In the debriefing after the role-play, students could ask questions and receive answers. Nurses provide patients with support and information while maintaining a level of professional distance and objectivity. Anti-Racist Health Care Practice. succeed. One student will be the nurse and the other the patient. As a member, you'll also get unlimited access to over 84,000 software development by maffey.com The results also showed that the skills could be beneficial in other medical school rotations as well. They are the "peanut gallery," and they play the part of the nurse's "mind." In this role, they are allowed to prompt the nurse by asking questions that can help in the nurse's evaluation. Systematic searches of literature were done in Ovid (Medline, PsycInfo), Cinahl, Cochrane, ScienceDirect, Swemed, Norart, Proquest and Google Scholar with the following keywords, in different combinations (see Figure 1): mental health, mental health nursing, psychiatry, student, teaching, training, education, supervision, guidance, reflection, reflection group, role-play, drama, meaning, outcome, effect, percept, experience, learning, therapeutic skills, helping skills, psychotherapy, and therapy. Dewey J. Lasiuk, G. (2015). Establishing Therapeutic Relationships Video. This type of review is important in evidence-based practice as it invites investigating different aspects of a phenomenon by including different methods.19 We used the five stages of review that Whittemore and Knafl19 recommended for integrative reviews: 1) problem identification, 2) literature search, 3) data evaluation, 4) data analysis, and 5) presentation in the traditional introduction-method-results-discussion structure. Medical students as role playing patients. The fact that one of the interviewers was the students teacher may also have caused bias. This improved their professional self-efficacy. A reason for the scarcity of results could be that we should have used other key words or other relevant databases that we did consider. G lb `agkd anly> Gvi lcril`y oiik dgvik bi`gmltgaks erab tfi, faspgtlc, sa Gvi oiik loci ta tacirlti lk` maktrac tfi plgk. The surveys contained four open-ended questions asking what had been the nurses impressions of communicating with persons with mental illness prior to the simulation and role-play, what were their impressions after the simulation and role-play, how they would communicate with persons experiencing auditory hallucinations and what their experiences of the simulation and roleplay were. We also retain data in relation to our visitors and registered users for internal purposes and for sharing information with our business partners. Gt lcc stlrti`, wfik fi cilrki` tflt tfiri gs ka triltbikt ear by mak`gtgak. The phases of a therapeutic relationship (Forchuk, 2000) include orientation, working and resolution. This may inform his or her understanding and capacity to help the other person. INACSL standards of best practice: Simulation: simulation. Martin P, Kahn J. (2012). Literature on standardized patient and classic simulation, as defined in the introduction, were excluded, as were studies investigating role-playing without focusing on reflection. In order to provide our website visitors and registered users with a service tailored to their individual preferences we use cookies to analyse visitor traffic and personalise content. The assessment process. Foundational Concepts and Mental Health Skills in Mental Health and Addiction Nursing. communication, palliative care, role-play, reective practice Received 6 April 2021; Revised received 10 August 2021; accepted 19 August 2021 Introduction Communication skills in palliative care nursing, more than something that occurs naturally, is a complex achievement like other professional procedures that require intense educa- Students explained how acknowledgment of a person hearing voices changed their way of communicating. One main difference between that model and the ones investigated in the studies of this review is that instead of practicing procedures and daily clinical assessments, the aim of our approach is to apply clinical communication from basic principles of four psychotherapeutic perspectives. Because there are different therapeutic and communicative approaches, we included empirical research that investigated the teaching of therapeutic communication skills that aimed to help persons with mental health problems. doi:10.1002/9780470713617.ch25, 2. The course first aid by suicidal danger (Kurset Frstehjelp ved selvmordsfare). When patients believe that a nurse cares about them, understands them, and is concerned about their problems, then a clear communication channel opens to strengthen the individualized care. The conversation here shows how a nurse is utilizing a therapeutic communication technique called clarification, which helps nurses in the interpretation of verbal and nonverbal communication. Open access peer-reviewed scientific and medical journals. Issues in Mental Health Nursing, 36(11), 849-859. Available from: http://tidsskriftet.no/2003/08/tema-utdanning/kurset-forstehjelp-ved-selvmordsfare. According to the included studies, clinical role-play facilitates helperuser equality and increases students involvement, self-efficacy, and empathic abilities in mental health practice.Keywords: review, education, nursing, role-play, reflection, therapeutic communication. The inclusion criteria were that the studies had to report empirical results from 1) the educational use of role-play and subsequent clinical reflection, 2) within the context of training therapeutic communication skills and 3) for university students studying mental health on at least the bachelors level. 58 0 obj <> endobj Qualitative,. Nurses must also be prepared to experience a series of non-therapeutic phases, which include orientation, grappling and struggling and mutual withdrawal. The review excluded articles that were not empirical research articles; investigated standardized patients; did not address teaching mental health; investigated simulation using manikins or avatars; did not investigate clinical role-play; investigated just reflection; investigated role-play, but failed to include reflection; and investigated simulation due to physical symptoms (see Table 2 in data evaluation). Communication is a two-way process where an exchange of ideas, thoughts, and emotions takes place through verbal or nonverbal signals. On the other hand, some students may be blinded by their own experience from a role-play and lose or overlook others experiences. During the role-play activity, students will use at least three Therapeutic Communication techniques. Before each role-play, three students were randomly attributed the role of a nurse, patient, and family member. Sterstrand T. Roleplaying as pedagogical method (Rollespill som pedagogisk metode). Rogers CR. They had attended an average of 5.4 of the 6 sessions. New York: G.P. By accessing the work you hereby accept the Terms. The discipline and teaching of nursing process, an evaluation study. King, Hill and Gleason22 collected questionnaire data from 107 of 130 students completing psychiatric rotation. By engaging in effective verbal and nonverbal communication and adopting therapeutic communication techniques, such as conflict resolution, active listening and imparting information to the patient, better patient health outcomes can be achieved. Advances in Nursing Science, (3), 229-242. Does clinical role-play have a positive effect on students development of therapeutic or communicative skills? Still, none of the studies reported students reflections as described by Dewey and Mann and colleagues.11,17 Despite that results showed that students reflection increased through role-playing and that students became more confident and better at communicating with patients after having experiences from this educational intervention. Nursing Code of Ethics & Values | What is the Nursing Code of Ethics? A role-play-based reflection model developed at Molde University College was briefly presented in the introduction of this article. Finally, studies investigating the effect of role-playing on both the therapist and patient in the context of learning therapeutic communication skills and students reflections (n=4) were analyzed by the use of a final literature matrix Figure 2, Tables 2 and 3). (2010). In cases of doubt, she consulted the second author for a joint decision. Copyright 2017 Informa PLC. Massachusetts: DC. Privacy Policy Three of the studies investigated role-play as an approach and technique of teaching, while the last investigated the students experience with role-play as a learning activity. In overcoming students anxieties regarding interviews, it helped them become more empathic and effective in facilitating the doctorpatient relationship.24. Nevertheless, there is limited research on the use of role-play in teaching therapeutic skills, and few studies that investigate how role-play affects students reflections on own practice. The literature search also did not discover studies investigating whether practicing role-play in educational settings has consequences for clinical practice. Scheffler,12 Martin and Kahn13 and McNaughton et al5 emphasized the importance of students role-playing the patient to help them explore attitudes and feelings as part of their professional development. Wasylko Y, Stickley T. Promoting emotional development through using drama in mental health education. The participants said that they were more prepared to help persons in danger of suicide after the course. (1952). 2007;95(5):7071. With therapeutic communication, nurses often use open-ended statements and questions, repeat . Luckily it is still early afternoon, so you are able to For instance, the patient might stop being honest about medication use or side effects in future conversations. Nurse: I'm doing well today. Non-verbal communication, such as the nurse's gait, posture, facial expressions, the tone of voice, eye contact, and hand body movement, also contribute towards an effective therapeutic communication. 8. The guide below is your reviewer of the concepts of therapeutic communication in nursing. 2021 International Nursing Association for Clinical Simulation and Learning. In an early study Napholz and McCanse (1994) found video role play enabled undergraduate nursing students to achieve therapeutic communication skills more quickly. The literature search did not discover studies investigating whether practicing role-play in educational settings has consequences for clinical practice.Conclusion: Based on this current review, role-playing in supervised groups seems to promote reflection and insight not only for students in the patient and therapist roles, but also for peers observing the group sessions. Students bring anonymized case descriptions of patients from their daily work in mental health care to their reflection group and practice psychotherapeutic communication approaches by the use of clinical role-play, clinical reflection and supervision. Patient: Yes lately I havent been taking, forgetting to take my medicines maybe because. Consensus statement for the researchers in clinical skills assessment (RCSA) on the use of standardized patients to evaluate clinical skills. When is it okay to touch? Therapeutic communication (TC) is a key nursing skill to improve the patient-nurse relationship. Wau slg` tflt yau stgcc warry. Figure 2 Identification and selection process based on the PRISMA flow chart. All the worlds stage: evaluating psychiatry roleplay based learning for medical students. In this review only studies investigating role-plays where students played both the therapist and the patient role were included. Establishing therapeutic relationships works in tandem with person-centred-care principles that reflect the belief of getting to know the whole person. Another explanation could be that this model of teaching is so common that none ever cared to do research on it. J Mental Health Training Edu Pract. Therapeutic communication is a collection of techniques that prioritize the physical, mental, and emotional well-being of patients. Advances in Medical Education and Practice, Creative Commons Attribution - Non Commercial (unported, v3.0) License. During the simulation, the participants wore headphones and experienced an imitation of hearing voices while they completed different tasks. I am nurse (state name) and I'm going to be your nurse today. Barrows H. How to Design a Problem-Based Curriculum for the Pre-Clinical Years. Recommend this site How would you determine if its your needs and/or the clients needs that are being met? Barrows HS, Abrahamson S. The programmed patient: a technique for appraising student performance in clinical neurology. Role play was found to have a positive ef-fect when the commu-nication of students receivingonlydidactic education was com-pared with students who engaged in role play after didactic education. Montreuil, M., Butler, K., Stachura, M., & Gros, C. P. (2015). 25. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Improving therapeutic communication in nursing through simulation exercise . They then conducted a quantitative study whereby a survey was designed and distributed to students who had participated in role-playing exercises. Setting up the role-play Despite the value of using role-play in communication skills training, its use can be an unwelcome part of a session for many learners. They argued for more drama in education because it equalized the position of participants, teachers and students and promoted empathetic understanding between all participants. Peplau, H.E. Results showed that students gained better involvement, self-esteem and empathy as well as increased learning through RBL. 77 0 obj <>/Filter/FlateDecode/ID[<340564323F730994AF101BEA55C690A7>]/Index[58 33]/Info 57 0 R/Length 89/Prev 127480/Root 59 0 R/Size 91/Type/XRef/W[1 2 1]>>stream Do not sell or share my personal information. The students found they were better at understanding their own and patients feelings. 1993;46(2):4351. Arts specialists and interns sometimes appear for short period of times at Pleasant Nursing Home. Its like a teacher waved a magic wand and did the work for me. 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