The impact of repeated simulation on health and healthcare perceptions of simulated patients

Patient Educ Couns. 2008 Oct;73(1):22-7. doi: 10.1016/j.pec.2008.05.028. Epub 2008 Jul 22.

Abstract

Objective: To explore the effect of simulating medical conditions on simulated patients (SPs). Main points of interest are influence on: perception of personal health and perception of their relation with the health care provider (HCP), personal well being.

Methods: Semi-structured interviews were undertaken with eight experienced, well-selected SPs involved in communication training at the medical faculty of Ghent University. Content of the data were analysed qualitatively.

Results: SPs believe that their medical knowledge improved, which changes their health-seeking behaviour. Simulating made SPs realize that being a doctor is difficult, making them more critical towards their own GP. SPs enjoy their work; they feel happy and content afterwards. Negative effects are stress, anxiety, exhaustion, dissatisfaction and sleeping problems.

Discussion: The perceived 'increased knowledge' leads to a different way of dealing with symptoms. It is positive that SPs are more critical towards their GP, this leads to a more equal relationship. The effects of stress and anxiety probably contribute positively to the performance. Dissatisfaction, anxiety and sleeping problems could be work-related and consequently occur in practicing other occupations.

Practice implications: Proper selection, preparation and guidance could minimize the problems encountered during simulation.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Attitude to Health*
  • Education, Medical*
  • Emotions
  • Female
  • Humans
  • Male
  • Middle Aged
  • Netherlands
  • Occupational Health*
  • Patient Simulation*
  • Physician-Patient Relations*
  • Stress, Psychological