Centre for Medical Education, Queen's University Belfast, Belfast BT7 1NN, Northern Ireland.
Age Ageing. 2023 Dec 1;52(12). doi: 10.1093/ageing/afad235.
BACKGROUND: Ageing simulation suits and equipment give healthcare professional (HCP) students the opportunity to experience what it might feel like to be an older person with age-related disability or illness. Ageing simulation experiences, where students complete activities of daily living (ADL) tasks, aim to reproduce the challenges an older person may face. OBJECTIVES: We undertook a scoping literature review to establish, from the evidence base, what is known about simulating ageing experiences for HCP students and its impact on attitudes towards older patients. METHODS: We applied Arksey and O'Malley's scoping literature review framework to achieve relevant articles. Four databases (MEDLINE, Embase, Web of Science and Cumulative Index to Nursing and Allied Health Literature) were searched resulting in 114 citations. After screening and applying our exclusion criteria, 14 articles were selected for inclusion. RESULTS: Fifty percent of studies were mixed-methods, 35% quasi-experimental, 7% quantitative and 7% qualitative. Two types of simulation experience were identified: (i) workshop based and (ii) ageing games. Simulated impairments included vision, hearing and mobility issues. Most common ADLs simulated were managing medications, finances and functional ability. The majority of studies reported a positive impact on knowledge, attitudes and empathy towards older people. CONCLUSIONS: Teaching in Care of Older People is important in HCP undergraduate curricula and should be a positive experience promoting successful ageing while raising awareness of ageism. Ageing suits have a positive impact on students' attitudes and empathic skills towards older people. Future research should include interprofessional education with HCP students learning together throughout undergraduate training.
背景:老龄化模拟服和设备为医疗保健专业(HCP)学生提供了体验与年龄相关的残疾或疾病的老年人的感觉的机会。老龄化模拟体验,学生完成日常生活活动(ADL)任务,旨在再现老年人可能面临的挑战。
目的:我们进行了范围广泛的文献综述,从证据基础上确定了模拟 HCP 学生老龄化体验及其对老年患者态度的影响。
方法:我们应用 Arksey 和 O'Malley 的范围综述框架来获取相关文章。搜索了四个数据库(MEDLINE、Embase、Web of Science 和 Cumulative Index to Nursing and Allied Health Literature),共产生了 114 条引文。经过筛选和应用排除标准,选择了 14 篇文章进行纳入。
结果:50%的研究是混合方法的,35%是准实验的,7%是定量的,7%是定性的。确定了两种模拟体验类型:(i)基于研讨会的和(ii)老龄化游戏。模拟的障碍包括视力、听力和行动能力问题。模拟的最常见的日常生活活动是管理药物、财务和功能能力。大多数研究报告称,对老年人的知识、态度和同理心有积极影响。
结论:在 HCP 本科课程中,老年人护理教学很重要,应该是一个积极的体验,促进成功老龄化,同时提高对年龄歧视的认识。老龄化模拟服对学生对老年人的态度和同理心技能有积极影响。未来的研究应包括医疗保健专业人员之间的教育,让 HCP 学生在本科培训期间一起学习。
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