title: Exploring the use of standardized patients for simulation-based learning in preparing advanced practice nurses.
abstract: The use of standardized patients for simulation-based learning was integrated into the Master of Nursing curriculum in the 2012-2013 academic year. The study aimed to explore the Master of Nursing students' experiences with and perceptions of using standardized patients in simulations, and to identify the students' learning needs in preparing to become advanced practice nurses. The study adopted an exploratory descriptive qualitative design, using a focus group interview. The study was conducted at a university in Singapore. Seven Master of Nursing students who were enrolled in the Acute Care Track of Master of Nursing program in the 2012-2013 academic year participated in the study. The data were gathered at the end of the first semester. Content analysis was used to analyze the data. Three main categories - usefulness, clinical limitations, and realism - were identified in the study. The results revealed that the students felt using standardized patients was useful and realistic for developing skills in history taking, communication, and responding to an emergency situation. On the other hand, they found that the standardized patients were limited in providing critical signs and symptoms of case scenarios. To meet the learning objectives, future development and integration of standardized patients in the Master of Nursing curriculum might need to be considered along with the use of a high-fidelity simulator. This can be an alternative strategy to fill the gaps in each method. Obviously, using standardized patients for simulation-based learning has added value to the students' learning experiences. It is highly recommended that future studies explore the impact of using standardized patients on students' performance in clinical settings.
authors.affiliation: Alice Lee Centre for Nursing Studies/Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nuryk@nus.edu.sg.
authors.forename: Yanika
authors.initials: Y
authors.lastname: Kowitlawakul
authors.affiliation: Alice Lee Centre for Nursing Studies/Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurcyl@nus.edu.sg.
authors.forename: Yeow Leng
authors.initials: YL
authors.lastname: Chow
authors.affiliation: Alice Lee Centre for Nursing Studies/Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurzhs@nus.edu.sg.
authors.forename: Zakir Hussian Abdul
authors.initials: ZH
authors.lastname: Salam
authors.affiliation: Alice Lee Centre for Nursing Studies/Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: nurimjj@nus.edu.sg.
authors.forename: Jeanette
authors.initials: J
authors.lastname: Ignacio
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing / Q000193:education*; D004511:Education, Nursing, Graduate; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D015402:Nursing Education Research; D016544:Patient Simulation; D018794:Problem-Based Learning / Q000379:methods*; D036301:Qualitative Research; D012846:Singapore; D013338:Students, Nursing
keywords: Advanced practice nurse; Master of Nursing; Nursing education; Simulation; Standardized patient