From the School of Psychology, Faculty of Health and Medical Sciences (L.A.W., A.C.-H.), The University of Adelaide, Adelaide, Australia; and Adelaide Health Simulation, Faculty of Health and Medical Sciences (E.L.D.), The University of Adelaide, Adelaide, Australia.
Simul Healthc. 2024 Dec 1;19(6):e127-e134. doi: 10.1097/SIH.0000000000000784. Epub 2024 Feb 12.
Simulated patients (SPs) are trained to simulate real patient scenarios for health professionals' education and training. The value of including SPs in simulated scenarios, particularly in relation to difficult and complex conversations, has been studied in various contexts, with a focus on learner experiences and outcomes. What has not been as extensively explored is the impact of difficult and complex conversations on the SPs. The aim of this study was to explore the perspectives, motivations, and experiences of SPs, particularly regarding difficult or complex conversations.
A qualitative approach was taken to gather and interpret SP experiences. Open-ended interviews were the primary means of obtaining data. Thematic analysis guided the interpretation of interview data to generate key themes that encapsulated the SP experience.
Twelve participants shared their experiences of working as SPs in scenarios that involved difficult or complex conversations. From these data, 4 major themes were determined: Care for Students , Pedagogical Focus , Emotional Regulation , and Organizational Environment . The importance of empathy and safe design and support for simulations was apparent.
This study presents insights into the experiences and perspectives of SPs regarding difficult and complex conversations. Participants highlighted the necessity of uniformity in standards of practice in simulation and the need for advocacy for awareness of simulation-based practices.
模拟患者（SP）经过培训，可以模拟真实的患者场景，为医疗保健专业人员的教育和培训提供支持。在不同的背景下，已经研究了将 SP 纳入模拟场景的价值，特别是在涉及困难和复杂对话的情况下，重点关注学习者的体验和结果。然而，对于困难和复杂对话对 SP 本身的影响，尚未进行广泛的探讨。本研究旨在探讨 SP 的观点、动机和体验，特别是关于困难或复杂对话的方面。
采用定性方法收集和解释 SP 的经验。开放式访谈是获取数据的主要手段。主题分析指导了访谈数据的解释，以生成关键主题，涵盖 SP 的经验。
12 名参与者分享了他们在涉及困难或复杂对话的情景中作为 SP 的工作经验。从这些数据中确定了 4 个主要主题：关爱学生、教学重点、情绪调节和组织环境。同理心和安全设计以及模拟支持的重要性显而易见。
本研究提供了关于 SP 对困难和复杂对话的体验和观点的深入了解。参与者强调了模拟实践中统一标准的必要性，并呼吁提高对基于模拟的实践的认识。
