Nursing students perceptions of a hearing voices simulation and role-play: Preparation for mental health clinical practice. Further research is called for concerning mental health nursing students experiences with role-playing both the therapist and patient roles. At the end of this section, the educator will ensure students achieve the following: Identify the definition, purpose and theories which inform the nurse-client therapeutic relationship. Adv Health Sci Educ. Therapeutic communication (TC) is a key nursing skill to improve the patient-nurse relationship. She has been given medicine from the hospital, which is Finally, the students were asked five open-ended questions and two structured questions. Well-facilitated role-plays begin with a clear discussion of the ground rules. The main differences are the role the student takes in the interaction, whether reflection is used as a significant part of the simulation, and whether practicing psychotherapeutic communication approaches are essential in the role-play. Their experiences in the role-plays were evaluated as challenging but valuable. Oppression: A Social Determinant of Health. Role-playing in supervised groups seems to promote reflection and insight not only for students in the patient and therapist roles, but also for peers observing the group sessions. Students will be divided into groups of two to demonstrate Therapeutic Communication. This site is owned and operated by Informa PLC ( Informa) whose registered office is 5 Howick Place, London SW1P 1WG. G lb `agkd anly> Gvi lcril`y oiik dgvik bi`gmltgaks erab tfi, faspgtlc, sa Gvi oiik loci ta tacirlti lk` maktrac tfi plgk. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. The results suggest that role-play in health education enhances students therapeutic and communicative skills. Gros, C.P., Jarvis, S., Mulvogue, T., Wright, D., (2012), Les interventions infirmires estimes bnfiques par les adolescents risque de suicide Sant mentale au Qubec, (37) 2, 193-207. Copyright 2017 Informa PLC. Terms & Conditions We conducted an update on October 1, 2018. Since the questionnaire had more than one category (RBL, PBL and topic lectures), it may not be reliable to report alpha for Part 2 of the test as a whole. Integrated knowledge depends on an active approach to develop new understanding and new knowledge to add to existing knowledge. It was interesting to discover that from all the full-text articles considered, only studies investigating role-plays where student played both roles had findings related to the development of students reflections. New York: Putnam. Of the 31 responses, 71% felt that the experience had made them more aware of patients feelings, and 90% indicated that the role-play had made them more aware of their own feelings; 84% felt that the experience could be used in other rotations; 94% used the skills learned during their rotations and 74% said they could utilize the skills in other rotations. Acad Med. Enrolling in a course lets you earn progress by passing quizzes and exams. The further analysis (Stage 3) was done in three steps based on independent assessments of inclusion by the first and second author and consensus decision in case of disagreement. 13. Privacy Policy Schn D. The Reflective Practitioner. (2009). (1972). There might be different reasons for that. Nurse: Oh at least you are now in the hospital and you can now get yourself check. Role-playing scripts offer clients the opportunity to practice desired behaviors observed by the therapist for subsequent review (Corey, 2013). You can learn about what data of yours we retain, how it is processed, who it is shared with and your right to have your data deleted by reading our Privacy Policy. 2021 International Nursing Association for Clinical Simulation and Learning. 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Students explained how acknowledgment of a person hearing voices changed their way of communicating. Therapeutic communication (TC) is a process where communication techniques are being used to promote the wellbeing of a patient in a nursing care profession. Role-plays . 1995;19(2):101107. Does clinical role-play have a positive effect on students development of therapeutic or communicative skills? In overcoming students anxieties regarding interviews, it helped them become more empathic and effective in facilitating the doctorpatient relationship.24. King, Hill and Gleason22 collected questionnaire data from 107 of 130 students completing psychiatric rotation. Respecting boundaries that define the limits of the professional role is also important in a therapeutic relationships (RNAO, 2006b). The students were able to recognize discrete emotional states for different roles, and the use of role-playing challenged students to study the frustrations of the interviewer and the worries of the patient. PLoS Med. Nursing students experiences of learning about nursing through drama. In Part 2 of their questionnaire, the participants responded to a set of 12 statements. will present as a newly admitted patient. To read this article in full you will need to make a payment. As mentioned above, an important goal in mental health education is for students to develop their ability to provide care and help people with different degrees of mental problems and disorders. Int J Med Educ. Role-play incorporates non-verbal cues which cannot be mimicked with HFS. This type of review is important in evidence-based practice as it invites investigating different aspects of a phenomenon by including different methods.19 We used the five stages of review that Whittemore and Knafl19 recommended for integrative reviews: 1) problem identification, 2) literature search, 3) data evaluation, 4) data analysis, and 5) presentation in the traditional introduction-method-results-discussion structure. During the simulation, the participants wore headphones and experienced an imitation of hearing voices while they completed different tasks. Philadelphia, PA: Wolters Kluwer. Simulation offers learners the opportunity to Pfi praocib, Wau slg` tflt yau fl` oiik eiicgkd ixtribicy lkxgaus lk` warrgi`1, Gvi lcril`y mabi ta tirbs wgtf by mak`gtgak lk` lmmipti` tflt by, `lys lri sfart. become more receptive, and less challenging. A total of 1,505 articles were retrieved in the literature searches, of these, 24 were excluded due to duplication. A narrative and meta-analytic review of helping skills training: time to revive a dormant area of inquiry. 4. The literature search in this review did not provide any research on models like the clinical supervision model at Molde University College. The results suggest that role-play enhances students therapeutic and communicative skills. King J, Hill K, Gleason A. The course first aid by suicidal danger (Kurset Frstehjelp ved selvmordsfare). This may be observational studies of videotapes of students in the beginning and in the end of the education course, or follow-up studies of how these approaches are transitioned into clinical practice. Nurse: Im sorry to hear that. Exploring simulation utilization and simulation evaluation practices and approaches in undergraduate nursing education. J Psychiatr Educ. Finally, studies investigating the effect of role-playing on both the therapist and patient in the context of learning therapeutic communication skills and students reflections (n=4) were analyzed by the use of a final literature matrix Figure 2, Tables 2 and 3). The students felt that the interviewer role was more difficult to portray than the patient role, but that the exercise was a good method for teaching interviews. In addition, the process of the review, including the identification and selection process, was based on the PRISMA statement and the PRISMA flow chart.20. Landy RJ. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. A preliminary search of the literature showed that simulation techniques are highly important in clinical studies, and there were quite a few studies on the use of standardized patient and simulation. Design a program for Calvin and his family. In addition, it is cost-effective and safe.22, Fossen and Stoeckel23 investigated bachelor nursing (BSN) students personal experiences of hearing voices through simulation and role-play activities related to this. Even though the values are in-range, you are required to call the physician to inform him/her. Below we discuss briefly some aspects of these formats with emphasis on hallmarks and differences. Nurse Educ Today. We offer real benefits to our authors, including fast-track processing of papers. 77 0 obj <>/Filter/FlateDecode/ID[<340564323F730994AF101BEA55C690A7>]/Index[58 33]/Info 57 0 R/Length 89/Prev 127480/Root 59 0 R/Size 91/Type/XRef/W[1 2 1]>>stream Because there are different therapeutic and communicative approaches, we included empirical research that investigated the teaching of therapeutic communication skills that aimed to help persons with mental health problems. 1. Mental health care education that incorporates role-playing should give students the opportunity to experience and understand a patient by testing the patient role. Registered Nurses Association of Ontario. In an early study Napholz and McCanse (1994) found video role play enabled undergraduate nursing students to achieve therapeutic communication skills more quickly. simulation with high fidelity mannequins, the use of students as patients in role-play (1952). (Nurse preparing the insulin and explains the. This exercise from the team at MindTools is a good way to help participants develop more empathy, consider other perspectives, build their communication and negotiation skills. Pry kat ta usi oclbgkd, stltibikts lk` lcsa try sii gt erab fgs lkdci tflt blyoi fis flvgkd l, ricglkt ak lcmafac tfisi `lys. Am Psychol Assoc. Nurses provide patients with support and information while maintaining a level of professional distance and objectivity. Consensus decision yielded 15 articles to be scrutinized, organized and coded in a literature matrix. To find as many studies as possible, there were no limitations concerning research methods used in the studies. The nurse wants additional information from the patient so she can more easily assess his health and situation. Acad Psychiatry. G lb Mziikl Cgboa, G wgcc oi yaur, Fg! Mutual trust leads to better rapport. Wolff and Miller24 emphasized the limitation that only 67% of the students responded to the survey. Rogers C. Freedom to Learn. New York (NY): Springer; 1985. In the debriefing after the role-play, students could ask questions and receive answers. The findings indicate that students seem to experience important learning and appear to be more empathic by putting themselves in the patients position. Effectiveness of standardized patients on the self-efficacy of nursing students communication skills. We also retain data in relation to our visitors and registered users for internal purposes and for sharing information with our business partners. TC helps the nurse to gain the trust of patients. Black Point, NS: Fernwood. Qualitative,. p65Kb 6 . Hill CE, Anderson T, Kline K, et al. fusolk` wauc` lpprimglti tfi ficp yaur plrikts bgdft oi loci ta dgvi, Wilf g tfgkn sa taa. Barrows HS, Abrahamson S. The programmed patient: a technique for appraising student performance in clinical neurology. The review excluded articles that were not empirical research articles; investigated standardized patients; did not address teaching mental health; investigated simulation using manikins or avatars; did not investigate clinical role-play; investigated just reflection; investigated role-play, but failed to include reflection; and investigated simulation due to physical symptoms (see Table 2 in data evaluation). doi:10.5116/ijme.4dfb.8dfd. Helping skills training for undergraduate students: who should we select and train? Can you tell what have you been eating? Movie clips of therapeutic and non-therapeutic relationships: Hey Doc, some boys are born girls: Decker Moss at TEDxColumbus, Ivan Coyote Why we need gender-neutral bathrooms, Unconditional love -- journey with our transgender child : Christy Hegarty at TEDxBloomington Love Life, A Recovery Story. She was informed by her doctor that a course of radiation and chemotherapy was her best option. 11. A total of 1,442 articles were excluded because they covered neither reflection in teaching mental health care or therapeutic approaches nor the use of role-play and reflection. Psychiatric education and simulation: a review of the literature. doi:10.1111/jan.2005.52.issue-5, 20. They had attended an average of 5.4 of the 6 sessions. 2003;23:443448. Cronbachs alpha coefficient of internal consistency for all 12 items was 0.81. Guttormsen T, Hifdt TS, Silvola K, Burkeland O. According to the included studies, clinical role-play facilitates helperuser equality and increases students involvement, self-efficacy, and empathic abilities in mental health practice.Keywords: review, education, nursing, role-play, reflection, therapeutic communication. Philadelphia, PA: Wolters Kluwer. Fawivir, by ng`s lri stgcc viry yaukd. How about you? Registered Nurses Association of Ontario. One of the key features of nurse-patient interaction involves the nurse imparting information to the patient in a non-intimidating manner. Dewey J. The large number of questions would also increase the value of alpha.28 They presented results that show that respondents were positive about all items of RBL compared to PBL. The key features of nurse-patient interaction involves the nurse to gain the of! 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