Effects of using standardized patients on nursing students’ moral skills

Küçükkelepçe, Gülhan Erkuş; Dinç, Leyla; Elçin, Melih

doi:10.1177/0969733020935954

“…For this purpose, attention should also be paid to improving other ethical decision-making components-i e, moral judgment, moral motivation, and moral character. In line with the present study’s results, Kucukkelepce et al, 29 showed that the simulation method could improve moral sensitivity. The results of the study by Chao et al, 30 showed that the study population and educational topic can both have an influence on the effectiveness of the teaching method.…”

Section: Discussionsupporting

confidence: 92%

Written and computer simulation on the moral sensitivity of nurses

Parchami

¹

,

Jackson

²

,

Sharifi

³

et al. 2022

Nurs Ethics

2

0

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Background: Moral sensitivity is the first step towards ethical decision-making. This sensitivity should form a basic attitude in healthcare team members, particularly nurses, toward providing effective and ethical care. This is highlighted in intensive care units (ICUs) where close attention should be paid to patient rights and moral or ethical decision-making. Objective: The present study aimed at determining and comparing the effect of written simulation and computer simulation of a virtual patient on the development of moral sensitivity of ICU nurses. Research design: Randomized controlled trial with one control arm and two experimental arms. Participants and content: This study involved 204 ICU nurses working in hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran, from 2019 to 2021 using a random allocation method. The participants were allocated to three groups comprising virtual patient computer simulation, written simulation, and the no simulation control group. After training based on a Patient Rights Charter, five scenarios, with themes reflecting the clauses of the Patient’s Rights Charter, were written as a computer program and text for the computer simulation and written simulation groups, respectively. Finally, nurses' moral sensitivity was assessed using the Lützén moral sensitivity questionnaire as pre- and post-tests (immediately and 2 months after the intervention). Ethical considerations: Ethical permission was obtained for the study. All the participants signed the informed consent before the study onset. Results: The study results showed a significant difference in moral sensitivity among the three groups before the intervention ( p = 0.003). Immediately after the intervention compared to pre-intervention, the three groups showed no significant differences in this regard ( p = 0.056), however a significant difference among the three groups was found 2 months post-intervention ( p < 0.001).

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“…In order to save the patient's life, during the rescue process, medical staff must use instruments for treatment, which leads to different degrees of pain, and nursing staff can relax the patient and reduce pain by taking effective nursing measures based on close detection of the patient's vital indicators. A clean and comfortable hospital environment also belongs to an impor-tant measure in nursing care, which can relieve patients' anxiety and help them recover better [14][15][16][17]. In this study, it was shown that the adverse emotions in the observation group were lower than those in the control group, which indicated that standardized care could effectively reduce the adverse emotions of patients and was effective.…”

Section: Discussionmentioning

confidence: 62%

Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients

Xu

¹

,

Sun

²

,

Feng

³

et al. 2022

Applied Bionics and Biomechanics

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Objective. To analyze the application of standardized nursing procedures in critically ill patients’ nursing evaluation. Methods. 90 cases of critically ill patients aged from 18 to 65 who were treated in our hospital from April 2020 to April 2021 were selected and divided into the control group and observation group, respectively, with 45 cases according to the drawing method. The rescue time, blood pressure, heart rate before and after nursing, adverse mood, length of stay, incidence of adverse events, ICU transfer and death, and satisfaction of 2 groups were statistically analyzed and compared. Results. The rescue time of cardiopulmonary resuscitation, oxygen inhalation, venous opening, and endotracheal resuscitation in the observation group was 3.24 ± 1.01 , which is lower than that in the control group, 6.65 ± 2.11 , with statistical significance ( P < 0.05 ). Similarly, the vital signs in the observation group were 2.45 ± 0.44 , which is also significantly lower than that in the control group, 5.67 ± 1.56 . After nursing, the blood pressure and heart rate in the observation group were lower than those in control group, with statistical significance ( P < 0.05 ). The adverse mood of the observation group after nursing was lower than that of the control group, with statistical significance ( P < 0.05 ). The length of stay, incidence of adverse events, intensive care unit (ICU) transfer, and death in the observation group were lower than those in the control group, with statistical significance ( P < 0.05 ). The length of stay in the observation group was 8.87 ± 2.11 , while 11.34 ± 2.45 in the observation group. The incidence of adverse events in the observation group was 1, while 8 in the observation group. The length of stay in the observation group was 8.87 ± 2.11 , while 11.34 ± 2.45 in the observation group. The ICU transfer in the observation group were 2, while 9 in the observation group. There was no death in the observation group, however, 4 in the observation group. Nursing satisfaction in the observation group was higher than that in the control group, with statistical significance ( P < 0.05 ). The number of patients that are very satisfied in the observation group was 28, while 20 in the control group. The number of patients that are satisfied in the observation group was the same as in the control group, both 15. However, the number of patients that are dissatisfied in the observation group was 2, while 10 in the control group. Conclusion. The application of the standardized nursing process in the nursing of critically ill patients can not only effectively reduce the self-rating anxiety scale (SAS) and sarcoidosis diagnostic score (SDS) of patients but also reduce the incidence of complications and improve the nursing satisfaction of patients.

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“…In that study, the ethical sensitivity of the learners was improved more than the other dimensions of moral competence, and there were no differences with regard to ethical reasoning and ethical decision-making. [ 19 ]…”

Section: Discussionmentioning

confidence: 99%

Use of simulated patients for formative assessment of moral competence in medical students

Saber

¹

,

Ebrahimi

²

,

Farzane

³

et al. 2022

J Edu Health Promot

0

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BACKGROUND: During the course of their education, medical students must attain moral competence. The current study aims at designing a formative structured examination that would create the opportunity for learners to practice and interact with simulated patients under expert supervision. MATERIALS AND METHODS: This article reports an experience in developing and implementation of a formative assessment of moral competence and the point of view of medical students. In this study, the formative structured examination of medical ethics for 80 medical students in 2 rounds with eight stations was designed. In each station, a scenario was proposed, and the opportunity was provided to the learners to interact with a simulated patient under the supervision of a medical ethics expert. Then, the learners would receive structured feedback in accordance with their performance. All learners expressed their experience in reflective writing, and their opinions were put under content analysis. RESULTS: The content analysis of this reflective writing revealed three main categories, namely “Deeper understanding of ethical subjects,” “Collaborative thinking and synergy with peers,” and “Effective feedback of supervisors.” CONCLUSION: Within the framework of a formative structured examination of medical ethics, a safe space was created for interacting with simulated patients and practicing ethical reasoning, as well as dimensions of moral competence.

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Effects of using standardized patients on nursing students’ moral skills

Cited by 17 publications

References 30 publications

Written and computer simulation on the moral sensitivity of nurses

Written and computer simulation on the moral sensitivity of nurses

Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients

Use of simulated patients for formative assessment of moral competence in medical students

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