Author Affiliations: Assistant Professor of Nursing (Dr McClure), Vanderbilt University School of Nursing; Assistant Professor of Nursing, Vanderbilt University School of Nursing, and Assistant in Pediatric Rheumatology, Vanderbilt Children's Hospital (Dr Nelson); Instructor of Nursing, Vanderbilt University School of Nursing, and Assistant in Pediatric Endocrinology, Vanderbilt Children's Hospital (Dr Anderson); and Assistant in Pediatrics, Vanderbilt University School of Medicine, and Pediatric Nurse Practitioner, Center for Child Protection and Well-Being, Vanderbilt Children's Hospital (Mss Donnell and Knox).
Clin Nurse Spec. 2020 Jul/Aug;34(4):157-161. doi: 10.1097/NUR.0000000000000529.
The purpose of this project was for advanced practice nursing students to gain experience taking a history from a parent or caregiver and communicating the treatment plan for an infant in which child abuse is suspected.
Fifty-three students participated in a 1:1 simulated encounter with a standardized patient acting as the mother of an infant with a leg injury that reportedly resulted from a fall from the couch. Students received feedback from the standardized patient via an assessment tool and debriefed with faculty immediately after the simulation.
All students demonstrated empathy, acknowledged the mother's emotions, and communicated the concern for abuse. Additionally, all students explained the x-ray findings, need for hospital admission, and referral to investigative agency for further evaluation.
Simulations designed to provide advanced practice nursing students with experience interviewing a parent and responding in the case of suspected child abuse are an important method of preparing them for initial clinical encounters.
本项目旨在让护理专业的高年级学生获得为疑似遭受虐待的婴儿的父母或看护者采集病史并传达治疗计划的经验。
53 名学生与一名标准化患者进行了 1:1 的模拟接触，该患者扮演一名婴儿的母亲，该婴儿腿部受伤据说是从沙发上摔下来造成的。学生通过评估工具从标准化患者那里获得反馈，并在模拟结束后立即与教师进行讨论。
所有学生都表现出了同理心，承认了母亲的情绪，并对虐待表示关注。此外，所有学生都解释了 X 光检查结果、住院需求以及向调查机构转介以进行进一步评估的必要性。
设计旨在为护理专业高年级学生提供与父母面谈和应对疑似虐待儿童情况的经验的模拟，是为他们准备初次临床接触的重要方法。
