Student Nurse Simulation: Preparedness for the Care of People Living with Dementia – A Review

AUTHORS

Rachel Price,Senior Lecturer in Mental Health, Manchester Metropolitan University, Brooks Building, Birley Fields Campus 53 Bonsall Street, Manchester M15 6GX, UK

ABSTRACT

Pre-registration nursing simulation promotes learning in an environment that replicates clinical practice and provides an opportunity for nursing students to gain experience prior to professional registration. Simulation is widely used in Higher Education Institutions (HEI’s) as a way of developing student nurses’ skills, knowledge and attitudes in an environment that allows for error, where patients are not exposed to risk. With the challenges being faced by HEI’s in finding clinical placements for pre-registration nursing students, simulation is an effective method of addressing the theory practice gap, whilst enabling student nurses to gain valuable experience in preparation for registered nursing practice. One area that is under utilised in simulation activity for pre registrant nurses is dementia care, with many HEI’s not delivering specific dementia simulation learning and having little dementia care included on curriculums. With the increasing numbers of people living with dementia accessing health and social care services this article explores nursing simulation and its role in preparing student nurses for care of people living with dementia.

 

KEYWORDS

Dementia, Simulation, Pre-registration nursing, Higher education institutions, Preparedness, Clinical skills

REFERENCES

[1] E. Scott and R. Kane, “Caring for patients with dementia: An exploration of the attitudes, perceptions, and experiences of third year student nurses,” Nurse Education and Science, (2021) http://www.nes.fdmz.hr/images/articles/nes-scott.pdf
[2] L. Vasquez, M. Schultz, E. Ishado, S. Borson and T. Sadak, “Building a dementia-capable nursing workforce,” Journal of Professional Nursing, vol.46, pp.31-38, (2023) DOI:10.1016/j.profnurs.2023.02.007(CrossRef)(Google Scholar)
[3] Nursing and Midwifery Council [NMC]. Standards framework for nursing and midwifery education. London, NMC, (2018a)
[4] M. Ford, “Universities in ‘chaotic’ search for nurse clinical placements,” Nursing Times. (2020) https://www.nursingtimes.net/news/education/exclusive-universities-in-chaotic-search-for-nurse-clinical-placements-05-11-2020/
[5] M. Dayan, M. McCarey, T. Hervey, N. Fahy, S. Greer, H. Jarman, E. Stewart and D. Bristow, “Going it alone: Health and Brexit in the UK: Research report,” London, Nuffield Trust, (2021)
[6] C. Dall’Ora, J. Ball, M. Reinius, M. et al., “Burnout in nursing: A theoretical review,” Human Resources for Health, vol.18, no.41, (2020) DOI:10.1186/s12960-020-00469-9
[7] K. Garratt, “The NHS workforce In England,” London, House of Commons Library, (2023) https://researchbriefings.files.parliament.uk/documents/CBP-9731/CBP-9731.pdf
[8] The Kings Fund, The NHs Workforce. London, The Kings Fund, (2023) https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/nhs-workforce?gclid=EAIaIQobChMIu9K5qOL0_wIVm-7tCh0eZg7VEAAYASAAEgLH5PD_BwE
[9] S. Hoddinott, M. Fright and T. Pope, “Austerity’ in public services: Lessons from the 2010’s,” London, Institute for Government. (2022) https://www.instituteforgovernment.org.uk/sites/default/files/publications/austerity-public-services.pdf
[10] C. Foronda, S. Liu and E. B. Bauman, (213), “Evaluation of simulation in undergraduate nurse education: An integrative review,” Journal of Clinical Simulation in Nursing, vol.9 (e409-e416), DOI:10.1016/j.ecns.2012.11.003(CrossRef)(Google Scholar)
[11] F. Bogossian, S. Cooper, M. Kelly, T. Levett-Jones, L. McKenna, J. Slark and P. Seaton, “Best practice in clinical simulation education − are we there yet? A cross-sectional survey of simulation in Australian and New Zealand pre-registration nursing education,” Collegian, vol.2, pp.327-334, (2018) DOI:10.1016/j.colegn.2017.09.003(CrossRef)(Google Scholar)
[12] T. Kean, “Impact of virtual simulation on nursing students’ learning outcomes: A systematic review,” Evidence Based Nursing, vol.25, no.3, pp.79-80, (2022) DOI:10.1136/ebnurs-2022-103567(CrossRef)(Google Scholar)
[13] Y. Lin, A. Cheng, K. Hecker, V. Grant and G. R. Currie, “Implementing economic evaluation in simulation-based medical education: Challenges and opportunities,” Medical Education, vol.52, no.2, pp.150-160, (2018) DOI:10.1111/medu.13411(CrossRef)(Google Scholar)
[14] K. Koukourikos, A. Tsalogidou, L. Kourtouta, I. V. Papathanasiou, C. IIiadis, A. Fratzana and A. Panagiotou, “Simulation in clinical nursing education,” Acta Informatica Medica, vol.29, no.1, pp.15-20, (2021) DOI:10.5455/aim.2021.29.15-20(CrossRef)(Google Scholar)
[15] J. Astbury, J. Ferguson, S. Willis, J. Silverthorne and E. Schafheutle, “Implementing, embedding, and sustaining simulation-based education: What helps, what hinders,” Medial Education, vol.54, no.10, pp.915-924, (2020) DOI:10.1111/medu.14182(CrossRef)(Google Scholar)
[16] A. Weaver, “High-fidelity patient simulation in nursing education: An integrative review,” Nurse Education Perspectives, vol.32, no.1, pp.37-40, (2011)
[17] H. Yuan, B. Williams, J. Fang and Q. Ye, “A systematic review of selected evidence on improving knowledge and skills through high fidelity simulation,” Nurse Education Today, vol.32, no.3, pp.294-298, (2012)
[18] J. Lee and P. Oh, “Effects of the use of high-fidelity human simulation in nursing education: A meta-analysis,” Journal of Nurse Education, vol.54, no.9, pp.501-507, (2015)
[19] M. Buxton, J. Phillippi and M. Colins, “Simulation; A new approach to teaching ethics,” Journal of Midwifery and Women’s Health, vol.60, no.1, pp.70-74, (2014)
[20] A. Bagnasco, N. Pagnucci, A. Tolotti, F. Rosa, G. Torre and L. Sasso. “The role of simulation in developing communication and gestural skills in medical students,” BMC Medical Education, vol.14, no.106, pp.1-7, (2014)
[21] K. Adamson, “A systematic review of the literature related to the NLN/Jeffries Simulation Framework,” Nurse Education Perspectives, vol.36, no.5, pp.281-291, (2015)
[22] F. Bunn, A. M. Burn, C. Goodman, et al. “Comorbidity and dementia: a scoping review of the literature,” BMC Med. vol.12, no.192, DOI:10.1186/s12916-014-0192-4(CrossRef)(Google Scholar)
[23] Public Health England [PHE], “Dementia comorbidities in patients’ data briefing,” London, PHE, (2019)
[24] J. Dooley, M. Booker, R. Barnes and P. Xanthopoulou, “Urgent care for patients with dementia: A scoping review of associated factors and stakeholder experiences,” BMJ Open, vol.10, e037673, (2020) DOI:10.1136/bmjopen-2020-037673(CrossRef)(Google Scholar)
[25] Alzheimer’s Society, “How much does dementia care cost?” London, The Alzheimer’s Society UK, (2020)
[26] Z. Aldridge and K. H. Denning, “Managing comorbid conditions and dementia,” Journal of Community Nursing, vol.35, no.2, pp.54+, (2021) https://link-gale-com.mmu.idm.oclc.org/apps/doc/A661983847/AONE?u=mmucal5&sid=bookmark-AONE&xid=4682a6ed
[27] S. S. Vargese, P. Halonen, J. Raitanen, L. Forma, M. Jylha and M. Aaltonen, “Comorbidities in dementia during the last years of life: a register study of patterns and time differences in Finland,” Aging Clinical and Experimental Research, vol.33, pp.3285–3292, (2021) DOI:10.1007/s40520-021-01867-2(CrossRef)(Google Scholar)
[28] Z. S. Goodarzi, B. S, Mele, D. J. Roberts and J. Holroyd-Leduc, “Depression case finding in individuals with dementia: A systematic review and meta-analysis, Journal of the American Geriatric Society, vol.65, pp.937-948, (2017) DOI:10.1111/jgs.14713(CrossRef)(Google Scholar)
[29] M. S. Asmer, J. Kirkham, H. Newton, Z. Ismail, H. Elbayoumi, R. H. Leung and D. P. Seitz, “Meta-analysis of the prevalence of major depressive disorder among older adults with dementia,” Journal of Clinical Psychiatry, vol.79, no.5, pp.17r11772, (2018) DOI:10.4088/JCP.17r11772. PMID: 30085437
[30] J. A. Watt, Z. Goodarzi, A. A. Veroniki, V. Nincic, P. A. Khan, M. Ghassemi, et al., “Comparative efficacy of interventions for reducing symptoms of depression in people with dementia: systematic review and network meta-analysis,” British Medical Journal, vol.372, no.532, (2021) DOI:10.1136/bmj. n532(CrossRef)(Google Scholar)
[31] V. Badrakalimuthu and A. Tarbuck, “Anxiety: A hidden element in dementia,” Advances in Psychiatric Treatment, vol.18, no.2, pp.119-128, (2012) DOI:10.1192/apt.bp.110.008458(CrossRef)(Google Scholar)
[32] Y. T. Kwak, Y. Yang and M. S. Koo, “Anxiety in dementia,” Dementia and Neurocognitive Disorders, vol.16, no.2, pp.33-39, (2017) DOI:10.12779/dnd.2017.16.2.33(CrossRef)(Google Scholar)
[33] K. –W. Tay, P. Subramaniam and T. P. Oei, “Cognitive behavioural therapy can be effective in treating anxiety and depression in persons with dementia: A systematic review,” Psychogeriatrics, vol.19, no.3, pp.264-275, (2018) DOI:10.1111/psyg.12391(CrossRef)(Google Scholar)
[34] D. Sánchez-Nieto, S. Castaño-Castaño, R. Navarro-Martos, E. Obrero-Gaitán, I. Cortés-Pérez and F. Nieto-Escamez, “An intervention on anxiety symptoms in moderate alzheimer's disease through virtual reality: A feasibility study and lessons learned,” International Journal of Environmental Research and Public Health. Vol.20, no.3, pp.2727, DOI:10.3390/ijerph20032727(CrossRef)(Google Scholar)
[35] L. S. Richmond-Rakerd, S. D’Souza, B. J. Milne, A. Caspi and T. E. Moffitt, “Longitudinal associations of mental disorders with dementia: 30-year analysis of 1.7 million New Zealand citizens,” JAMA Psychiatry, vol.79, no.4, pp.333-340, (2022) DOI:10.1001/jamapsychiatry.2021.4377(CrossRef)(Google Scholar)
[36] Royal College of Psychiatrists. Delirium. London, Royal College of Psychiatrists, (2022)
[37] C. Hercus and A. –R. Hudaib, “Delirium misdiagnosis risk in psychiatry: A machine learning-logistic regression predictive algorithm,” BMC Health Services Research, vol.20, pp.151, (2020) DOI:10.1186/s12913-020-5005-1(CrossRef)(Google Scholar)
[38] R. Briggs, A. Dyer, S. Nabeel, R. Collins, J. Doherty, E. Coughlan, E et al., “Dementia in the acute hospital: The prevalence and clinical outcomes of acutely unwell patients with dementia,” QJM: An International Journal of Medicine, vol.110, no.1, pp.33-37, (2016)
[39] P. Hartley, N. Gibbins, A. Saunders et al., “The association between cognitive impairment and functional outcome in hospitalized older patients: A systematic review and meta-analysis,” Age Ageing, vol.46, no.4, pp.559-567, (2017) DOI:10.1093/ageing/afx007(CrossRef)(Google Scholar)
[40] A. Scerri, A. Innes and C. Scerri, “Dementia care in acute hospitals—A qualitative study on nurse managers’ perceived challenges and solutions,” Journal of Nursing Management, vol.28, pp.399-406, (2020) DOI:10.1111/jonm.12941(CrossRef)(Google Scholar)
[41] I. Singh, C. Edwards, D. Duric, A. Rasuly, S. O. Musa and A. Anwar, “Dementia in an acute hospital setting: Health service research to profile patient characteristics and predictors of adverse clinical outcomes. Geriatrics, vol.4, no.1, pp.7, (2019) DOI:10.3390/geriatrics4010007(CrossRef)(Google Scholar)
[42] S. Wilson, “Why dementia training should be mandatory for nursing students,” Nursing Older People. RCNi Plus. (2023) https://rcni.com/nursing-older-people/opinion/comment/why-dementia-training-should-be-mandatory-for-nursing-students-194326
[43] L. Alushi, J. Hammond and J. Wood, “Evaluation of dementia education programs for pre- registration healthcare students – A review of the literature,” Nurse Education Today, vol.35, DOI:10.1016/j.nedt.2015.04.006(CrossRef)(Google Scholar)
[44] Nursing and Midwifery Council [NMC], “The code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates,” London, NMC, (2018b)
[45] M. McKeown, “Resisting genericization: Towards the renewal of mental health nursing,” Journal of Advanced Nursing, (2023) DOI:10.1111/jan.15598(CrossRef)(Google Scholar)
[46] M. B. Haslam, “The erosion of mental health nursing: The implications of the move towards genericism,” The British Journal of Mental Health Nursing, vol.12, no.1, pp.1-6, (2023) DOI:10.12968/bjmh.2022.0039(CrossRef)(Google Scholar)
[47] T. Harvey, “Embracing simulation in mental health nurse education: A bespoke approach to tackling genericism,” Nurse Education in Practice, (2023) DOI: 10.1016/j.nepr.2023.103698(CrossRef)(Google Scholar)
[48] Alzheimer’s Society, “Turning up the volume: The unheard voices of people with dementia,” London, The Alzheimer’s Society UK, (2017)
[49] R. Wittenberg, M. Knapp, B. Hu, A. Comas-Herrera, D. King, A. Rehill, C. Shi, S. Banerjee, A. Patel, C. Jagger and A. Kingston, “The costs of dementia in England,” International Journal of Geriatric Psychiatry, vol.34, no.7, pp.1095-1103, (2019) DOI:10.1002/gps.5113(CrossRef)(Google Scholar)
[50] Alzheimer’s Society, “Dementia: The true cost, fixing the care crisis,” London, The Alzheimer’s Society UK, (2018)
[51] J. Weiss, N. Tumosa, E. Perweiler, M. A. Forciea, T. Miles, E. Blackwell, S. Tebb, D. Bailey, S. A. Trudeau and M. Worstell, “Critical workforce gaps in dementia education and training,” Journal of the American Geriatrics Society, vol.68, no.3, pp.625-629, DOI:10.1111/jgs.16341(CrossRef)(Google Scholar)
[52] A. Dong, G. Gong, E. Reifsnider, S. Huang, Z. Zhang and J. Mao, “Knowledge and attitudes toward dementia among undergraduate health professional students in China: A cross-sectional survey,” Teaching and Learning in Medicine, pp.1-9, (2022) DOI:10.1080/10401334.2021.1971988(CrossRef)(Google Scholar)
[53] M. Williams and S. Daley, “Innovation in dementia education within undergraduate health care programs: A scoping review,” Nurse Education Today, vol.98, pp.104742, DOI:10.1016/j.nedt.2020.104742(CrossRef)(Google Scholar)
[54] B. Mastel-Smith, M. Kimzey and Z. He, “Dementia care education for nursing students,” Journal of Nursing Education, vol.58, no.3, pp.136-143, (2018) DOI:10.3928/01484834-20190221-03(CrossRef)(Google Scholar)
[55] K. Meyer, D. James, B. Amezaga and C. White, “Simulation learning to train healthcare students in person-centred dementia care,” Gerontology and Geriatrics Education, vol.43, no.2, pp.209-224, DOI:10.1080/02701960.2020.1838503(CrossRef)(Google Scholar)
[56] P. K. Beville, “Virtual dementia Tour helps senditiz health care providers,” American Journal of Alzheimer’s disease and other Dementia’s, vol.17, no.3, pp.183-190, (2002) DOI:10.1177/153331750201700301(CrossRef)(Google Scholar)
[57] Y. J. Um, “Nursing students' simulated home-visit learning experiences with dementia - A qualitative research,” BMC Nursing, vol.22, no.1, pp.70 (2023) DOI:10.1186/s12912-023-01232-w(CrossRef)(Google Scholar)
[58] Y. J. Choi and Y. J. Um, “The effects of a home-visit nursing simulation for older people with dementia on nursing students' communication skills, self-efficacy, and critical thinking propensity: Quantitative research,” Nurse Education Today, vol.119, no.105564, (2022) DOI:10.1016/j.nedt.2022.105564(CrossRef)(Google Scholar)
[59] E. M. Wijma, M. A. Veerbeek, M. Prins, A. M. Pot and B. M. Willemse, “A virtual reality intervention to improve the understanding and empathy for people with dementia in informal caregivers: Results of a pilot study,” Journal of Ageing and Mental Health, vol.22, no.8, pp.1121-1129, DOI:10.1080/13607863.2017.1348470(CrossRef)(Google Scholar)
[60] Department of Health (DOH), “Dementia: A state of the nation report on dementia care and support in England,” London, DOH, (2013)

CITATION

  • APA:
    Price,R.(2023). Student Nurse Simulation: Preparedness for the Care of People Living with Dementia – A Review. International Journal of Advanced Nursing Education and Research, 8(1), 45-56. 10.21742/IJANER.2023.8.1.04
  • Harvard:
    Price,R.(2023). "Student Nurse Simulation: Preparedness for the Care of People Living with Dementia – A Review". International Journal of Advanced Nursing Education and Research, 8(1), pp.45-56. doi:10.21742/IJANER.2023.8.1.04
  • IEEE:
    [1] R.Price, "Student Nurse Simulation: Preparedness for the Care of People Living with Dementia – A Review". International Journal of Advanced Nursing Education and Research, vol.8, no.1, pp.45-56, Aug. 2023
  • MLA:
    Price Rachel. "Student Nurse Simulation: Preparedness for the Care of People Living with Dementia – A Review". International Journal of Advanced Nursing Education and Research, vol.8, no.1, Aug. 2023, pp.45-56, doi:10.21742/IJANER.2023.8.1.04

ISSUE INFO

  • Volume 8, No. 1, 2023
  • ISSN(p):2207-3981
  • ISSN(e):2207-3159
  • Published:Aug. 2023

DOWNLOAD