Effectiveness of a multimodal intervention and the simulation flow to improve empathy and attitudes towards older adults in nursing students: A crossover randomised controlled trial

Fernández-Gutiérrez, Martina; Bas-Sarmiento, Pilar; Pino-Chinchilla, Helena del; Paz, Antonio Jesús Marín

doi:10.1016/j.nepr.2022.103430

Cited by 11 publications

(11 citation statements)

References 50 publications

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“…This differs from most of the studies up to the present, which addressed nursing only relative to specific geriatric syndromes, particularly dementia [ 56 , 57 ] or Alzheimer’s disease [ 58 ]. It must be underlined that the results from our study are similar to other studies that improved the attitudes towards older adults via simulation-based training [ 28 , 29 ].…”

Section: Discussionsupporting

confidence: 88%

“…Although previous studies have shown the effectiveness of simulation-based training on geriatrics education [ 27 ], which improved attitudes towards older adults [ 28 , 29 , 55 ], there is a lack of studies that analyze its efficacy on the adequate management of nursing related to the social isolation and loneliness of older adults. Our simulation scenarios were centered on nursing care provided by students via telephone interviews, with diverse situations based on the telecare that volunteers must provide for the social isolation and loneliness of older adults; a script that could help in the development of the simulated call ( Supplementary Materials S1 ) is provided.…”

Section: Discussionmentioning

confidence: 99%

“…Presently, there is no doubt that clinical simulation is an essential component of health science education [ 26 ]. Clinical simulation plays a fundamental role in the training of health sciences students for the care of older adults [ 27 , 28 , 29 ]. It also provides opportunities for students to develop comprehensive care that is centered on the individual and the challenges faced by older adults.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study

Hernández-López,

Ruzafa-Martínez,

Leal-Costa

et al. 2023

Healthcare

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Introduction: The population of older adults is rapidly increasing worldwide, presenting both prospects and complexities for society and healthcare professionals to maximize the functional capacity of this age group. Social isolation and loneliness significantly affect this population. The objective was to determine the effectiveness, satisfaction, and perceptions of the simulation-based education practices of a training program for nursing students, which was created to palliate the social isolation and loneliness of older adults. Method: A quasi-experimental study was conducted with nursing students who participated in an online training program using teleservice based on high-fidelity clinical simulation. The program included asynchronous theoretical training and synchronous practical training using an online platform. Five scenarios were designed using simulated phone calls to address the social isolation and loneliness of older adults. Results: Twenty-five nursing students participated in the program, and they had a mean age of 27.44, with 76% of them being women. After the training program, the participants showed statistically significant improvements (p < 0.05) with respect to their knowledge and attitudes towards older adults, and the program was adapted to the best educational practices in simulations. Conclusions: Simulation-based online training efficiently improved the knowledge and attitudes of nursing students towards older adults, improving their ability to address social isolation and loneliness. The high satisfaction and adhesion to the best educational practices underline the usefulness of high-fidelity online simulations, especially in situations in which face-to-face training is not feasible, and accessibility and equilibrium could be guaranteed between work and personal life.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study

Hernández-López,

Ruzafa-Martínez,

Leal-Costa

et al. 2023

Healthcare

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“…Numerous educational approaches to simulate the experience of aging have been described previously; however, the authors of this manuscript believe this is the first description of a narrative simulation exercise, based on a fictitious patient lived experience, to enhance empathy toward older adults across nursing and pharmacy professionals and students. Although aging sensitization games, exercises, and simulation-based activities are not uncommon in health professional training, including for student nurses and pharmacists, this activity is unique in its narrative simulation format and delivery, which results in minimal equipment cost, set up time and space requirements for delivery [ 10 , 12 – 13 , 21 − 24 ].…”

Section: Discussionmentioning

confidence: 99%

Using simulation to introduce students and healthcare professionals to losses experienced by older adults: a pre-post analysis

Prete,

Tamburri,

Rolston

et al. 2024

BMC Med Educ

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Background To introduce students and healthcare professionals to losses experienced by older adults and instill compassion among interprofessional learners, an interactive narrative simulation activity was developed and incorporated in clinical staff orientation and student professional course work. Narrative simulation allows learners to incorporate skills of examination, exploration, sharing, and reflection applied to simulated losses and lived experience of the older adult to promote empathy and understanding. Methods A pre-post analysis was conducted to evaluate changes in self-reported empathy scores among nurses, pharmacists, student nurses and student pharmacists using the 20-item Jefferson Scale of Empathy©, Health Professional and Health Professional Student versions. The instrument was administered prior to and after narrative simulation participation. Results A total of 152 students and 107 health care professionals completed both assessments. Median (interquartile range, IQR) post-simulation scores were significantly higher among nursing professionals [118.5 (112.25, 126.75) versus 126 (117, 132); P < 0.001; effect size 0.81] and nursing students [116 (107, 121) versus 119 (109, 126); P < 0.001; effect size 0.28], as well as pharmacy students [111 (101, 117) versus 116 (107.5, 125); P < 0.001; effect size 0.47]. Although a moderate effect size of 0.7 was observed for pharmacy professionals, there was no difference between pre- and post-activity empathy scores [117 (98, 137) versus 116 (101, 137); P = 0.16] for pharmacists participating in the narrative simulation exercise. Conclusions A statistically significant change in self-reported levels of empathy, particularly for nurses, nursing students, and pharmacy students, was observed; results of this activity did not suggest a change in pharmacist self-reported empathy levels. This activity could be implemented by educators seeking to increase awareness of losses experienced by the older adult.

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“…In addition, in South Korea, the older adult population over 65 years of age continues to increase, accounting for 22.8% of the total households, with 49.6% expected to become older adult households by 2047 [1]. The increase in the older adult population like this resulted in the increase in the utilization rate of health care services by the older adults with chronic diseases [2,3]. In South Korea, among the older adult population over 65 years of age, the average number of visits to a medical institution in 1 month was 2.4, and it was found that more than 77.4% of the older adult population received treatment at a medical institution at least once [4].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Nurses’ Perception of the Older Adults and Work Stress on Nursing Competency of Nurses Who Care for Older Adult Patients at General Hospital

Lee

Sok

2023

IJERPH

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The older adult population is rapidly increasing in South Korea, and hospitalization at general hospitals is increasing too. Therefore, nurses working at general hospitals need the nursing competency for older adult patients. The study was conducted to examine the effects of nurses’ perception of the older adults and work stress on the nursing competency of nurses at a general hospital, South Korea. A cross-sectional, descriptive correlational design was employed. Participants were a total of 136 nurses working at a general hospital located in Seoul, South Korea. Measures used in the study were the study participants’ general characteristics survey, Korean version of the Attitude Toward Old People Scale (KAOPS), the work stress scale, and the nursing competency scale. Data were collected from February to March, 2021. The regression model was statistically significant, and the explanatory power of the regression model was 33%. The significant factors affecting nursing competency were education level, perception of the older adults, and work stress. The greatest affecting factor was education level, followed by perception of the older adults and work stress in order. Nurses caring for older adult patients at general hospitals should pay attention to affecting factors to help improve the nursing competency in clinical practice. Managers should improve relevant policies to ensure that nurses have more opportunities to participate in the practical training of older adult care and explore effective training methods to improve the nurses’ perception of older adults.

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Effectiveness of a multimodal intervention and the simulation flow to improve empathy and attitudes towards older adults in nursing students: A crossover randomised controlled trial

Cited by 11 publications

References 50 publications

Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study

Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study

Using simulation to introduce students and healthcare professionals to losses experienced by older adults: a pre-post analysis

The Effects of Nurses’ Perception of the Older Adults and Work Stress on Nursing Competency of Nurses Who Care for Older Adult Patients at General Hospital

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