Ramchandani Neesha, Johnson Kim, Cullen Karen, Hamm Terri, Bisordi Jean, Sullivan-Bolyai Susan
New York University Rory Meyers College of Nursing, New York, New York (Ms Ramchandani, Dr Sullivan-Bolyai).
Division of Pediatric Endocrinology, University of Massachusetts, Worcester, Worcester, Massachusetts (Ms Johnson, Ms Cullen).
Diabetes Educ. 2017 Feb;43(1):97-104. doi: 10.1177/0145721716676893. Epub 2016 Nov 15.
Purpose The purpose of this article is to describe the 4 Parent Education Through Simulation-Diabetes (PETS-D) nurse certified diabetes educators' (CDEs) perspectives of teaching parents of children with newly diagnosed type 1 diabetes mellitus (T1DM) early diabetes management skills using formal vignettes and a human patient simulator/human patient simulation (HPS) to augment/enhance the teaching-learning process. Methods A qualitative descriptive approach was used. Four CDEs were interviewed by phone about their teaching experiences. Meticulous notes were taken. Data were analyzed using qualitative content analysis. Results The vignettes (and use of HPS) provided structure, especially for parents who were struggling to learn. Certified diabetes educators described a short learning curve to master the use of the HPS manikin. Human patient simulation-enhanced education was described as helpful for teaching multiple caregivers about diabetes. Certified diabetes educators also described factors that affect parent learning, mechanical issues with the HPS, and additional space requirements for HPS-enhanced education. Conclusion Vignettes and HPS-enhanced education can successfully be used to educate parents of children with new-onset T1DM and were preferred by the CDEs when compared with previous teaching strategies. The results of this study support the use of both vignette-based and HPS-enhanced education when a child is newly diagnosed with T1DM. Further studies need to be done to see if these effects persist with different populations, during different stages of the disease, and for individuals with other chronic illnesses.
目的 本文旨在描述4名通过模拟糖尿病进行家长教育（PETS-D）的护士认证糖尿病教育者（CDEs），对于使用正式的案例 vignettes 和人体患者模拟器/人体患者模拟（HPS），向新诊断为1型糖尿病（T1DM）儿童的家长传授早期糖尿病管理技能，以增强/提升教学过程的观点。方法 采用定性描述方法。通过电话采访了4名CDEs，了解他们的教学经验，并做了详细记录。使用定性内容分析法对数据进行分析。结果 案例 vignettes（以及HPS的使用）提供了结构，特别是对于那些难以学习的家长。认证糖尿病教育者描述了掌握使用HPS人体模型的学习曲线很短。人体患者模拟增强教育被描述为有助于向多名护理人员传授糖尿病知识。认证糖尿病教育者还描述了影响家长学习的因素、HPS的机械问题以及HPS增强教育所需的额外空间。结论 案例 vignettes 和HPS增强教育可以成功地用于教育新发病T1DM儿童的家长，与以前的教学策略相比，CDEs更喜欢这种方法。本研究结果支持在儿童新诊断为T1DM时使用基于案例 vignette 和HPS增强的教育。还需要进一步研究，以确定在不同人群、疾病的不同阶段以及患有其他慢性病的个体中，这些效果是否持续存在。
