کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
367933 621552 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of standardized patients with high-fidelity simulators for managing stress and improving performance in clinical deterioration: A mixed methods study
ترجمه فارسی عنوان
مقایسه بیماران استانداردشده با شبیه سازی با شباهت بالا برای مدیریت استرس و بهبود عملکرد در اختلال بالینی: مطالعه روش مخلوط
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی


• SPs were used to enhance psychological fidelity to patient deterioration simulations.
• Authentic emotional responses were elicited when SPs were used due to the realism.
• Stress and performance in simulations using SPs and HFS were compared.
• There was no difference in objective stress (amylase level) between the two groups.
• Addition of SPs was perceived as more stressful but helped to improve performance.

SummaryBackgroundThe use of standardized patients in deteriorating patient simulations adds realism that can be valuable for preparing nurse trainees for stress and enhancing their performance during actual patient deterioration. Emotional engagement resulting from increased fidelity can provide additional stress for student nurses with limited exposure to real patients. To determine the presence of increased stress with the standardized patient modality, this study compared the use of standardized patients (SP) with the use of high-fidelity simulators (HFS) during deteriorating patient simulations. Performance in managing deteriorating patients was also compared. It also explored student nurses' insights on the use of standardized patients and patient simulators in deteriorating patient simulations as preparation for clinical placement.MethodsFifty-seven student nurses participated in a randomized controlled design study with pre- and post-tests to evaluate stress and performance in deteriorating patient simulations. Performance was assessed using the Rescuing A Patient in Deteriorating Situations (RAPIDS) rating tool. Stress was measured using salivary alpha-amylase levels. Fourteen participants who joined the randomized controlled component then participated in focus group discussions that elicited their insights on SP use in patient deterioration simulations.ResultsAnalysis of covariance (ANCOVA) results showed no significant difference (p = 0.744) between the performance scores of the SP and HFS groups in managing deteriorating patients. Amylase levels were also not significantly different (p = 0.317) between the two groups. Stress in simulation, awareness of patient interactions, and realism were the main themes that resulted from the thematic analysis.ConclusionsPerformance and stress in deteriorating patient simulations with standardized patients did not vary from similar simulations using high-fidelity patient simulators. Data from focus group interviews, however, suggested that the use of standardized patients was perceived to be valuable in preparing students for actual patient deterioration management.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Nurse Education Today - Volume 35, Issue 12, December 2015, Pages 1161–1168
نویسندگان
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