Arrogante Oscar, Velarde García Juan Francisco, Blázquez-González Patricia, Moro-Tejedor Ma Nieves
Department of Nursing, Faculty of Nursing, Physiotherapy and Podology, University Complutense of Madrid, Plaza Ramón y Cajal, s/n. 28040 Madrid, Spain; Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Calle Dr. Esquerdo 46, 28007 Madrid, Spain.
Research Nursing Group of Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Calle Dr. Esquerdo 46, 28007 Madrid, Spain; Red Cross University College of Nursing, Spanish Red Cross, Autonomous University of Madrid, Avenida Reina Victoria 28, 28003 Madrid, Spain; Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Avenida Atenas s/n, 28922 Alcorcón, Spain.
Nurse Educ Today. 2023 Feb;121:105685. doi: 10.1016/j.nedt.2022.105685. Epub 2022 Dec 13.
The constant increase in the aging population will lead to a greater demand for high-quality nursing care for this population over the coming years. Early detection and proper treatment of great geriatric syndromes are essential and, consequently, geriatric nurses must acquire the necessary competencies for their adequate management.
To evaluate the acquisition of the necessary nursing competencies for adequate management of great geriatric syndromes through high-fidelity simulation training and to explore undergraduate nursing students' perceptions about this training.
80 undergraduate nursing students participated in a mixed methods study. The simulated scenarios recreated older patients with diagnoses of great geriatric syndromes using standardized patients. Nursing competencies were evaluated using a verification list. 10 focus groups were interviewed to explore their perceptions, conducting a qualitative study with an interpretative approach.
Most of the students (86.55 %) acquired the necessary nursing competencies for adequate management of great geriatric syndromes. The nursing students stated that they improved their communication skills (provide solutions to older patients; facilitate and redirect the clinical interview; contrast the information given to the patient), psychological resources (psychological support; physical contact and accompaniment; empathy and persuasion), and geriatric knowledge (identify their lack of knowledge; recognize their limits in terms of healthcare and refer to other health professionals; know the patient's conditions) to provide quality care for older people diagnosed with great geriatric syndromes.
The use of high-fidelity simulation training including standardized patients makes it easier for nursing students to acquire the necessary nursing competencies for adequate management of great geriatric syndromes and improve their clinical skills. Geriatric nursing education should focus on equipping nursing students with the necessary clinical skills, integrating high-fidelity simulation training in geriatric study plans to train students in the nursing care to be provided to older patients, and preparing them for real clinical practice.
在未来几年，老龄化人口的持续增长将导致对这一人群高质量护理的需求增加。尽早发现并妥善治疗重大老年综合征至关重要，因此，老年护理人员必须具备进行适当管理所需的能力。
通过高仿真模拟训练评估获取对重大老年综合征进行适当管理所需的护理能力，并探讨本科护理专业学生对该训练的看法。
80名本科护理专业学生参与了一项混合方法研究。使用标准化病人模拟患有重大老年综合征的老年患者场景。使用核查清单评估护理能力。对10个焦点小组进行访谈以探讨他们的看法，采用解释性方法进行定性研究。
大多数学生（86.55%）获得了对重大老年综合征进行适当管理所需的护理能力。护理专业学生表示，他们提高了沟通技巧（为老年患者提供解决方案；促进和引导临床访谈；核实提供给患者的信息）、心理资源（心理支持；身体接触和陪伴；同理心和说服力）以及老年护理知识（识别自身知识不足；认识到自己在医疗保健方面的局限性并转介给其他医疗专业人员；了解患者病情），以便为被诊断患有重大老年综合征的老年人提供优质护理。
使用包括标准化病人在内的高仿真模拟训练使护理专业学生更容易获得对重大老年综合征进行适当管理所需的护理能力，并提高他们的临床技能。老年护理教育应注重培养护理专业学生具备必要的临床技能，将高仿真模拟训练纳入老年护理学习计划，以培训学生为老年患者提供护理，并使他们为实际临床实践做好准备。
