Department of Nursing, School of Nursing, Oakland University, Rochester, Michigan, USA.
Department of Sociology, Anthropology, Social Work and Criminal Justice, Oakland University, Mt Clemens, Michigan, USA.
Nurs Forum. 2022 Sep;57(5):851-859. doi: 10.1111/nuf.12739. Epub 2022 May 31.
Poverty is a reality for many individuals and families. Unless one has lived in a poverty situation, it can be difficult to understand the challenges people face.
This study was a quasi-experimental study with a pre- and post-test design (36 select-items from four-established instruments) that measured students' self-perceived knowledge, skills, and attitudes towards people living in poverty. All undergraduate, pre-licensure, senior-level nursing students enrolled in a community nursing course (fall 2018-fall 2019, n = 254) participated in a face-to-face interactive Community Action Poverty Simulation (CAPS) with a focus on the QSEN concept of patient-centered care. The winter 2020 semester, the simulation was not offered because of the coronavirus pandemic; these students (n = 96) served as a comparison group.
Paired-samples t-tests revealed knowledge, skill, and attitude mean scores, were improved for all students with the exception of social justice attitudes (improved only for the non-simulation group). Independent-samples t-tests revealed simulation students had higher knowledge, skill, and attitude scores on the Adapted CAPS Assessment and Active Learning Measure. Non-simulation participants had higher Political Awareness scores.
These results indicated the CAPS appears to be an effective simulation to change students' self-perceived knowledge, skills, and attitudes regarding people whose incomes are low or who are living in poverty.
贫困是许多个人和家庭面临的现实。除非一个人亲身经历过贫困，否则很难理解人们所面临的挑战。
本研究是一项准实验研究，采用前后测试设计（从四个已建立的工具中选择 36 个项目），测量学生对生活在贫困中的人们的自我感知知识、技能和态度。所有参加社区护理课程的本科、预许可、高级护理学生（2018 年秋季至 2019 年秋季，n=254）都参加了以 QSEN 概念为重点的面对面互动社区行动贫困模拟（CAPS），重点关注以患者为中心的护理。2020 年冬季学期，由于冠状病毒大流行，模拟课程未开设；这些学生（n=96）作为对照组。
配对样本 t 检验显示，除社会正义态度外（仅对非模拟组有所改善），所有学生的知识、技能和态度平均分均有所提高。独立样本 t 检验显示，模拟学生在适应后的 CAPS 评估和主动学习量表上的知识、技能和态度得分更高。非模拟参与者的政治意识得分更高。
这些结果表明，CAPS 似乎是一种有效的模拟方法，可以改变学生对收入较低或生活贫困的人的自我感知知识、技能和态度。
