Highlights
- •Portraying difficult scenarios can affect standardized patients' physical and psychological health negatively. Also these effects can sometimes be long term.
- •It has been shown that relaxation exercises have a significant reduction in the standardized patients' anxiety. The use of relaxation exercises is practical and effective.
- •The relaxation exercises used in this study helped standardized patients detach themselves emotionally from the difficult scenarios they portrayed; they also achieved relaxation and a sense of well-being.
- •It was recommended planning similar types of interventions for standardized patients to be conducted after they portray emotionally difficult scenarios.
Abstract
Background
This study aimed to determine the anxiety levels of standardized/simulated patients
(SPs) who received bad news and to explore the effects of relaxation exercises during
the de-roling/debriefing phase on the anxiety levels of the SPs.
Method
A pretest/post-test pattern was used for 19 SPs who participated in the study.
Results
The SPs were mildly anxious (mean State-Trait Anxiety Inventory [STAI] score, 38.16 ± 8.69)
before delivery of the bad news. After delivery of the bad news, the SPs showed moderate
anxiety levels (mean STAI score, 47.89 ± 8.95). The relaxation exercises showed a
statistically significant decrease in the anxiety levels, and the SPs (p < .001) showed mild anxiety levels (STAI mean score, 25.63 ± 5.43).
Conclusion
Relaxation exercises during de-roling/debriefing showed promising effects to provide
a psychologically safe working environment for SPs, especially after portraying difficult
scenarios.
Keywords
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References
- Nurses’ perspectives on breaking bad news to patients and their families: A qualitative content analysis.Journal of Medical Ethics and History of Medicine. 2014; 7: 18
- Standardized patients portraying parents in pediatric end-of-life simulation.Clinical Simulation in Nursing. 2017; 13: 338-342
- Using standardized patients in an undergraduate nursing health assessment class.Clinical Simulation in Nursing. 2017; 13: 309-313
- (Retrieved from)http://www.aspeducators.org/about-aspeDate: 2017
- An overview of the uses of standardized patients for teaching and evaluating clinical skills.Academic Medicine. 1993; 68: 443-451
- Performance-related stress symptoms in imulated patients.Medical Education. 2004; 38: 1089-1094
- The impact of simulation on people who act as simulated patients: A focus group study.Medical Education. 2006; 40: 781-786
- A randomized controlled trial of the effect of standardized patient scenarios on dental hygiene students’ confidence in providing tobacco dependence counseling.The Journal of Dental Hygiene. 2012; 86: 4
- Anxiety-reducing strategies in the classroom. Dissertations. 188.(Retrieved from)
- Creation and assessment of a bad news delivery simulation curriculum for pediatric emergency medicine fellows.Cureus. 2016; 8: e595
- The use of simulated patients in medical education: AMEE guide No 42.Medical Teacher. 2009; 31: 477-486
- Standardized patient–based simulation training as a tool to improve the management of chronic disease.Simulation in Healthcare. 2014; 9: 40-47
- Psychosocial response to disease.in: Öz F. Demiralp M. Psychosocial nursing for general patient care. 3. Edition. Özyurt Publishing, Ankara2014
- Anxiety.in: Kum N. Somotoform and dissociative disorders, psychiatric nursing handbook. 13. Vehbi Koç Vakfı Publishing, İstanbul1996: 132-142
- Good Medical Practices, Hacettepe University Medical Faculty, Department of Medical Education and Informatics.14th ed. Hacettepe University Publishing, Ankara2016
- Helping medical students to acquire a deeper understanding of truth-telling.Medical Education Online. 2015; 20: 28133
- Acting with a purpose: The lived experience of actors in the role of standardized patients portraying mental illness.Clinical Simulation in Nursing. 2016; 12: 539-545
- Impact of a medical student alcohol intervention workshop using recovering alcoholics as simulated patients.Advances in Medical Education and Practice. 2014; 5: 133
- The Beneficial Effects of Relaxation Techniques on Stress, Memory and Attention.(Master Thesis) Lund University, Sweden2014
- Telling the truth: Medical students' progress with an ethical skill.Medical Teacher. 2014; 36: 251-259
- The patients’ perspective.in: Macdonald E. Difficult conversations in medicine. Oxford University Press, United Kingdom2004: 36-44
- Senior physiotherapy students as standardized patients for junior students enhances self-efficacy and satisfaction in both junior and senior students.Medical Education. 2014; 14: 105
- Nursing simulation: A review of the past 40 years.Simulation & Gaming. 2009; 40: 528-552
- The use of simulated patients in medical education: Guide Supplement 42.1 – Viewpoint.Medical Teacher. 2011; 33: 334-335
- The cognitive demands of standardized patients understanding limitations in attention and working memory with the decoding of nonverbal behavior during improvisations.Simulation in Healthcare. 2013; 8: 207-214
- State Trait Anxiety Inventory: Manual. 2. Edition.Boğaziçi University Publishing, İstanbul1998
- A study to assess the effectiveness of progressive muscle relaxation therapy on stress among staff nurses working in selected Hospitals at Vadodara city.Journal of Nursing and Health Science. 2014; 3: 34-59
- The Benefits and Risks of Being a Standardized Patient: A Narrative Review of the Literature.Springer International Publishing, Switzerland2015
- Relaxation Exercises CD. Turkish Psychologists Association Publications, Ankara2002
- Breaking bad news: A guide for effective and empathetic communication.The Nurse practitioner. 2012; 37: 1-4
- The impact of using standardized patients in psychiatric cases on the levels of motivation and perceived learning of the nursing students.Nurse Education Today. 2017; 51: 15-22
- Using standardized patients in nursing education: Effects on students’ psychomotor skill development.Nurse Educator. 2016; 41: E1-E5
- Standardized patients' perspectives on workplace satisfaction and work-related relationships: A multicenter study.Simulation in Healthcare. 2016; 11: 278-285
- Manual for the State-Trait Anxiety Inventory (STAI).Consulting Psychologists Press, Palo Alto, CA1983
- Teaching and learning en of life care: Evaluation of a faculty development program in palliative care.Academic Medicine. 2005; 80: 657-668
- Effect of relaxation exercises on controlling postoperative pain.Pain Management Nursing. 2012; 13: 11-17
- Standardized patient simulation experiences improve mental health assessment and communication.Clinical Simulation in Nursing. 2018; 23: 16-20
- Simulation-based medical education: An ethical imperative.Simulation in Healthcare. 2006; 1: 252-256
Article info
Publication history
Published online: November 30, 2018
Identification
Copyright
© 2018 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved.
