Using an Interactive Framework to Assess a Cultural Simulation for Learning: Tag Team Patient Safety Simulation

The purpose of this pilot study, a replication of a study that originated in Australia for large classroom sizes, was to assess the effect of a culturally sensitive simulation-based pedagogical strategy on student learning.

This quasi-experimental approach, using a pretest-posttest design with a nonequivalent simulation (n = 43) and nonsimulation (n = 73) group, mimics an approach called Tag Team Patient Safety Simulation. A scenario was enacted focusing on the cultural needs of Nasifah, a 67-year-old woman requiring home-based palliative care. Challenging conversations were navigated by participants and observers through the engagement of antagonist and cue cards.

The simulation-based strategy improved student understanding of working with culturally sensitive populations.

This improvement had no greater learning effect than with the traditional based pedagogical strategy. However, student engagement may have been greater. The need to measure retention, the implications of the findings, the limitations of the study, and directions for future research are discussed. [J Nurs Educ. 2019;58(10):591-594.].