Playing a Standardized Patient in an Ethics Course: What Nursing Students Learn
As part of a required ethics course, pharmacy students (N=51) interact with standardized patients (SPs) in a clinical simulation four times a semester. One simulation in the course involves a patient who is taking a highly teratogenic drug, isotretinoin (Accutane®), and suspects that she might be unintentionally pregnant. Nursing students (N=7) on a community health rotation were recruited to play the role of the SP in the simulation. Each nursing student interacted with a minimum of seven different pharmacy students. Post-interaction nursing students wrote a self-reflection paper and participated in a focus group discussing what they learned. The nursing students identified with the difficulty the pharmacy students had answering SP questions and how this applies to their interactions with patients. The nursing students sensed strong emotional undertones in the pharmacy students' comments including anger and frustration. These same emotions appear in the pharmacy students' written reflections.
Framing the Question Work to Date
Standardized patients provide an excellent learning
Nursing students (N=7) on a community health
opportunity for health science students. The focus
rotation in a BSN program were recruited to play the
of the SP encounter is on student learning, there is
role of the SP in the simulation. Each nursing student
little information in the literature about what SPs
interacted with a minimum of seven different
learn or gain from the experience. What if the role
pharmacy students. Immediately post-interaction
of the SP is played by another health science
nursing students wrote a self-reflection paper. A few
student? What do nursing students learn from
days later, the nursing students participated in a
playing the role of an SP in a pharmacy ethics
focus group discussing what they learned.
General themes from the self-reflection papers
Information and Concepts
indicate that the nursing students enjoyed the novel experience of being on the other side of the health
The question about what nursing students learn
professional/patient interaction. For the most part,
from playing the SP in a clinical simulations is
they expressed sympathy for the pharmacy students
who were in their "professional" roles in the interaction. They noticed that the pharmacy students
used "big words" when explaining the drug's action.
They distinguished between the facts the pharmacy
interdisciplinary education in the health
students presented and the emotional undertone
using SPs is labor intensive so if learning takes place on both sides of the simulation it may further justify its use as a teaching
The focus group's comments were recorded and
transcribed. During the focus group, the emotional experience of being a SP in this type of difficulty situation was the most common theme. The second
there is little information about what health science
most common theme expressed by the nursing
students learn from playing the role of a SP and
students was about the insights they gained into their
what impact this has on critical self-reflection
own learning and application to clinical practice.
Click here to see the article that resulted from this work: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=7872168
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