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Background: Simulation-based education (SBE) is crucial to prepare nursing students prior to their clinical learning experience. Theory-based simulation learning is increasingly important for analysing how students learn. This study describes and analyses how nursing students learn through simulation in the context of palliative care communication under a socio-material approach and explores the transfer of their knowledge and skills from simulation to clinical practice.
Methods: Twenty-seven final-year nursing students in six groups participated in two simulated scenarios, followed by a debriefing and post-clinical focus groups to capture their reflections and learning. Fourteen of them joined the post-clinical focus groups after completing their clinical placements. Video recordings of the simulation, and the audio recordings from the debriefing, and post-clinical focus groups were transcribed and coded based on the human and non-human elements that were observed. These were triangulated with data collected through team participant observations, an analysis of the existing syllabi and curriculum, and a participant mapping exercise after the simulation. These various data sources illustrate how student learning and reflections took place.
Results: The three themes of student learning derived from the results and analysis were (1) students' expanded learning of health care communication through a socio-material approach in the context of palliative care; 2) students' discovery of the diverse and complex relations and interactions between humans and materials and (3) students' new perspectives on health care communication and the transfer of knowledge and skills through a socio-material approach in clinical practice.
Conclusions: This study highlights how SBE can be further expanded using a socio-material approach to prepare students to learn beyond standardised and cognitively driven approaches and procedures. Student learning demonstrates that SBE may develop beyond high fidelity and standardisation to leave room for emergent learning and increased awareness in learning for students and teachers to optimise learning outcomes and competence.
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http://dx.doi.org/10.1111/medu.15201 | DOI Listing |
Soc Sci Med
January 2025
Department of Psychiatry, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands. Electronic address:
This ethnographic study examines the challenges associated with forensic psychiatric care for patients with a migration background in Dutch Centre for Transcultural Psychiatry Veldzicht. As a result of their criminal offence, these patients, translated here as 'TBS foreigners', have been declared 'unwanted' by the Dutch immigration services and face repatriation to their country of origin. Through contextual policy-analysis, participant observation and fifteen semi-structured interviews conducted between February and May 2023, we found that professional conduct on TBS foreigners' wards is increasingly curtailed by the Dutch legal infrastructure and the clinic's socio-material environment.
View Article and Find Full Text PDFStud Health Technol Inform
November 2024
Aalborg University, BUILD.
User knowledge and lived experiences are pivotal in bridging the gaps between the environment and individuals causing disability. Examples of best practices help us refine and develop the theoretical groundings of UD in academia and the practical implementation in design practices. Yet best practices are also needed in our methodological approaches across research and practice concerning how to work with and in the intersection of people and environments.
View Article and Find Full Text PDFFront Psychol
September 2024
Center for Technology and Society (ZTG), Technische Universität Berlin, Berlin, Germany.
Soc Sci Med
November 2024
School of Management, University of Bath, Room 3.49, 10 East, Convocation Avenue, Claverton Down, Bath, BA2 7AY, United Kingdom. Electronic address:
Transport can pose substantial challenges for people with dementia. Dementia-friendly approaches seek to encourage public transport use by enhancing people and places through educational initiatives and architectural augmentation respectively. The Greater Manchester Combined Authority is implementing dementia-friendliness within a major re-municipalisation of public transport.
View Article and Find Full Text PDFInt J Drug Policy
October 2024
Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, VIC and Turning Point, Eastern Health, Richmond, VIC, Australia. Electronic address:
Dominant understandings of recovery emphasise personal responsibility for initiating and sustaining changes in people's subjectivities and relationships to alcohol and other drugs. However, this potentially obscures the complexities and temporalities of change processes and the range of socio-material elements involved. Addressing this gap, critical drug studies scholars have productively employed the concepts of tendencies and trajectories to analyse how past events of drug consumption flow into current and future consumption events.
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