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老年人参与标准化患者模拟的观点和经历。

Older people's views and experiences of engagement in standardised patient simulation.

作者信息

Thompson Juliana, Tiplady Sue, Hutchinson Anne, Cook Glenda, Harrington Barbara

机构信息

Department of Nursing and Midwifery, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.

出版信息

BMJ Simul Technol Enhanc Learn. 2017 Oct 3;3(4):154-158. doi: 10.1136/bmjstel-2017-000197. eCollection 2017.

Abstract

BACKGROUND

The last two decades have witnessed initiatives aimed at improving the care of older people, including educating nurses so that they are equipped with the skills to care for older people with frailty and complex multimorbidities. It has been suggested that involvement of older service users in nurse education can facilitate the development of nurses' caring skills by promoting understanding of the reality of older people's situations. One method of involving older service users is standardised patient simulation (SPS). While some recent studies have acknowledged the importance of considering standardised patients' experiences and perceptions of simulation, to date few have focused specifically on the experiences of older people.

METHODS

In this qualitative study, data were collected via focus groups, whereby older people were invited to discuss their views and experiences of involvement in SPS. Data were analysed using open coding.

FINDINGS

Four themes emerged from the data, demonstrating that involving older people in SPS may be beneficial for their well-being. The four themes were: 'using personal experiences to improve care', 'having a sense of purpose', 'preparation and support for SPS' and 'feeling appreciated'.

DISCUSSION

While most participants reported that they enjoyed the SPS activities, engagement appeared to have had a much deeper significance for them. Many participants' responses suggested that involvement assisted them to 'make sense' of their experiences of illness and healthcare, and also gave a sense of purpose, of belonging and of being valued.

CONCLUSION

Findings support the need for nurse educators to consider developing SPS programmes that involve older people.

摘要

背景

在过去二十年中,人们发起了多项旨在改善老年人护理的倡议,包括对护士进行培训,使他们具备照顾体弱多病及患有多种复杂病症的老年人的技能。有人提出,让老年服务使用者参与护士教育,可通过促进对老年人实际情况的理解来推动护士护理技能的发展。让老年服务使用者参与的一种方法是标准化病人模拟(SPS)。虽然最近一些研究承认考虑标准化病人对模拟的体验和看法的重要性,但迄今为止,很少有研究专门关注老年人的体验。

方法

在这项定性研究中,通过焦点小组收集数据,邀请老年人讨论他们参与标准化病人模拟的观点和体验。使用开放式编码对数据进行分析。

结果

数据中出现了四个主题,表明让老年人参与标准化病人模拟可能对他们的幸福感有益。这四个主题是:“利用个人经历改善护理”、“有使命感”、“标准化病人模拟的准备和支持”以及“感到被重视”。

讨论

虽然大多数参与者表示他们喜欢标准化病人模拟活动,但参与似乎对他们具有更深层次的意义。许多参与者的回答表明,参与有助于他们“理解”自己的疾病和医疗保健经历,还赋予了他们使命感、归属感和被重视感。

结论

研究结果支持护士教育工作者需要考虑制定让老年人参与的标准化病人模拟计划。

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本文引用的文献

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User involvement in health and social care education: a concept analysis.患者参与卫生和社会保健教育:概念分析。
Nurse Educ Today. 2012 Feb;32(2):185-9. doi: 10.1016/j.nedt.2011.11.012. Epub 2011 Dec 6.

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