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Letter to the Editor| Volume 16, P6-7, March 2018

Response: Effect Size in Clinical Education Using Standardized Geriatric Patient Simulation

Published:December 08, 2017DOI:https://doi.org/10.1016/j.ecns.2017.10.003
      In the October issue of Clinical Simulation in Nursing,
      • Skinner H.M.
      Simulation: Preparing nursing students to work with community-dwelling older adults.
      presents a simulation curriculum to prepare undergraduate nursing students to work with a geriatric population in the community. The stated purpose of the investigation was, “… to improve nursing students' perceptions of older adults and provide them an opportunity to practice competent care that empowers older adults to stay healthy,” with a stated goal “… to discover if participation in the simulation changed undergraduate nursing students' perception of older adults and prepared them to care for older adults during their community health capstone experience” (
      • Skinner H.M.
      Simulation: Preparing nursing students to work with community-dwelling older adults.
      ). The study measured knowledge and perceptions of older persons and the aging, using the Facts on Aging Quiz—revised (

      Breytspraak, L., & Badura, L. (2015). Facts on Aging Quiz (revised; based on Palmore (1977; 1981)). Retrieved from https://aging.umkc.edu/quiz

      ). The author states, “Qualitative methods were used to analyze transcripts and identify themes” (
      • Skinner H.M.
      Simulation: Preparing nursing students to work with community-dwelling older adults.
      ).
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      References

      1. Bertram, D. (n.d.). Likert scales … are the meaning of life. Retrieved from http://poincare.matf.bg.ac.rs/∼kristina/topic-dane-likert.pdf

      2. Breytspraak, L., & Badura, L. (2015). Facts on Aging Quiz (revised; based on Palmore (1977; 1981)). Retrieved from https://aging.umkc.edu/quiz

        • Dinsmore K.R.
        • Glenn L.L.
        Effect size in clinical education using standardized geriatric patient simulation.
        Clinical Simulation in Nursing. 2018; 16: 1https://doi.org/10.1016/j.ecns.2017.10.002
        • Skinner H.M.
        Simulation: Preparing nursing students to work with community-dwelling older adults.
        Clinical Simulation in Nursing. 2017; 13: 520-523
        • Van der Elst E.
        • Deschodt M.
        • Welsch M.
        • Milisen K.
        • Dierckx de Casterlé B.
        Internal consistency and construct validity assessment of a revised Facts on Aging Quiz for Flemish nursing students: An exploratory study.
        BMC Geriatrics. 2014; 14: 128

      Linked Article

      • Effect Size in Clinical Education Using Standardized Geriatric Patient Simulation
        Clinical Simulation In NursingVol. 16
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          The recommendation by Skinner (2017) that a standardized geriatric patient simulation should be integrated into community health courses was not fully supported by the data and findings. First, in addition to the lack of statistical significance noted by the authors, the effect size was calculated to determine the difference in aging knowledge test scores before and after the simulation and found it was only r = 9.1%, which is low according to Cohen's criteria (Cohen, 1988); therefore, there was not even a trend toward effectiveness in increasing knowledge of aging.
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