Keywords

advanced practice nursing education, child abuse, communication, simulation, standardized patient

 

Authors

  1. McClure, Natasha DNP, RN, CPNP
  2. Nelson, Brittany DNP, APRN, CPNP
  3. Anderson, Margaret DNP, FNP-BC
  4. Donnell, Carrie MSN, CPNP-PC
  5. Knox, Danielle MSN, CPNP-AC

Abstract

Purpose: The purpose of this project was for advanced practice nursing students to gain experience taking a history from a parent or caregiver and communicating the treatment plan for an infant in which child abuse is suspected.

 

Project: Fifty-three students participated in a 1:1 simulated encounter with a standardized patient acting as the mother of an infant with a leg injury that reportedly resulted from a fall from the couch. Students received feedback from the standardized patient via an assessment tool and debriefed with faculty immediately after the simulation.

 

Outcome: All students demonstrated empathy, acknowledged the mother's emotions, and communicated the concern for abuse. Additionally, all students explained the x-ray findings, need for hospital admission, and referral to investigative agency for further evaluation.

 

Conclusion: Simulations designed to provide advanced practice nursing students with experience interviewing a parent and responding in the case of suspected child abuse are an important method of preparing them for initial clinical encounters.