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Using specialized standardized patients to improve differential diagnoses.

Leslie Karns Payne1

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Summary

Advanced practice registered nurses were introduced as Specialized Standardized Patients (SSPs) in advanced health assessment courses. This enhanced simulated clinical experiences, improving students

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Area of Science:

  • Nursing Education
  • Health Assessment
  • Clinical Simulation

Background:

  • Standardized Patients (SPs) are crucial for clinical skills training.
  • Advanced practice registered nurses (APRNs) possess advanced clinical knowledge and skills.
  • Integrating APRNs as Specialized Standardized Patients (SSPs) can enhance simulation fidelity.

Purpose of the Study:

  • To describe the implementation of APRNs as SSPs in an advanced health assessment course.
  • To evaluate the impact of SSPs on simulated clinical experiences.
  • To assess the course outcome of students' ability to develop differential diagnoses.

Main Methods:

  • Advanced practice registered nurses were trained and utilized as Specialized Standardized Patients.
  • Students engaged in simulated clinical encounters with SSPs.
  • Course outcomes focused on the integration of patient history and physical exam findings.

Main Results:

  • Introduction of SSPs provided a more advanced simulated clinical experience.
  • Students were better able to merge patient history and physical exam findings.
  • The use of SSPs facilitated the development of differential diagnoses.

Conclusions:

  • APRNs serving as SSPs significantly enhance advanced health assessment education.
  • This approach improves students' diagnostic reasoning skills.
  • SSPs represent a valuable resource for advanced nursing simulation.