title: CDE Perspectives of Providing New-Onset Type 1 Diabetes Education Using Formal Vignettes and Simulation.
abstract: Purpose The purpose of this article is to describe the 4 Parent Education Through Simulation-Diabetes (PETS-D) nurse certified diabetes educators' (CDEs) perspectives of teaching parents of children with newly diagnosed type 1 diabetes mellitus (T1DM) early diabetes management skills using formal vignettes and a human patient simulator/human patient simulation (HPS) to augment/enhance the teaching-learning process. Methods A qualitative descriptive approach was used. Four CDEs were interviewed by phone about their teaching experiences. Meticulous notes were taken. Data were analyzed using qualitative content analysis. Results The vignettes (and use of HPS) provided structure, especially for parents who were struggling to learn. Certified diabetes educators described a short learning curve to master the use of the HPS manikin. Human patient simulation-enhanced education was described as helpful for teaching multiple caregivers about diabetes. Certified diabetes educators also described factors that affect parent learning, mechanical issues with the HPS, and additional space requirements for HPS-enhanced education. Conclusion Vignettes and HPS-enhanced education can successfully be used to educate parents of children with new-onset T1DM and were preferred by the CDEs when compared with previous teaching strategies. The results of this study support the use of both vignette-based and HPS-enhanced education when a child is newly diagnosed with T1DM. Further studies need to be done to see if these effects persist with different populations, during different stages of the disease, and for individuals with other chronic illnesses.
authors.affiliation: New York University Rory Meyers College of Nursing, New York, New York (Ms Ramchandani, Dr Sullivan-Bolyai).
authors.forename: Neesha
authors.initials: N
authors.lastname: Ramchandani
authors.affiliation: Division of Pediatric Endocrinology, University of Massachusetts, Worcester, Worcester, Massachusetts (Ms Johnson, Ms Cullen).
authors.forename: Kim
authors.initials: K
authors.lastname: Johnson
authors.affiliation: Division of Pediatric Endocrinology, University of Massachusetts, Worcester, Worcester, Massachusetts (Ms Johnson, Ms Cullen).
authors.forename: Karen
authors.initials: K
authors.lastname: Cullen
authors.affiliation: Division of Pediatric Endocrinology, Rhode Island Hospital, Providence, Rhode Island (Mrs Hamm, Mrs Bisordi).
authors.forename: Terri
authors.initials: T
authors.lastname: Hamm
authors.affiliation: Division of Pediatric Endocrinology, Rhode Island Hospital, Providence, Rhode Island (Mrs Hamm, Mrs Bisordi).
authors.forename: Jean
authors.initials: J
authors.lastname: Bisordi
authors.affiliation: New York University Rory Meyers College of Nursing, New York, New York (Ms Ramchandani, Dr Sullivan-Bolyai).
authors.forename: Susan
authors.initials: S
authors.lastname: Sullivan-Bolyai
mesh_terms: D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1; D005260:Female; D040441:Health Educators / Q000523:psychology*; D006801:Humans; D008297:Male; D010290:Parents / Q000193:education*; D010353:Patient Education as Topic / Q000379:methods*; D000073278:Self-Management / Q000193:education; D000066908:Simulation Training / Q000379:methods*