Clinical Simulation in Nursing最新文献_第2页

Utilizing co-design and research for authentic simulation development 利用共同设计和研究进行真实模拟开发

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-01 DOI: 10.1016/j.ecns.2024.101609

引用次数: 0

Evaluation of simulation-based intervention for implicit bias mitigation: A response to systemic racism 对减少内隐偏见的模拟干预进行评估：应对系统性种族主义

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-27 DOI: 10.1016/j.ecns.2024.101596

{"title":"Evaluation of simulation-based intervention for implicit bias mitigation: A response to systemic racism","authors":"","doi":"10.1016/j.ecns.2024.101596","DOIUrl":"10.1016/j.ecns.2024.101596","url":null,"abstract":"<div><h3>Background</h3><p>Training health care professionals to mitigate implicit biases can reduce health inequities caused by racism. Implicit bias mitigation strategies (IBMS) have been shown to reduce biased behaviors. This study aimed to determine the impact of IBMS practice simulation on learners’ behaviors and family experience in one hospital unit.</p></div><div><h3>Methods</h3><p>This study used a quasi-experimental design in a large pediatric hospital. In total, 195 participants completed a simulation-based education intervention. Learners practiced IBMS with Simulated Participants. Participant perceptions were measured at four time points, and translational outcomes were collected using survey results and other outcomes.</p></div><div><h3>Results</h3><p>Situational judgment test results improved postintervention and at follow-up. Participants reported using IBMS skills at time points three and four. Internal and External Motivation Scale and family satisfaction scores remained unchanged. Family experience measures improved, showing decreases in security dispatch calls for perceived family escalation and in deny entries and behavioral contracts stratified by race.</p></div><div><h3>Conclusions</h3><p>Simulation can shift perspectives and behaviors. More research is needed on the impact of simulation-based interventions on IBMS skill development and translational outcomes.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083194","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

Stepping Up Psychosis: The Use of Virtual Reality in Pre-registration Mental Health Nursing Education 走出精神病：在注册前心理健康护理教育中使用虚拟现实技术

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-27 DOI: 10.1016/j.ecns.2024.101597

{"title":"Stepping Up Psychosis: The Use of Virtual Reality in Pre-registration Mental Health Nursing Education","authors":"","doi":"10.1016/j.ecns.2024.101597","DOIUrl":"10.1016/j.ecns.2024.101597","url":null,"abstract":"<div><h3>Background</h3><p>There has been growing interest in the development of mental health-related simulation packages for pre-registration mental health nursing education. The authors will present the creation of a simulation package created for pre-registration mental health nurses during their final year.</p></div><div><h3>Method</h3><p>The simulated experience consisted of a five-minute Virtual Reality (VR) recording which shares the experience of living with symptoms of psychoses. The package, not only looked at the hearing of voices, but in addition enhances the user's experience by simulating visual perception and placing the student within a secluded environment. This was delivered to students in their final six months of the program.</p></div><div><h3>Results</h3><p>Students noted the increase in empathy for patients experiencing these symptoms and how it would enhance the care they gave.</p></div><div><h3>Conclusion</h3><p>The results of this innovation demonstrate how virtual reality (VR) could be used to standardize student nurses' education in the field of mental health.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000896/pdfft?md5=f3a26071ded77ac2c01f4dd177de8a0d&pid=1-s2.0-S1876139924000896-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using simulated patients to teach de-escalation during Registered Nurses' onboarding 在注册护士入职培训中使用模拟病人来教授降级方法

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-24 DOI: 10.1016/j.ecns.2024.101598

{"title":"Using simulated patients to teach de-escalation during Registered Nurses' onboarding","authors":"","doi":"10.1016/j.ecns.2024.101598","DOIUrl":"10.1016/j.ecns.2024.101598","url":null,"abstract":"<div><h3>Background</h3><p>Workplace violence and aggression toward healthcare professionals are concerning trends in the industry, with increasing incidents over the last decade. The COVID-19 pandemic put additional stress on health systems, healthcare workers, patients, and family members. These additional stressors resulted in increased aggressive behaviors. Education and training on de-escalation techniques is paramount to increased safety of health professionals and patients. Nursing education programs and hospital orientation programs often lack de-escalation training.</p></div><div><h3>Methods</h3><p>From January to October 2023, 102 nurses participated in a de-escalation simulation encounter. Quantitative and qualitative data was captured via Redcap survey. Facilitators tracked behaviors of the simulated patients and reactions of the nurses, in real-time, using a survey designed by the education team. Participants completed a post-survey which elicited information about prior de-escalation training and application of skills learned during the de-escalation simulation encounter to future practice.</p></div><div><h3>Results</h3><p>Sixty-five percent of new graduate nurses revealed that they had some form of de-escalation training most of which was provided through a lecture (36%) or online module (19%). Following participation in the simulation encounter, 98.5% of participants felt better prepared to manage an escalating patient/family member situation. Structured debriefings identified educational gaps regarding hospital resources, behavioral strategies for averting escalating incidents, methods for maintaining safety, and discreetly seeking assistance.</p></div><div><h3>Conclusion</h3><p>The simulated patient training offered participants an opportunity to apply de-escalation techniques in a safe environment. Targeted de-escalation training using simulated patients increased the authenticity and realism of the immersive experience and resulted in enhanced de-escalation skill development in new hire nurses.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048810","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

Navigating the Virtual Frontier: A Virtual Patient Simulation Pilot Study in Prelicensure Baccalaureate Nursing Education 领航虚拟前沿：执照前本科护理教育中的虚拟病人模拟试点研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-23 DOI: 10.1016/j.ecns.2024.101589

{"title":"Navigating the Virtual Frontier: A Virtual Patient Simulation Pilot Study in Prelicensure Baccalaureate Nursing Education","authors":"","doi":"10.1016/j.ecns.2024.101589","DOIUrl":"10.1016/j.ecns.2024.101589","url":null,"abstract":"<div><h3>Background</h3><p>Clinical reasoning and effective communication are foundational to patient outcomes, and therefore, key concepts in nursing education. There is a growing body of evidence to support virtual patient simulation in nursing and other health professions, but to date none that focuses specifically on whether virtual simulation impacts clinical reasoning in on-campus baccalaureate nursing health assessment courses.</p></div><div><h3>Sample</h3><p>First semester prelicensure baccalaureate nursing students.</p></div><div><h3>Methods</h3><p>A quantitative, quasi-experimental design with a pre-test post-test methodology grounded in Experiential Learning Theory was used. The Student Performance Index score measured clinical reasoning and simulation software automatically calculated communication variables.</p></div><div><h3>Results</h3><p>In the sample of 19 students, a two-tailed paired samples <em>t</em>-test found statistically significant improved outcomes for most variables.</p></div><div><h3>Conclusion</h3><p>Virtual patient simulation positively impacts clinical reasoning and communication skills and is an appropriate pedagogical tool for nurse educators.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044390","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

Enhancing graduate nursing and social work students’ collaboration through screening, brief intervention, and referral to treatment and simulated education 通过筛查、简单干预、转诊治疗和模拟教育，加强护理研究生和社会工作专业学生的合作

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-21 DOI: 10.1016/j.ecns.2024.101594

引用次数: 0

The work behind an interdisciplinary team: Creating a postpartum hemorrhage virtual reality training platform 跨学科团队背后的工作：创建产后出血虚拟现实培训平台

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101595

{"title":"The work behind an interdisciplinary team: Creating a postpartum hemorrhage virtual reality training platform","authors":"","doi":"10.1016/j.ecns.2024.101595","DOIUrl":"10.1016/j.ecns.2024.101595","url":null,"abstract":"<div><h3>Background</h3><p>This article examines an interdisciplinary team's collaboration experience in the development of a virtual reality (VR) training platform for postpartum hemorrhage management. The project started during the COVID-19 pandemic to support remote training in nursing.</p></div><div><h3>Methods & Processes</h3><p>Comprised of multidisciplinary specialists, the team collaborated through virtual meetings and digital tools such as an online whiteboard. The project went through three processes: (a) initial process, in which the team established the mutual goal, determined the targeted training, understood the subject matter, and created the framework; (b) VR development process, in which members contributed their expertise to map the task flow, create 3D objects, and develop the VR prototype; and (c) evaluation process, in which tests were performed among team members, subject matter experts, and undergraduate nursing students, to gain insights and fix problems.</p></div><div><h3>Conclusion</h3><p>Lessons learned from this interdisciplinary collaboration include the accommodation of different objectives, workload expectations and distribution, changes of team members, and evaluation implementation.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998470","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

Comparison of the Effects of Haptic Virtual Versus High-Fidelity Simulations on Knowledge, Skills and Satisfaction of Nursing Students in Cardiopulmonary Resuscitation Training 比较触觉虚拟模拟与高保真模拟对护理专业学生心肺复苏培训的知识、技能和满意度的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101586

{"title":"Comparison of the Effects of Haptic Virtual Versus High-Fidelity Simulations on Knowledge, Skills and Satisfaction of Nursing Students in Cardiopulmonary Resuscitation Training","authors":"","doi":"10.1016/j.ecns.2024.101586","DOIUrl":"10.1016/j.ecns.2024.101586","url":null,"abstract":"<div><h3>Background</h3><p>Simulation provides learners with a realistic learning environment where they experience real-life situations. Cardiopulmonary resuscitation (CPR) is performed to maintain respiration and circulation. Nursing students may experience CPR unexpectedly. Simulation types are increasing in line with the needs of nursing education. The study aims to compare the effects of haptic virtual simulations (HVS) versus high-fidelity simulations (HFS) in CPR training of nursing students on their knowledge, skills, satisfaction, and self-confidence levels.</p></div><div><h3>Methods</h3><p>The study sample consisted of 60 students, 30 in the HVS group and 30 in the HFS group. The same scenario was used in both simulations. Data were collected with the Sociodemographic Data Form, the Cardiopulmonary Resuscitation Knowledge Test, the Cardiopulmonary Resuscitation Skills Checklist, and the Student Satisfaction and Self Confidence in Learning Scale.</p></div><div><h3>Results</h3><p>The CPR knowledge level of both groups increased significantly after the simulation (<em>p</em> < 0.05). No significant difference was found between the practice skill levels between the groups (<em>p</em> > 0.05). The satisfaction and self-confidence levels of the students in HFS group were significantly higher than in HVS group (<em>p</em> < 0.05).</p></div><div><h3>Conclusions</h3><p>Haptic virtual and high fidelity CPR training simulations equally affect students' knowledge and skill levels. On the other hand, students' satisfaction and self-confidence levels in learning increased more with high-fidelity simulators.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142002033","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

Comparative study on the effects of role changes in simulation training among Korean nursing students 韩国护理专业学生模拟训练中角色转变效果的比较研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101585

{"title":"Comparative study on the effects of role changes in simulation training among Korean nursing students","authors":"","doi":"10.1016/j.ecns.2024.101585","DOIUrl":"10.1016/j.ecns.2024.101585","url":null,"abstract":"<div><h3>Background</h3><p>Simulation education, based on experiential learning, helps nursing students develop coping strategies through reflective problem-solving in a safe environment. This enhances their ability to respond to similar new experiences and improves their caring abilities. Most nursing schools use simulation education, although the applications vary. This study identified a more effective simulation teaching method for nursing students by comparing the effects between two groups: one that performs one role per scenario and another that rotates through multiple roles per scenario.</p></div><div><h3>Methods</h3><p>Using a randomized control group pre-post design, we equally divided 62 students aged ≥19 years enrolled at a university in Changwon city, South Korea into a single-scenario role rotation group (SRRG) and a multiscenario role fixation group (MRFG). Data were analyzed by performing χ<sup>2</sup> tests, independent <em>t-</em>tests, and paired <em>t-</em>tests.</p></div><div><h3>Results</h3><p>Learning confidence and critical thinking significantly changed in the SRRG; clinical competency significantly changed in the MRFG.</p></div><div><h3>Conclusions</h3><p>Exposure to multiple scenario simulations improves clinical competency. Changing roles in a single scenario boost learning confidence and critical thinking disposition.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187613992400077X/pdfft?md5=a4a7ecf327550c9f931b260cab204bf5&pid=1-s2.0-S187613992400077X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health professions students' perspectives of a stigma-reducing simulation including simulated patients with lived experience of addiction and recovery 卫生专业学生对减少污名化模拟的看法，包括具有吸毒和康复经历的模拟病人

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-17 DOI: 10.1016/j.ecns.2024.101588

引用次数: 0