Transgender Standardized Patient Simulation: Management of an Oncological Emergency

Abstract

Introduction: This article describes the development process of Transgender Standardized Patient Simulation (TSPS) as an innovative cultural competence education and its pilot testing as part of the students’ program of study. The multidimensional education strategy, TSPS, aimed to improve students’ knowledge, skills, attitudes, and confidence in providing culturally sensitive care to a transgender patient experiencing an oncological emergency. Methodology: The design of the TSPS followed the cultural competence and confidence model and international simulation guidelines. Content validity of the TSPS was established. As our usual simulation assessment survey, the adapted simulation effectiveness tool–modified was used to evaluate if the TSPS met with students’ learning need. Results: Participants ( n = 32) strongly agreed that the TSPS met with their learning expectations and needs and improved their ability to provide culturally sensitive care. Discussion: Training and practice in this area is much needed and well-received by nursing students and faculty.

The Role of Standardized Patient Programs in Promoting Equity, Diversity, and Inclusion: A Narrative Review

“…30 Study types included observation, 25,26,29 innovation, 24,28,30 and intervention. 18,23,27 SPP design included encounters with diverse SPs, 23–25,30 diversified SP cases, 26,28 examination using SPs, 27 and diverse SP encounters as part of an objective structured clinical examination. 18,29…”

“…18,25,27,36,38 The general approach involved informing SPs about the case followed by portrayal, feedback, and evaluation. 23,24,29,31–33…”

“…Nine articles (53%) were identified that focused on improving cultural competence through SPPs and diverse SP simulations or encounters. 18,23–30…”

“…The population of studies included first-year, 18,23 second-year, 24 and senior nursing students, 25 as well as medical residents, 26–28 medical students, 29 and trainees in various other health sciences disciplines. 30 Study types included observation, 25,26,29 innovation, 24,28,30 and intervention.…”

The influence of the oncology‐focused transgender‐simulated patient simulation on nursing students' cultural competence development

“…As a multidimensional cultural competence education strategy that carefully weaves together the cognitive, practical, and affective dimensions of learning, its content validity and pilot testing was completed before it is used in this study (Figures 1). 41 The TSPS involves a SP simulation activity with two states and incorporates five distinct phases (3 hours): (a) pre‐brief, (b) SP experience, (c) observation, (d) debriefing, and (e) reflection. Comprehensive student preparation activities involving two assigned to peer‐reviewed journal articles, a narrated PowerPoint video focusing on cancer care for transgender patients, and cultural assessment examples, and pre‐simulation assignment were developed by the researcher after collaborating with two oncology‐nursing course coordinators.…”