Department of Internal Medicine Nursing, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Department of Internal Medicine Nursing, Faculty of Health Sciences, Izmir University of Economics, İzmir, Turkey.
Nurse Educ Pract. 2024 May;77:103990. doi: 10.1016/j.nepr.2024.103990. Epub 2024 May 7.
This study aims to investigate the efficacy of the aged simulation suit on undergraduate nursing students' attitudes and empathy toward older adults.
A new approach to teaching to enhance nursing students' attitudes toward and empathy for older adults involves the use of an aging simulation suit.
This systematic review and meta-analysis seeks to determine the efficacy of the aged simulation suit on the attitudes and empathy of undergraduate nursing students toward older adults. This protocol for a systematic review and meta-analysis was registered as CRD 42023393879 on the PROSPERO database.
In February-March 2023, a systematic review with meta-analysis of randomized controlled and quasi-experimental studies was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Population, Intervention, Control, Outcomes, Study Design (PICOS) structure was used for search strategy. Databases CINAHL, Cochrane Library, PubMed, PsycINFO, and Web of Science, as well as ULAKBIM, Turkish Medline, Turkiye Klinikleri, and YOK National Thesis Center, were searched for the articles. The Joanna Briggs Institute Critical Appraisal Tools were used to evaluate the methodological quality of a study and the extent to which its design, conduct, and analysis addressed the possibility of bias.
The meta-analyses of attitudes toward older adults included six studies (including 535 nursing students). The intervention group's attitudes toward older adults were found to be similar to those of the control group (SMD: 15.84, Z= 1.98, p= 0.05). The subgroup analyses revealed similarities between intervention group's and the control group's mean score on attitudes toward older adults (SMD: 4.85, Z=0.70, p=0.48, for RCT; SMD: 23.05, Z= 2.02, p=0.04, for quasi-experimental). Three studies (involving 207 nursing students) revealed significantly higher mean empathy score for the control group compared with the intervention group following the intervention (SMD: 7.08, Z=4.82, p=0.00001). The subgroup analyses revealed statistically significantly higher mean level of empathy for the control group compared with the intervention group was after the intervention (SMD: 7.49, Z=3.15, p=0.002, for RCT; SMD: 6.83, Z= 3.65, p=0.0003, for quasi-experimental).
Nursing students should be aware of older adults' feelings and experiences aging-related changes and aged simulation interventions can be a useful intervention to allow students to empathize with an older adult.
本研究旨在探讨老年模拟服对本科护生对老年人态度和同理心的影响。
一种新的教学方法，通过使用老化模拟服来增强护理学生对老年人的态度和同理心。
本系统评价和荟萃分析旨在确定老年模拟服对本科护生对老年人的态度和同理心的影响。本系统评价和荟萃分析的方案已在 PROSPERO 数据库中以 CRD42023393879 进行注册。
2023 年 2 月至 3 月，根据 PRISMA（系统评价和荟萃分析的首选报告项目）指南进行了一项系统评价和荟萃分析，包括随机对照和准实验研究。使用人群、干预、对照、结局、研究设计（PICOS）结构进行搜索策略。在 CINAHL、Cochrane 图书馆、PubMed、PsycINFO 和 Web of Science 以及 ULAKBIM、土耳其医学文献、Turkiye Klinikleri 和 YOK 国家论文中心数据库中搜索文章。使用 Joanna Briggs 研究所的批判性评估工具来评估研究的方法学质量，以及研究设计、进行和分析在多大程度上解决了偏见的可能性。
对老年人态度的荟萃分析包括六项研究（涉及 535 名护理学生）。干预组对老年人的态度与对照组相似（SMD：15.84，Z=1.98，p=0.05）。亚组分析显示，干预组和对照组对老年人态度的平均得分相似（SMD：4.85，Z=0.70，p=0.48，对于 RCT；SMD：23.05，Z=2.02，p=0.04，对于准实验）。三项研究（涉及 207 名护理学生）显示，干预后对照组的平均同理心得分明显高于干预组（SMD：7.08，Z=4.82，p=0.00001）。亚组分析显示，干预后对照组的平均同理心水平明显高于干预组（SMD：7.49，Z=3.15，p=0.002，对于 RCT；SMD：6.83，Z=3.65，p=0.0003，对于准实验）。
护理学生应该了解老年人的感受和体验与年龄相关的变化，并且老年模拟干预可以是一种有用的干预措施，使学生能够对老年人产生同理心。
