Standardized Patient Simulation Experiences Improves Mental Health Assessment and Communication

2018 
Abstract Background Although simulation experiences are receiving increasing attention in nursing education, evidence is inconclusive regarding their effect on enhancing students' competency conducting mental health assessments and communicating effectively. Sample This study examined whether engaging standardized patients (SPs) in a simulated home environment enhanced Bachelor of Science in Nursing students' competency (N = 32) in assessment and communication with patients with mental health conditions. Method The intervention group completed six SP scenarios (two hours), followed by debriefing. The control group received traditional education alone. Students completed pre–post tests, satisfaction surveys, and behavioral checklists. Results The greatest knowledge deficits were in the assessment of clients with bipolar disease, symptoms of lithium toxicity, posttraumatic stress disorder, and stages of dementia. On average, intervention students significantly improved their posttest scores by 12.4 ± 16.8 points ( p = .01). Conclusion Simulation with an SP improved posttest knowledge but not longer term outcomes; students reported high satisfaction with the experience.
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