulation on students' episiotomy self-efficacy and anxiety levels.</div></div><div><h3>Method</h3><div>This randomized controlled trial was registered at ClinicalTrials.gov (NCT06711198) and conducted with 95 midwifery students. Participants were allocated to one of three groups—beef tongue simulation (<em>n</em> = 31), virtual reality simulation (<em>n</em> = 32), or a mixed group combining both methods (<em>n</em> = 32)—using block randomization with sealed envelopes, performed by an independent person to ensure balanced group sizes. No blinding was used due to the nature of the interventions. Data were collected using the Student Identification Form, State-Trait Anxiety Inventory, and Episiotomy Self-Efficacy Scale. The study received no external funding.</div></div><div><h3>Results</h3><div>All training methods significantly improved episiotomy self-efficacy (<em>p</em> < .05), with the greatest improvement in the mixed group. Training also reduced state anxiety (<em>p</em> < .05), with the largest decrease in the beef tongue group, while VR had the least effect on anxiety reduction.</div></div><div><h3>Conclusion</h3><div>A holistic approach to episiotomy training is essential for skill development. Integrating VR simulations with haptic materials can enhance students' learning by reducing anxiety and improving self-efficacy.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101817"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060591","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

“Let’s go on safari”: Development of a visually enhanced mental simulation for healthcare team collaboration “让我们去探险”：为医疗团队协作开发视觉增强的心理模拟

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-15 DOI: 10.1016/j.ecns.2025.101814

Jennifer Dale-Tam RN, MSN, CNCC(c), CCSNE, CHSE-A

引用次数: 0

Evaluation of the effect of breastfeeding counseling education model developed in metaverse on breastfeeding counseling skills, knowledge and empathy level metaverse母乳喂养咨询教育模式对母乳喂养咨询技能、知识和共情水平的影响评价

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-15 DOI: 10.1016/j.ecns.2025.101810

Sinem Ceylan PhD , Gulten Guvenc PhD

{"title":"Evaluation of the effect of breastfeeding counseling education model developed in metaverse on breastfeeding counseling skills, knowledge and empathy level","authors":"Sinem Ceylan PhD , Gulten Guvenc PhD","doi":"10.1016/j.ecns.2025.101810","DOIUrl":"10.1016/j.ecns.2025.101810","url":null,"abstract":"<div><h3>Background</h3><div>Researchers developed a training environment within the metaverse to facilitate breastfeeding counselling practices.</div></div><div><h3>Method</h3><div>In this randomised controlled trial, theoretical breastfeeding education was compared with LactaVerse—a breastfeeding counseling training environment within the metaverse, designed using Unity as two rooms: a hospital room and a room where lactation physiology is examined. A total of 111 nursing students (intervention: 55, control: 56) who volunteered and met the inclusion criteria participated in the study. Students' breastfeeding knowledge levels, counselling skills, and empathy skills were measured.</div></div><div><h3>Findings</h3><div>LactaVerse was found to be effective in increasing nursing students' breastfeeding knowledge and counselling skills, as well as in enhancing emotional empathy skills.</div></div><div><h3>Conclusion</h3><div>It is recommended that LactaVerse be used in nursing education and integrated into different educational fields to create virtual nursing laboratories.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"107 ","pages":"Article 101810"},"PeriodicalIF":2.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060524","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

Implementation and evaluation of a mass casualty incident simulation for emergency nurse practitioner students 急诊护士执业学生大规模伤亡事件模拟的实施与评估

IF 2.5 3区医学

Clinical Simulation in Nursing Pub Date : 2025-09-13 DOI: 10.1016/j.ecns.2025.101808

W. Travis McCall PhD, APRN, CCP, Eric S. Hall MSN, RN, NI-BC, CSSWB

引用次数: 0