Aim: To identify, evaluate and summarize evidence from qualitative, quantitative and mixed method studies conducted using age suits or other age simulation equipment, with health and social care students.
Design: Convergent segregated mixed method review design as outlined by the Johanna Briggs Institute.
Data sources: CINAHL (+ with Full Text), MEDLINE, PsycINFO, PubMed, SocINDEX, Web of Science, Cochrane Library, Emerald Insight, Proquest nursing, Science Direct, Wiley Online and BioMed Central (January 2000-January 2020).
Review methods: Convergent segregated synthesis was used to synthesize evidence from the studies and the MERSQI checklist used to appraise quality.
Results: A total of 23 studies were reviewed: one randomized control, two post-test only randomized control, three quasi-experimental, 15 one-group pre/post studies and two qualitative studies. Of the seventeen studies carrying out inferential statistics on attitude scores post intervention, 11 reported an improvement, three indicated no significant change and three reported worsening scores. Key themes included use of appropriate scales, type of equipment used, location and length of interactions, debriefing and contextualization of interventions in broader teaching.
Conclusion: The impact of ageing simulation interventions on health and social care student's attitudes to older people was predominantly positive. However, further high-quality research is warranted to understand the optimal use of such interventions in the context of health care for a growing ageing population.
Impact: It is important health and social care staff have appropriate knowledge and training to enable them to provide high-quality care to older people and challenge potential ageism in the system. This review adds to the body of work around the use of simulation and experiential learning to educate health and social care students about ageing and ageism. It also offers recommendations for using ageing simulations effectively to inform attitudes of prospective professionals who will influence future health and social care.
目标: 以健康和社会关怀学生为对象,使用年龄服装或其他年龄模拟设备开展研究,以确定、评估和总结通过定性、定量和混合方法得出的证据。 设计: 乔安娜·布里格斯研究中心概述的收敛非耦合求解混合方法评价设计。 数据来源: 护理学数据库(CINAHL)(+含全文)、联机医学文献分析和检索系统(MEDLINE)、心理学文摘(PsycINFO)、国际文献数据库(PubMed)、社会学数据库(SocINDEX)、科学网(Web of Science)、Cochrane 临床对照试验中心注册数据库、Emerald Insight数据库、Proquest护理数据库、Science Direct数据库、Wiley Online在线期刊数据库和生物医学中心(BioMed Central)(2000年1月至2020年1月)。 评价方法: 收敛非耦合求解综合分析方法被用来综合分析研究证据,同时使用MERSQI检查表评价质量。 结果: 共回顾了23项研究:1项随机对照研究,2项仅试验后随机对照研究,3项准实验研究,15项单组前/后对照研究和2项定性研究。在对干预后的态度得分进行推论统计的17项研究中,11项报告有所改善,3项没有显著变化,3项报告得分变糟。关键主题涵盖合适量表的使用、所用设备类型、干预措施的实施地点和时长、在更广泛的教学中对干预情况进行汇总说明和背景研究。 结论: 老龄化模拟干预措施对健康和社会关怀专业学生对老年人态度的影响主要是积极的。但有必要进一步进行高质量的研究,以了解在为日益老龄化人口提供医疗保健的背景下如何最佳地运用这些干预措施。 影响: 重要的是,健康和社会关怀专业的人员掌握相关知识和开展相应培训,让其能够向老年人提供优质的护理服务,同时向体系中对老年人潜在的歧视问题发起质疑。本篇评价文章加入了围绕使用模拟和经验学习向健康和社会关怀专业学生科普老龄化和对老年人歧视问题的内容。并提供有效使用老龄化模拟方面的建议,从而说明那些将影响健康和社会关怀未来的专业人员的态度。.
Keywords: age suit; ageing; attitudes; education; empathy; experiential learning; health and social care; nursing; simulation; systematic review.
© 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.