标准化肥胖患者的心理安全和观点

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-05-15 DOI:10.1016/j.ecns.2025.101737

Tracy L. Oliver PhD, RDN, LDN , Rebecca Shenkman MPH, RDN, LDN , Lisa K. Diewald MS, RD, LDN , Maggie Ahlfeld BSNc , Gail E. Furman PhD, RN, CHSE , Bette Mariani PhD, RN, ANEF, FAAN

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引用次数: 0

摘要

标准化患者（SP）在基于模拟的体验（SBEs）中是必不可少的。在参与可能引发负面或污名化情绪的遭遇时，确保SPs的心理安全至关重要。本研究的目的是利用对高体重SPs的见解，了解肥胖SPs的个人和专业经历，并为护理学生提供与肥胖相关的SBEs。方法6名SPs参与体重偏倚干预SBEs。进行了干预前和干预后的焦点小组，逐字转录，并使用专题分析进行分析。结果出现了四个主题：(a)回顾权重偏差经验；(b)平衡偏见经验与影响从业人员的愿望；(c)使他人受益；(d)促进个人和系统的变革。结论肥胖的sps可以提供有价值的观点，推进体重偏倚SBE干预的最佳实践。遵循循证指南，包括听取情况汇报的机会，可以为卫生服务提供者和学生创造更安全的学习环境，并最终实现安全、公平的患者护理。

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Psychological safety and perspectives of standardized patients living with obesity

Background

Standardized patients (SP) are essential in simulation-based experiences (SBEs). Ensuring SPs' psychological safety is vital when participating in encounters that may activate negative or stigmatizing feelings. The purpose of this study was to harness insights of SPs specifically selected because of higher body weight, to understand the personal and professional experiences of SPs with obesity, and to inform and enhance obesity-related SBEs for nursing students.

Methods

Six SPs participated in weight bias intervention SBEs. Pre- and post-intervention focus groups were conducted, transcribed verbatim, and analyzed using thematic analysis.

Results

Four themes emerged: (a) Recalling weight bias experiences; (b) Balancing bias experiences with a desire to influence practitioners; (c) Benefiting others; and (d) Promoting individual and systemic changes.

Conclusions

SPs with obesity can contribute valuable perspectives, advancing best practices for weight bias SBE interventions. Following evidence-based guidelines, including debriefing opportunities, can promote a safer learning environment for SPs and students and, ultimately, safe, equitable patient care.

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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.