J Korean Acad Psychiatr Ment Health Nurs.  2012 Mar;21(1):79-88.

The Effect of Using Standardized Patients in Psychiatric Nursing Practical Training for Nursing College Students

• Park SY
• Kweon YR

Abstract

PURPOSE
This study was done to examine the effects of using standardized patients in psychiatric nursing practical training for nursing college students.
METHODS
This research design was a quasi-experimental pre-and-post-test control and experimental group methodological comparison study. Forty-four (Exp.=23, Cont.=21) nursing college students in G city participated in the study. The experimental group received psychiatric nursing practical training using standardized patients, and the control group received traditional practice. Data were collected between October 1 and 15. 2011 through self-report structured questionnaires and were analyzed with the Kolmogorov-Smirnov test, chi2-test, Fisher's exact test, and t-test using the SPSS/WIN 17.0 program.
RESULTS
After the treatment, there were significant differences in the level of motivation of transfer (t=1.71, p=.047), and learning self-efficacy (t=4.70, p<.001) between the experimental and control groups. The mean score per item for learning satisfaction was 4.28.
CONCLUSION
The above findings indicate that psychiatric nursing practical training using standardized patients is a useful method for practical ability. Therefore, enhancement of performance ability related to practice can be done by developing psychiatric nursing practical training programs with various cases and content.

Keyword

Standardized patient; Self-efficacy; Satisfaction; Motivation; Transfer

MeSH Terms

Humans
Learning
Motivation
Psychiatric Nursing
Surveys and Questionnaires
Research Design

Reference

1. Ayres HW. Factors related to motivation to learn and motivation to transfer learning in a nursing population. 2005. Raleigh, USA: North Carolina State University;Unpublished doctoral Dissertation.

2. Becker KL, Rose LE, Berg JB, Park H, Shatzer JH. The teaching effectiveness of standardized patients. J Nurs Educ. 2006. 45:103–111.

3. Bennett AJ, Arnold LM, Welge JA. Use of standardized patients during a psychiatry clerkship. Acad Psychiatry. 2006. 30:185–190.

4. Bonaccio S, Reeve CL. Does test anxiety induce measurement bias in cognitive ability tests? A measurement invariance analysis. Intelligence. 2008. 36:526–538.

5. Bong M. Tests of the internal/external frames of reference model with subject-specific academic self-efficacy and frame-specific academic self-concepts. J Educ Psychol. 1998. 90:102–110.

6. Brown JF. Applications of simulation technology in psychiatric mental health nursing education. J Psychiatr Ment Health Nurs. 2008. 15:638–644.

7. Chung MS. The effect on the relationship between self-esteem and practical performance, practical satisfaction of nursing students. J Korean Acad Psychiatr Ment Health Nurs. 2009. 18:60–68.

8. DeBourgh G, Prion S. Using simulation to teach prelicensure nursing students to minimize patient risk and harm. Clin Simul Nurs. 2011. 7(2):47–56.

9. Eom MR, Kim HS, Kim EK, Seong KY. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability. J Korean Acad Nurs. 2010. 40:151–160.

10. Happell B, Hayman-White K. Nursing students' attitudes to mental health nursing: Psychometric properties of a self-report scale. Arch Psychiatr Nurs. 2009. 23:376–386.

11. Holton EF III. The flawed four-level evaluation model. Hum Resour Dev Q. 1996. 7:5–21.

12. Hutchins HM, Burke LA. Identifying trainers' knowledge of training transfer research findings: Closing the gap between research and practice. Int J Train Dev. 2007. 11:236–264.

13. Hyun MS, Seo MA. Clinical practicum experiences of the nursing students' in psychiatric settings. J Korean Acad Psychiatr Ment Health Nurs. 2000. 9:44–53.

14. Jeffries P. Simulation in nursing education. 2007. New York: National League for Nursing.

15. Kameg K, Howard VM, Clochesy J, Mitchell A, Suresky J. The impact of high fidelity human simulation on self-efficacy of communication skills. Issues Ment Health Nurs. 2010. 31:315–323.

16. Keller JM. Motivation by design. 1993. Tallahassee, FL: John Keller Associates.

17. Kelley FJ, Kopac CA, Rosselli J. Advanced health assessment in nurse practitioner programs: Follow-up study. J Prof Nurs. 2007. 23:137–143.

18. Kurz J, Mahoney K, Martin-Plank L, Lidicker J. Objective structured clinical examination and advanced practice nursing students. J Prof Nurs. 2009. 25:186–191.

19. Liebermann S, Hoffmann S. The impact of practical relevance on training transfer: Evidence from a service quality training program for German bank clerks. Int J Train Dev. 2008. 12:74–86.

20. Luctkar-Flude M, Wilson-Keates B, Larocque M. Evaluating high-fidelity human simulators and standardized patients in an undergraduate nursing health assessment course. Nurse Educ Today. (in press).

21. Nestel D, Clark S, Tabak D, Ashwell V, Muir E, Paraskevas P, et al. Defining responsibilities of simulated patients in medical education. Simul Healthc. 2010. 5:161–168.

22. Noe RA. Employee Training & Development. 2008. 4th ed. New York: McGraw-Hill.

23. Oh YJ. Development and effectiveness of the communication empowerment program for nursing students: Based on the theory of transfer of learning. 2008. Seoul: Korea University;Unpublished doctoral dissertation.

24. Pintrich PR, Schrauben B. Schunk D, Meece I, editors. Student's motivational beliefs and their cognitive engagement tasks. Students perceptions in the classroom: Causes and consequences. 1992. Hillsdale, NJ: Lawrence Erlbaum Associates;149–183.

25. Richardson L, Resick L, Leonardo M, Pearsall C. Undergraduate students as standardized patients to assess advanced practice nursing student competencies. Nurse Educ. 2009. 34:12–16.

26. Robinson-Smith G, Bradley PK, Meakim C. Evaluating the use of standardized patients in undergraduate psychiatric nursing experiences. Clin Simul Nurs. 2009. 5:203–211.

27. Rutledge CM, Garzon L, Scott M, Karlowicz K. Using standardized patients to teach and evaluate nurse practitioner students on cultural competency. Int J Nurs Educ Scholarsh. 2004. 1:1–16.

28. Shawler C. Standardized patients: A creative teaching strategy for psychiatric-mental health nurse practitioner students. J Nurs Educ. 2008. 47:528–531.

29. Tully A. Stress, sources of stress and ways of coping among psychiatric nursing students. J Psychiatr Ment Health Nurs. 2004. 11:43–47.

30. Wallace P. Coaching standardized patients: For use in the assessment of clinical competence. 2007. New York: Springer.