Effectiveness of Standardized Patients and Role-Play Simulation Methods in Improving Self-Confidence and Therapeutic Communication Skills of Nursing Students

Abstract

Background: Communication skills are critical skills that must be possessed by nurses because communication is a dynamic process that is used to collect assessment data, provide education or health information to influence clients to apply it in life, show caring, provide comfort, foster self-confidence and, value respect - client value. Nurses in communicating with clients must have high confidence in the effect of these communications.Objectives: The purpose of this study was to analyze the differences in the effect of standardized patient simulation methods and role play in increasing self-confidence and therapeutic communication skills of students of the Nursing Academy of Pasuruan.Methods: The design of this study is the quasi experimental study. There are two therapeutic communication training groups. Group A uses a Standardized Patient (SP) and, Group B uses the role play (RP) method. The population in this study were students of the Nursing Academy of Pasuruan, and the sample was taken by simple random sampling with a sample size group of 16 standardized patients and a roleplay group of 16 people. The measuring instrument used was an observation sheet on therapeutic communication skills and a questionnaire on confidence in therapeutic communication. The effectiveness of the two methods was analyzed by the non-parametric test, namely the Mann Whitney test, to test 2 unpaired samples.Results: The results of this study indicate that there are differences in standardized patient methods and role play on self-confidence and therapeutic communication skills in nursing academy students who are statistically significant at 0.03 (p=0.05).Conclusion: The standardized patient method is more effective in increasing self-confidence and therapeutic communication skills in nursing academy students compared to the roleplay method. Keywords: Standardized Patient, Roleplay, Therapeutic Communication, Self-Confidence

The Use of Standardized Patients as an Educational Strategy in Baccalaureate Psychiatric Nursing Simulation: A Mixed Method Pilot Study

“…The findings from this pilot study highlight the simulation experiences from baccalaureate senior psychiatric nursing students. Our use of SPs as an educational strategy replicated results found in the nursing literature which indicate SPs can be effective in assisting students to gain competency, achieve higher knowledge and confidence, and improve assessment and therapeutic communication skills (Alexander et al, 2018; Chayono et al, 2020; Donovan & Mullen, 2019; Felton & Wright, 2017; Hall, 2017; Ogard-Repal et al, 2018; Sarikoc et al, 2017; Vandyk et al, 2018). The main features underscored by the students were as follows: the reality of the patient encounter, the ability to practice skills with confidence, and the constructive feedback from the SPs.…”

“…The literature revealed the use of SPs has an impact on reducing student anxiety (Alexander et al, 2018; Hall, 2017; Ogard-Repal et al, 2018; Sarikoc et al, 2017; Vandyk et al, 2018), and an increase in students’ personal confidence along with the use of therapeutic communication and assessment skills (Chayono et al, 2020; Donovan & Mullen, 2019; Hall, 2017; Ogard-Repal et al, 2018; Vandyk et al, 2018). Notably, recognition of personal biases, gaining control of patient situations, and increased student satisfaction were also described with the use of SPs in psychiatric simulation (Felton & Wright, 2017; Hall, 2017).…”

Medical students’ experiences of working with simulated patients in challenging communication training

“…Previous research has reported that students express appreciation of working with SPs in teaching and learning [ 29 ] and state that having encounters with SPs increases their comfort in addressing difficult topics with patients [ 18 , 19 ]. Working with SPs in simulations has been reported to be more effective in increasing self-confidence among nursing students than peer role-play [ 30 ]. Previous research has discussed the limitations of peer role-playing, which depends on students’ abilities to portray patients and give realistic responses [ 14 , 30 ].…”

“…Working with SPs in simulations has been reported to be more effective in increasing self-confidence among nursing students than peer role-play [ 30 ]. Previous research has discussed the limitations of peer role-playing, which depends on students’ abilities to portray patients and give realistic responses [ 14 , 30 ]. In our study, the flexibility of the actors in changing character was highlighted as important for the learning process.…”

Communication Experience of Nursing Students: A Simulation using Standardized Patients

“…이은영능력을 향상시키는 것으로 나타났으며[10,14,20], 역할극을 활 용한 시뮬레이션 교육도 의사소통능력을 향상시켰다[11]. 그 러나 Cahyono 등[22]의 연구에서는 표준화 환자 활용 시뮬레 이션 교육이 역할극보다 의사소통 능력 향상에 더 효과적이라…”