Effect of standardized patient simulation-based Pedagogics embedded with lecture on mental status evaluation knowledge, self-efficacy, and clinical judgement among nursing students in Tanzania: quasi-experimental study
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Date
2023
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
The University of Dodoma
Abstract
Background: Mental status evaluation (MSE) is a core practice and primary activity
of healthcare providers including nursing students before providing care to mentally
ill patients. However, the prevalence of medical errors in mental health nursing, or
prolonged hospitalization of mentally ill patients, may indicate that nursing students
lack MSE competencies due to the ways they are developed, this is linked with
inadequate training strategies. It is believed that proper pedagogics may enhance
students’ competencies over conventional teaching strategies. This study aimed to
examine the effectiveness of using standardized patient simulation-based pedagogics
embedded with lectures on MSE knowledge, self-efficacy, and clinical judgment
among nursing students in Tanzania
Methods: A longitudinal controlled quasi-experimental study, pre-post assessment
design among 311 nursing students was conducted in Tanga and Dodoma regions.
The Standardized Patient Simulation-Based Pedagogy (SPSP) was administered to
the intervention group after baseline assessment using interviewer-administered
structured questionnaires. Independent t-test was used to compare the mean
difference, Difference in Difference linear mixed model was used to examine the
effect of intervention using Statistical Package for Social Science (SPSS) software,
version 25 at 95% confidence interval and 5% significance level.
Results: The mean age of the study participants was 21years ±2.83 and 65% (n =
202) of them were females. Post-test findings indicated a statistically significant gain
p=<.0001)in MSE knowledge (M±SD = 22.15±4.42); self efficacy (M±SD =
3.38±0.64), and clinical judgment (M±SD=3.49±0.60) among students in the
intervention than their counterparts in the control group (M=16.52±6.30); (M=2.66
±0.79) and (M±SD=3.03±0.60) respectively. The intervention was significantly
effective on MSE knowledge by β=4.6950; p<.0001; self-efficacy (β=0.4514;
p<.0121) and clinical judgment (β=0.599; p<.0001).
Conclusion: The intervention enhanced nursing students’ MSE knowledge, selfefficacy,
and clinical judgement. Integrating SPSP in nursing curricula may improve
MSE competencies for quality and cost-effective mental health services.
Description
Dissertation (MSc in nursing education)
Keywords
Clinical judgement, self-efficacy, knowledge, mental status evaluation, standardized patient, simulation pedagogics
Citation
Singano, Violeth E. (2023) Effect of standardized patient simulation-based Pedagogics embedded with lecture on mental status evaluation knowledge, self-efficacy, and clinical judgement among nursing students in Tanzania: quasi-experimental study (Master’s Dissertation). The University of Dodoma, Dodoma