Experiences of simulated patients in clinical skills laboratory: a qualitative study

Abstract

Background: Nursing simulations with simulated patients (SPs) have proven effective in creating realistic opportunities to enhance the students’ clinical competence within a safe learning environment. This setting helps to reduce anxiety and increases self-confidence among health sciences students. This study aimed to explore experiences of SPs in clinical skills laboratory of a Department of Nursing at a university in Western Cape. Objectives: Objectives were set to explore the contextual elements of SPs’ experiences during clinical skills sessions, identify educational design aspects from those experiences and assess their views on student outcomes. Method: A qualitative descriptive, exploratory and contextual design was used. Data were collected through semi-structured interviews with eight SPs. The data were coded to develop emerging themes and sub-themes, following Braun and Clark’s systematic analysis process. An independent coder reviewed findings, and themes were confirmed during a consensus meeting. Results: This study found that SPs engaged in multiple role-play consultations, improving their understanding of healthcare consultation structures and rules. They recognised their roles in achieving the outcomes needed for students. Conclusion: This study confirmed existing literature on SPs in a clinical skills laboratory within a Department of Nursing. Participant interviews provided verbatim quotations that enriched findings. Contribution: The study aimed to recommend ways for a Department of Nursing to support SPs in improving their laboratory skills and enhancing student learning.