Clinical Simulation in Nursing最新文献_第8页

Ensuring equity in the age of precision health: Pilot results from a novel genomic nursing competency simulation 确保在精确健康的时代公平：试点结果从一个新的基因组护理能力模拟

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-06-14 DOI: 10.1016/j.ecns.2025.101760

Andrew A. Dwyer PhD, Isabella R. McDonald DNP, Arlene McGuane EdD, RN, Bethany A. Croke DNP, Anna Klarare PhD

{"title":"Ensuring equity in the age of precision health: Pilot results from a novel genomic nursing competency simulation","authors":"Andrew A. Dwyer PhD, Isabella R. McDonald DNP, Arlene McGuane EdD, RN, Bethany A. Croke DNP, Anna Klarare PhD","doi":"10.1016/j.ecns.2025.101760","DOIUrl":"10.1016/j.ecns.2025.101760","url":null,"abstract":"<div><h3>Background</h3><div>Nurse practitioners (NPs) are uniquely positioned to help end disparities in precision/genomic healthcare. We developed a novel genomic nursing competency simulation with a focus on health equity.</div></div><div><h3>Method</h3><div>The case was mapped to simulation/nursing standards and ‘‘Essentials’’ for graduate nursing education. We employed a hybrid clinical trial type design to evaluate outcomes in three groups (control, simulation, simulation + booster). Validated measures were used to assess learners at baseline, short-term (two-weeks), and long-term follow-up (12-18 months into practice).</div></div><div><h3>Results</h3><div>Control subjects (n=39) and the pilot cohort (n=9) had similar knowledge, attitudes/beliefs, perceived knowledge/ability, and comfort/confidence relating to genomics-informed care. Pilot intervention group mean scores trended upward across all domains and feedback was overwhelmingly positive.</div></div><div><h3>Conclusion</h3><div>This innovative project develops NP genomic nursing competency and will elucidate the long-term effects of simulation (and dosing effects) on integrating genomics into practice.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101760"},"PeriodicalIF":3.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366227","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

Validity and reliability testing of the Creighton Competency Evaluation Instrument 2.0© (CCEI 2.0) 克莱顿胜任力评价量表2.0的效度和信度检验©（CCEI 2.0）

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-24 DOI: 10.1016/j.ecns.2025.101736

Julie A. Manz PhD, RN, CNE , Martha J. Todd PhD, APRN–NP , Lindsay Iverson DNP, APRN, ACNP-BC , Sarah J. Ball PhD, RNC–OB, C-EFM, CHSE , Lucas Manning DNP, RN, CHSE , Robert Topp PhD, RN

{"title":"Validity and reliability testing of the Creighton Competency Evaluation Instrument 2.0© (CCEI 2.0)","authors":"Julie A. Manz PhD, RN, CNE , Martha J. Todd PhD, APRN–NP , Lindsay Iverson DNP, APRN, ACNP-BC , Sarah J. Ball PhD, RNC–OB, C-EFM, CHSE , Lucas Manning DNP, RN, CHSE , Robert Topp PhD, RN","doi":"10.1016/j.ecns.2025.101736","DOIUrl":"10.1016/j.ecns.2025.101736","url":null,"abstract":"<div><h3>Background</h3><div>Nurse educators are committed to preparing the next generation of clinically proficient nurses through competency-based education (CBE). The Creighton Competency Evaluation Instrument© 2.0 (CCEI 2.0) has demonstrated content validity. The purpose of this study was to evaluate the internal consistency reliability, criterion-related validity, and test-retest reliability of the CCEI 2.0.</div></div><div><h3>Methods</h3><div>104 nurse educator participants were randomly assigned to view and score a video depicting a nurse-actor in a simulated clinical experience performing at a level of below competency, at expected level of competency, or above expected level of competency. Four weeks later, 45 participants scored the same video again to determine test-retest reliability of the instrument.</div></div><div><h3>Results</h3><div>Cronbach’s alpha and item-total correlations reveal that the CCEI 2.0 indicates a high degree of internal consistency for Clinical Judgment Score (α = 0.913), Total Competency score (α = 0.948), and for criterion-related validity. Test-retest reliability demonstrated reliability of the instrument over time.</div></div><div><h3>Conclusion</h3><div>The CCEI 2.0 provides nurse educators with instrument that has demonstrated validity and reliability to assess student competency in simulated clinical experiences.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"103 ","pages":"Article 101736"},"PeriodicalIF":3.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124089","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 volunteer-driven standardized patient training unit: A sustainable model for resource-limited institutions 志愿者驱动的标准化患者培训单元：资源有限机构的可持续模式

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-23 DOI: 10.1016/j.ecns.2025.101741

Selçuk Akturan

{"title":"A volunteer-driven standardized patient training unit: A sustainable model for resource-limited institutions","authors":"Selçuk Akturan","doi":"10.1016/j.ecns.2025.101741","DOIUrl":"10.1016/j.ecns.2025.101741","url":null,"abstract":"<div><h3>Background</h3><div>The standardized patient (SP) method significantly contributes to medical education by enabling healthcare professionals to enhance their clinical and communication skills. However, challenges such as cost and sustainability limit the widespread adoption of SP programs.</div></div><div><h3>Method</h3><div>A unique model developed at a medical school in Turkey, based on volunteer involvement and institutional support, has demonstrated a cost-effective implementation of the SP method. The SP Training Unit model aims to train individuals to assume patient roles in educational activities and establish to organize these activities.</div></div><div><h3>Results</h3><div>The model has supported the broader adoption of the SP method. The SP Training Unit has been utilized in over 100 training and assessment activities across various departments and institutions over the past three years.</div></div><div><h3>Conclusion</h3><div>The volunteer-driven SP Training Unit model is cost-effective, sustainable with institutional support, and improves outcomes through training and incentives, addressing financial barriers to broader adoption.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101741"},"PeriodicalIF":3.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124924","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

Feasibility and acceptability of incorporating artificial intelligence into simulation education 将人工智能纳入模拟教育的可行性和可接受性

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-23 DOI: 10.1016/j.ecns.2025.101739

Beth Ann Swan PhD, RN, CHSE, FAAN, ANEF , Sarah Febres-Cordero PhD, RN , Laika Steiger MBA, CHSOS, CHSE, FACHE , Alexa Lisenby BS , Tatiana Getz BS , Jack Hudson MPH , Katie Cole DNP, CRNA, CHSE , Russ Branch DNP, CRNA, ACNP-BC, CNE , Carrie McDermott PhD, APRN, ACNS-BC , Kim Fugate CHSE, CHSOS , Nicholas A. Giordano PhD, RN, FAAN

{"title":"Feasibility and acceptability of incorporating artificial intelligence into simulation education","authors":"Beth Ann Swan PhD, RN, CHSE, FAAN, ANEF , Sarah Febres-Cordero PhD, RN , Laika Steiger MBA, CHSOS, CHSE, FACHE , Alexa Lisenby BS , Tatiana Getz BS , Jack Hudson MPH , Katie Cole DNP, CRNA, CHSE , Russ Branch DNP, CRNA, ACNP-BC, CNE , Carrie McDermott PhD, APRN, ACNS-BC , Kim Fugate CHSE, CHSOS , Nicholas A. Giordano PhD, RN, FAAN","doi":"10.1016/j.ecns.2025.101739","DOIUrl":"10.1016/j.ecns.2025.101739","url":null,"abstract":"<div><h3>Background</h3><div>Simulation serves as one opportunity for students to engage with AI and enhance their learning experience. This study examined the feasibility and acceptability of incorporating AI into simulation education.</div></div><div><h3>Methods</h3><div>Students participated in a high-fidelity simulation scenario with an AI-enabled mannequin to learn how to effectively respond to an opioid-involved overdose. Participants completed acceptability/ feasibility measures, and surveys on knowledge and attitudes towards responding to an overdose.</div></div><div><h3>Results</h3><div>Participants’ attitudes towards (<em>p</em> = 0.002) and knowledge (<em>p</em> = 0.004) about responding significantly increased and remained high up to a month later and found the AI-enabled mannequin to be acceptable and feasible to engage with in the simulation environment.</div></div><div><h3>Conclusions</h3><div>AI-enabled mannequins were found to be acceptable and feasible to incorporate into simulation nursing education to learn how to respond to an opioid-involved overdose. These findings highlight the need for additional research examining the utility of AI in simulation scenarios to improve learners’ outcomes.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"104 ","pages":"Article 101739"},"PeriodicalIF":3.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115372","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

Comparing virtual reality and live standardized patient drill simulation-based triage training methods in terms of triage knowledge and performance 比较基于虚拟现实和现场标准化病人演练模拟的分诊训练方法在分诊知识和性能方面的差异

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2025-05-22 DOI: 10.1016/j.ecns.2025.101749

Hossam N. Alhawatmeh PhD , Saed A. Rawashdeh MSN , Mahmoud T. Alwidyan PhD , Sawsan Abuhammad PhD

{"title":"Comparing virtual reality and live standardized patient drill simulation-based triage training methods in terms of triage knowledge and performance","authors":"Hossam N. Alhawatmeh PhD , Saed A. Rawashdeh MSN , Mahmoud T. Alwidyan PhD , Sawsan Abuhammad PhD","doi":"10.1016/j.ecns.2025.101749","DOIUrl":"10.1016/j.ecns.2025.101749","url":null,"abstract":"<div><h3>Background</h3><div>Several methods have been developed to increase the efficiency of triaging the victims of mass casualty incident (MCI). In teaching MCI that use mock patients, such as standardized patients (SPs), the live disaster drill is considered as primary teaching tool. However, this teaching method is expensive and requires a lot of resources. Virtual reality (VR) is a valuable evolving tool for teaching and testing mass casualty triage.</div></div><div><h3>Aim</h3><div>The aims of this study were to compare VR disaster drill with live disaster drill using SPs in terms of triage knowledge and performance for Jordanian paramedic students.</div></div><div><h3>Method</h3><div>A randomized controlled parallel design was used. The sample comprised 102 selected students of the Paramedic Diploma program at Amman’s Civil Defense College. A convenience sampling method was used to select participants and a simple random assignment was used to distribute participants into the study arms (VR vs. SPs). Triage knowledge was measured at baseline and two weeks after the intervention. Triage performance was measured during the disaster drills.</div></div><div><h3>Results</h3><div>Paired t-tests showed that there was a statistically significant increase in the triage knowledge between the pretest and post-test in VR and SP groups. The independent t-test revealed that there were no statistically significant differences in the mean knowledge and triage performance scores between the SP and VR groups.</div></div><div><h3>Conclusion</h3><div>VR-based training demonstrated noninferior outcomes compared to SP drills, supporting its utility as a complementary triage education tool when live simulations are logistically constrained.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"103 ","pages":"Article 101749"},"PeriodicalIF":3.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115607","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