Development of Scenario for Simulation-Based Learning with Standardized Patient about Therapeutic of Relationship and Communication

Abstract

          This research aimed to develop and evaluate the effectiveness of scenarios for simulation based- learning with standardized patients regarding relationship building and therapeutic communication skills. The study consisted of four steps: 1) Assessing the problem conditions and needs regarding simulation problems among 116 third-year Bachelor of Nursing Science students at Boromarajonani College of Nursing, Suphanburi; 2) Developing scenarios by lecturers from the Department of Mental Health and Psychiatric Nursing; 3) Experimenting with the situational problems; and 4) Evaluating their effectiveness. The purposive sample comprised 92 third-year nursing students enrolled in Mental Health and Psychiatric Nursing Practicum, determined using Krejcie and Morgan's table.The research instruments included a questionnaire on problem conditions and needs,                   an interview form, a measurement of relationship building and therapeutic communication skills, and        a student satisfaction questionnaire. The tools were validated by three experts, with a content validity index of 1.00 and Cronbach's alpha coefficients ranging from 0.88 to 0.92.

          The results revealed: 1) The developed scenarios covered five essential elements: specific objectives, diversity in each phase, realistic scenarios, different communication techniques, and necessary basic information. There were five scenarios were created. 2) their effectiveness was evaluated. Post-intervention, nursing students' average scores for relationship building and therapeutic communication skills exceeded 80%, indicating proficiency. Student satisfaction was rated very good (M=4.64, SD=0.55). In conclusion, the scenarios were effectively facilitating the achievement of learning outcomes, and student satisfaction.