The effect of aged simulation suit on nursing students’ empathy, attitudes, and willingness to care for older adults: Experimental trial mixed-method study

Abstract

ABSTRACT This study investigates the impact of age simulation suits on nursing students’ empathy, attitudes, and willingness to care for older adults. An experimental trial with a mixed-method design was conducted during the spring semester of the 2023–2024 academic year, involving 43 third-year nursing students. The intervention group (n = 23) wore age simulation suits, while the control group (n = 20) wore placebo clothing. Pre- and post-testt assessments measured empathy, attitudes toward older adults, and willingness to work with them. Content analysis was performed on the intervention group’s experiences. Results indicated a significant increase in the intervention group’s willingness to work with older adults after the simulation (Z = –3.232, p < .001; Hedges’ g: 0.819). However, no significant changes were observed in empathy or attitude scores (p > .05), and the control group showed no significant changes in any measured variables (p > .05). Content analysis revealed four key themes related to students’ feelings: (i) isolation and dependency, (ii) physical challenges and limitations, (iii) emotional responses and empathy, and (iv) changes in behavior and perception. Additionally, four main themes regarding new learnings were identified: (i) understanding and empathy, (ii) patience and communication, (iii) practical challenges and adaptation, and (iv) long-term impact and reflection. Two themes emerged on how nursing students can best approach older adults in their future practice: (i) enhancing care through empathy and training and (ii) promoting safety and well-being through preventive measures.