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Purpose The purpose of this project was for advanced practice nursing students to gain experience taking a history from a parent or caregiver and communicating the treatment plan for an infant in which child abuse is suspected. Project Fifty-three students participated in a 1:1 simulated encounter with a standardized patient acting as the mother of an infant with a leg injury that reportedly resulted from a fall from the couch. Students received feedback from the standardized patient via an assessment tool and debriefed with faculty immediately after the simulation. Outcome All students demonstrated empathy, acknowledged the mother's emotions, and communicated the concern for abuse. Additionally, all students explained the x-ray findings, need for hospital admission, and referral to investigative agency for further evaluation. Conclusion Simulations designed to provide advanced practice nursing students with experience interviewing a parent and responding in the case of suspected child abuse are an important method of preparing them for initial clinical encounters.

Direct or hands-on experiences are considered by many to be the essential conditions for acquiring new concepts or understandings. But are these experiences enough? h7 this study with ll5 five and six year old children, the effect of direct experiences with sounds that vary #1 loudness and pitch were contrasted with the effect of adding apt instructional experience #1 which children were involved in conversations and demonstrations about volume and pitch differences in sounds.Using a pretest-treatment-post test design, children first identified sound~ that were louder or sofiel, higher or lower than given sounds and then made sounds that were different, hfitially all students had no problem with making louder or softer sounds. Most did not distingTdsh pitch from vohtme, however No evidence was found that children were helped to distinguish differences in pitch after opportunities to make predictions and explanations as part of direct experiences in manipulating objects or after a television-based experience with sounds.