Levett-Jones, T, Govind, N, Pich, J, Hoffman, K, Lapkin, S, Yeun-Sim Jeong, S, Noble, D, Maclellan, L, Norton, C, Robinson-Reilly, M & Jakimowicz, S 2018, 'Exploring Nursing Students' Perspectives of a Novel Point-of-View Disability Simulation', Clinical Simulation in Nursing, vol. 18, pp. 28-37.View/Download from: UTS OPUS or Publisher's site
© 2017 International Nursing Association for Clinical Simulation and Learning Background: Empathy is integral to therapeutic relationships and person-centered care. Interventions specifically targeting empathy toward people who have a disability may be of benefit to nursing education. Method: In this article, we describe a novel point-of-view simulation designed to enhance empathy toward people who have a disability as a result of acquired brain injury. Nursing students' perspectives of the simulation were examined using a concurrent nested mixed methods design and using the Satisfaction with Disability Simulation Experience Scale, which includes 18 closed and one open-ended question. Results: A total of 384 second-year nursing students from a population of 488 participated, giving a response rate of 79%. The overall mean satisfaction score was 4.49/5.0 (standard deviation = 0.55), indicating a high level of agreement with each of the survey items. Thirty-five participants responded to the open-ended question, and analysis of their comments revealed three themes: A valuable experience, new insights, and standing in someone else's shoes. Conclusion: Given that there is compelling research about the benefits of empathic engagement with patients, the results from this study support continuing investment in point-of-view simulation experiences.
Andersen, P, Baron, S, Bassett, J, Govind, N, Hayes, C, Lapkin, S, Lasater, K, Levett-Jones, T, McAllister, M, Pich, J, Power, T, Reid-Searl, K, Ryan, C, Shearer, K & Simes, T 2018, 'Snapshots of Simulation: Innovative Strategies Used by International Educators to Enhance Simulation Learning Experiences for Health Care Students', Clinical Simulation in Nursing, vol. 16, pp. 8-14.View/Download from: UTS OPUS or Publisher's site
© 2017 International Nursing Association for Clinical Simulation and Learning Background Innovations in simulation in nursing and health care continue to be developed as creative and committed educators respond to challenges of providing pedagogically sound, engaging and effective learning experiences for large student cohorts. Time-pressed educators may find it difficult to network with others working in simulation-based learning, and thus, it is useful to provide summaries or snapshots to provide a brief overview of activities in various countries using simulation in a variety of ways. Method The purpose of this paper is to profile a diverse range of innovative, cost-effective, and tested simulation approaches that have been implemented in healthcare programs by nursing educators from a range of countries to spark creativity. Each strategy was designed to address contemporary and critical practice issues. Results They facilitate immersion in authentic clinical scenarios, increase students' awareness of cues in the environment that may compromise health and safety. Conclusion These snapshots of simulation prepare students for cultural or clinical realities that they may not routinely encounter because of the inherent restrictions associated with clinical placements.
Levett-Jones, T, Lapkin, S, Govind, N, Pich, J, Hoffman, K, Jeong, SY-S, Norton, CA, Noble, D, Maclellan, L, Robinson-Reilly, M & Everson, N 2017, 'Measuring the impact of a 'point of view' disability simulation on nursing students' empathy using the Comprehensive State Empathy Scale.', Nurse Education Today, vol. 59, pp. 75-81.View/Download from: UTS OPUS or Publisher's site
Although empathy is an integral component of professional practice and person-centred care, a body of research has identified that vulnerable patients groups frequently experience healthcare that is less than optimal and often lacking in empathy.The aim of this study was to examine the impact of an immersive point-of-view simulation on nursing students' empathy towards people with an Acquired Brain Injury.A convenience sample of 390 nursing students from a cohort of 488 participated in the study, giving a response rate of 80%. Students undertook the simulation in pairs and were randomly allocated to the role of either a person with Acquired Brain Injury or a rehabilitation nurse. The simulated 'patients' wore a hemiparesis suit that replicated the experience of dysphasia, hemianopia and hemiparesis.Characteristics of the sample were summarised using descriptive statistics. A two-group pre-test post-test design was used to investigate the impact of the simulation using the Comprehensive State Empathy Scale. t-Tests were performed to analyse changes in empathy pre post and between simulated 'patients' and 'rehabilitation nurses'.On average, participants reported significantly higher mean empathy scores post simulation (3.75, SD=0.66) compared to pre simulation (3.38 SD=0.61); t (398)=10.33, p<0.001. However, this increase was higher for participants who assumed the role of a 'rehabilitation nurse' (mean=3.86, SD=0.62) than for those who took on the 'patient' role (mean=3.64, SD=0.68), p<0.001.The results from this study attest to the potential of point-of-view simulations to positively impact nursing students' empathy towards people with a disability. Research with other vulnerable patient groups, student cohorts and in other contexts would be beneficial in taking this work forward.
King, BR, Howard, NJ, Verge, CF, Jack, MM, Govind, N, Jameson, K, Middlehurst, A, Jackson, L, Morrison, M & Bandara, DWS 2012, 'A diabetes awareness campaign prevents diabetic ketoacidosis in children at their initial presentation with type 1 diabetes.', Pediatric diabetes, vol. 13, no. 8, pp. 647-651.View/Download from: UTS OPUS or Publisher's site
OBJECTIVE: To evaluate the effect of a diabetes awareness campaign on the incidence of diabetic ketoacidosis (DKA) at the first presentation of type 1 diabetes in children (0-18 yr). METHODS: This study was a controlled population intervention study with a 2-yr baseline period and a 2-yr intervention period. Data were collected on all children presenting with their initial diagnosis of type 1 diabetes [pH, bicarbonate, base excess, blood glucose level (BGL), urea, and creatinine] at Gosford, Newcastle, and Sydney (Sydney Children's Hospital and Royal North Shore Hospital). During the intervention period, diabetes education occurred in the intervention region (Gosford). Child care centers, schools, and doctor's offices were offered education and posters about the symptoms of type 1 diabetes. Doctor's offices were given glucose and ketone testing equipment. The control regions (Newcastle and Sydney) did not receive any educational intervention or test equipment. DKA was defined as pH < 7.3 or bicarbonate < 15 mmol/L. RESULTS: In Gosford, the proportion of children presenting in DKA decreased from 37.5% (15/40) during the 2-yr baseline period to 13.8% (4/29) during the 2-yr intervention (p<0.03). There was no significant change in the control regions during the same time periods, 37.4% (46/123) and 38.6% (49/127), respectively. In Gosford, the average BGL at presentation was 27.5 mmol/L during the baseline and 21.2 mmol/L during the intervention (p<0.01). CONCLUSION: During the diabetes awareness campaign, the rate of DKA at initial diagnosis of type 1 diabetes in children decreased by 64%.
Govind, N & Kable, A 2017, 'Nursing care of clients having surgery' in Lemone, P, Burke, K & Levett-Jones, T (eds), Medical-surgical Nursing Critical Thinking for Person-centred Care, Pearson, Sydney.
Govind, N 2017, 'Clinical Reasoning: Learning how to think like a nurse.', Pearson.
Govind, N, Levett-Jones, T & Courtney-Pratt, H 2017, 'To teach is to learn twice: Exploring the peer teaching experiences of first and third year nursing and midwifery students', International Clinical Skills Conference, Prato, Italy.
Levett-Jones, T, Govind, N, Pich, J & Hoffman, K 2017, 'The implementation and evaluation of an innovative and immersive disability empathy simulation', International Clinical Skills Conference, Prato, Italy.