Evaluación de la simulación de alta fidelidad con actores en cuidados paliativos y estudiantes de Enfermeríaun estudio de método mixto

  1. Eva Abad-Corpa 1
  2. Juan Francisco Guillén-Ríos 1
  3. M. del Mar Pastor-Bravo 1
  4. Ismael Jiménez-Ruiz 1
  1. 1 Departamento de Enfermería, Facultad de Enfermería, Universidad de Murcia, El Palmar, Murcia, España
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2023

Volume: 33

Issue: 6

Pages: 401-411

Type: Article

DOI: 10.1016/J.ENFCLI.2023.09.005 DIALNET GOOGLE SCHOLAR

More publications in: Enfermería clínica

Sustainable development goals

Abstract

Objective The most effective training methods are experiential, including those focused on experiences and emotions. Clinical simulation, especially high-fidelity simulation, is one of the most effective methodologies for the acquisition of competencies in care like palliative care. The simulation with actors can train future healthcare science professionals in technical, intellectual, or interpersonal skills. The objective is to evaluate high-fidelity simulation with actors as a tool in palliative care training for nursing students. Method Over three years, the study was conducted in the Faculty of Nursing of Murcia with nursing students. A mixed methods study with sequential explanatory design in three moments was conducted: 1)Quasi-experimental study in a single group (n=12) before and after attending the palliative care course with clinical simulation with actors to assess the communication skills (CICAA scale). 2)Qualitative study with phenomenological perspective after clinical simulation (174 reflective students’ narratives). 3)Cross-sectional observational study, one year later, to assess the transfer of knowledge and skills to the clinical practice (71 students). Results Students who interacted with actors in clinical simulation improved their communication skills and the ability to establish an effective helping relationship with both end-of-life patients and their families. The students perceived the clinical simulation as an innovative learning methodology that is useful to encourage reflection and transfer of learning during their clinical internship. Conclusions Standardization of the use of active learning methodologies is recommended for a better acquisition of transversal skills such as communication skills in palliative care.

Funding information

Bibliographic References

  • A.J. Kirkpatrick, M.A. Cantrell, S.C. Smeltzer Palliative care knowledge and self-awareness in active and observing undergraduate nursing students after end-of-life simulation Int J Palliat Nurs., 26 (2020), pp. 133-142, 10.12968/ijpn.2020.26.3.133
  • J.N. Carmack, S. Kemery Teaching methodologies for end-of-life care in undergraduate nursing students J Nurs Educ., 57 (2018), pp. 96-100, 10.3928/01484834-20180123-06
  • A. Carrero-Planells, S. Pol-Castañeda, M.C. Alamillos-Guardiola, A. Prieto-Alomar, M. Tomás-Sánchez, C. Moreno-Mulet Students and teachers’ satisfaction and perspectives on high-fidelity simulation for learning fundamental nursing procedures: A mixed-method study Nurse Educ Today., 104 (2021), p. 104981, 10.1016/j.nedt.2021.104981
  • J. Kim, J.H. Park, S. Shin Effectiveness of simulation-based nursing education depending on fidelity: A meta-analysis BMC Med Educ., 16 (2016), p. 152, 10.1186/s12909-016-0672-7
  • Y.Y. Li, M.L. Au, L.K. Tong, W.I. Ng, S.C. Wang High-fidelity simulation in undergraduate nursing education: A meta-analysis Nurse Educ Today., 111 (2022), p. 105291, 10.1016/j.nedt.2022.105291
  • P.C. Gillan, P.J. van der Riet, S. Jeong End of life care education, past and present: A review of the literature Nurse Educ Today., 34 (2014), pp. 331-342, 10.1016/j.nedt.2013.06.009
  • P.P. Parikh, M.T. White, L. Buckingham, K.M. Tchorz Evaluation of palliative care training and skills retention by medical students J Surg Res., 211 (2017), pp. 172-177, 10.1016/j.jss.2016.11.006
  • F. Uslu-Sahan, F. Terzioglu Interprofessional simulation-based training in gynecologic oncology palliative care for students in the healthcare profession: A comparative randomized controlled trial Nurse Educ Today., 95 (2020), p. 104588, 10.1016/j.nedt.2020.104588
  • B. Cowfer, C. McGrath, A. Trowbridge Teaching pediatric palliative care communication skills to fourth-year medical students through role-play MedEdPORTAL., 16 (2020), p. 10991, 10.15766/mep_2374-8265.10991
  • C. Lewis, J. Reid, Z. McLernon, R. Ingham, M. Traynor The impact of a simulated intervention on attitudes of undergraduate nursing and medical students towards end of life care provision BMC Palliat Care., 15 (2016), p. 67, 10.1186/s12904-016-0143-2
  • A.R. Alconero-Camarero, C.M. Sarabia-Cobo, S. González-Gómez, I. Ibáñez-Rementería, L. Lavín-Alconero, A.B. Sarabia-Cobo Nursing students’ emotional intelligence, coping styles and learning satisfaction in clinically simulated palliative care scenarios: An observational study Nurse Educ Today., 61 (2018), pp. 94-100, 10.1016/j.nedt.2017.11.013
  • S.A. Rattani, Z. Kurji, A.A. Khowaja, J.M. Dias, A.N. AliSher Effectiveness of high-fidelity simulation in nursing education for end-of-life care: A quasi-experimental design Indian J Palliat Care., 26 (2020), pp. 312-318, 10.4103/IJPC.IJPC_157_19
  • A.R. Alconero-Camarero, C.M. Sarabia-Cobo, M.J. Catalán-Piris, S. González-Gómez, J.R. González-López Nursing students’ satisfaction: A comparison between medium- and high-fidelity simulation training Int J Environ Res Public Health., 18 (2021), p. 804, 10.3390/ijerph18020804
  • J.W. Creswell, V.L. Plano Clark Designing and conducting mixed methods research (2nd edition), Sage Publications, Thousand Oaks, California (2011)
  • A. Latorre, D. del Rincón Igea, J. Arnal Agustín Bases metodológicas de la investigación educativa EE Ediciones Experiencia, El Masnou, Barcelona (1996)
  • M.P. Sandín Esteban Investigación cualitativa en educación: Fundamentos y tradiciones. McGraw-Hill Interamericana, Madrid (2003)
  • R. Ruiz-Moral, L.A. Pérula de Torres Validez y fiabilidad de un instrumento para evaluar la comunicación clínica en las consultas: el cuestionario CICAA Aten Primaria., 37 (2006), pp. 320-324, 10.1157/13086707
  • N. Ruiz-Pellón, C. Sarabia-Cobo, F. Amo-Setién, R. Fernández-Peña, R. Abajas, R. Martín, et al. Experiences of nursing students participating in end-of-life education programs: A systematic review and qualitative metasynthesis Nurse Educ Today., 90 (2020), p. 104442, 10.1016/j.nedt.2020.104442
  • C.M. Sarabia-Cobo, A.R. Alconero-Camarero, L. Lavín-Alconero, I. Ibáñez-Rementería Assessment of a learning intervention in palliative care based on clinical simulations for nursing students Nurse Educ Today., 45 (2016), pp. 219-224, 10.1016/j.nedt.2016.08.014
  • U. Flick Introducción a la investigación cualitativa Ediciones Morata, SL, Madrid (2012)
  • N.K. Denzin, Y.S. Lincoln Manual de investigación cualitativa (2nd edition), Sage Publications, Thousand Oaks, California (2000)
  • E.G. Guba, Y.S. Lincoln Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches Jossey-Bass, San Francisco, California (1981)
  • A.J. Kirkpatrick, M.A. Cantrell, S.C. Smeltzer Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study Nurse Educ Today., 73 (2019), pp. 23-30, 10.1016/j.nedt.2018.11.003
  • L. Evans, M. Taubert State of the science: the doll is dead: Simulation in palliative care education BMJ Support Palliat Care., 9 (2019), pp. 117-119, 10.1136/bmjspcare-2018-001595
  • L.P. Scheunemann, R. Khalil, P.S. Rajagopal, R.M. Arnold Development and pilot testing of a simulation to study how physicians facilitate surrogate decision making based on critically ill patients’ values and preferences J Pain Symptom Manage., 57 (2019), pp. 216-223.e8, 10.1016/j.jpainsymman.2018.10.513
  • K. Valen, M. Simonsen, A.L. Holm, K.T. Jensen, E.K. Grov Impact of palliative care simulation on nursing students’ learning outcomes and reported use in hospital placement Nurs Open., 9 (2022), pp. 2847-2857, 10.1002/nop2.991
  • K. Wilbur, A. Elmubark, S. Shabana Systematic review of standardized patient use in continuing medical education J Contin Educ Health Prof., 38 (2018), pp. 3-10, 10.1097/CEH.0000000000000190
  • C.T. Kostovich, J. O’Rourke, L.A. Stephen Establishing psychological safety in simulation: Faculty perceptions Nurse Educ Today., 91 (2020), p. 104468, 10.1016/j.nedt.2020.104468
  • M. Farrés-Tarafa, J. Roldán-Merino, U. Lorenzo-Seva, B. Hurtado-Pardos, A. Biurrun-Garrido, L. Molina-Raya, et al. Reliability and validity study of the Spanish adaptation of the «Educational Practices Questionnaire» (EPQ) PLoS One., 15 (2020), p. e0239014, 10.1371/journal.pone.0239014
  • A.L. Back, R.M. Arnold, W.F. Baile, K.A. Fryer-Edwards, S.C. Alexander, G.E. Barley, et al. Efficacy of communication skills training for giving bad news and discussing transitions to palliative care Arch Intern Med., 167 (2007), pp. 453-460, 10.1001/archinte.167.5.453