Third-year Students Research Articles

Exploring Empathy Dynamics in Virtual Patient Training

Abstract Background This study investigates the manifestation of empathy among nursing students and teachers during virtual patient training with VR glasses at the Medical Simulation Training Centre of Medical University - Plovdiv. The pilot training, conducted from March 22 to April 12, 2024, was part of the Erasmus+ project ‘Caring violent child safely in child psychiatric and residential units (Safe4Child) 2021-1-FI01-KA220-HED-000032106.’ Participants were divided into two focus groups: third-year nursing students and lecturers teaching specialized academic disciplines in nursing. Results A total of 34 participants partook in the study, comprising 16 instructors with basic nursing education and 16 third-year nursing students. Students exhibited considerable empathy towards the virtual child patient, expressing an inclination to provide assistance, acknowledging the necessity for personalized care, and displaying a curiosity about the patient’s experiences. They conveyed sentiments such as ‘I felt the need to help the child/patient’, ‘the child needs individual work with a nurse’ and ‘I want to understand the child’s experiences.’ In contrast, instructors demonstrated more reserved emotional responses, characterized by professionalism and a focus on offering comfort. They expressed, ‘Normal feelings...but you want to hug the child and comfort him.’ Conclusions The study unveiled a marked difference in empathy expression between students and instructors, with students displaying stronger emotional reactions. These findings underscore the need to recognize and address individual variances in empathy expression within nursing education. Tailored strategies should be devised to bolster empathy development in both students and instructors during virtual patient training. Further investigation is warranted to explore effective methodologies for optimizing empathy development and fostering compassionate patient care in nursing education. Key messages • A Comparative Analysis of Nursing Students and Instructors Using VR Glasses. • Erasmus+ project (Safe4Child) 2021-1-FI01-KA220-HED-000032106.

Effectiveness of a New Broadrick Flag Support for Assisting Students With the Design of an Occlusal Plane.

Prosthetic restorations require functional occlusal planes to ensure therapeutic success. The purpose of the present study was to develop a new Broadrick flag support for a semi-adjustable articulator and to investigate the effectiveness of occlusal planes drawn using the Broadrick flag method by inexperienced practitioners in complex situations such as skeletal class II relationships associated with edentulous areas. MÉTHODOLOGY: The Broadrick flag support was designed and manufactured by the additive technique and was adapted to the Quick Master articulator. The QR code of the manufacturing file of the Broadrick flag support is accessible to any practitioner. Thirty-seven third-year students (inexperienced practitioners) were randomised into two groups for drawing occlusal planes on two models either with or without the Broadrick flag method. A prosthodontic professor (experienced practitioner) drew occlusal planes on the models to serve as references. Each model was analysed using a standardised method to measure the distances between the occlusal planes drawn by experienced and inexperienced practitioners. RÉSULTS: Only the distance measured for the right second molar of the first model with the Broadrick flag method was significantly shorter than those measured without using this method (p < 0.05, Wilcoxon test). Visual observations showed that only the second molar drawings of the inexperienced practitioners were above the drawings of the experienced practitioner. The Broadrick flag method helped inexperienced practitioners to draw occlusal planes of models in complex skeletal class II relationships associated with edentulous areas with natural teeth located both anterior and posterior to them.

Evaluation of empathy levels of dentistry students in pediatric dentistry clinical practice education process.

The objective of this study was to assess the empathy levels of dental students during their clinical practice training in pediatric dentistry and to evaluate various factors that influence changes in these empathy levels. The study evaluated the empathy levels of a total of 350 students (70 third-year, 140 fourth-year, and 140 fifth-year dental students) who received pediatric dentistry clinical practice training and/or observation between October 2022 and December 2023. The Jefferson Scale of Physician Empathy-Student Version was used to assess empathy levels before and after the training. The data were subjected to statistical analysis using the Mann-Whitney U test, Kruskal-Wallis test, Wilcoxon test, and Dunn Test (p<0.05). The response rate of the participants was 92.10%. The highest empathy level was observed in third-year students, while the lowest empathy level was observed in fifth-year students. A statistically significant relationship was found between these two variables (p<0.001). Additionally, the empathy level of female students was statistically significantly higher than that of male students (p<0.001). Following the completion of the pediatric dentistry training, a statistically significant increase was observed in the empathy levels of the students in comparison to the baseline (p<0.001). Empathy levels in students are found to be correlated with academic year, sibling count, and gender. It is of paramount importance to enhance empathy skills through training in order to foster the development of human-oriented physicians capable of effective patient communication.

Physical therapy students’ perceived levels and sources of stress during clinical education experiences

Purpose: Stress has been linked to poor performance and mental health disorders in health professions students. Very little is known about health professions students’ stress during clinical education. The purpose of this study was to explore the levels and sources of stress experienced by Doctor of Physical Therapy (DPT) students during the clinical education portion of their curriculum. Methods: In this cross-sectional, descriptive study, 925 first-, second-, and third-year DPT students from eight Midwestern colleges and universities were invited to complete an electronic survey during a clinical experience. The survey included demographic information, the 10-item Perceived Stress Scale (PSS), and the Undergraduate Sources of Stress (USOS) scale. Results: The response rate was 28% with a total of 259 returned surveys. The mean PSS score was 14.15 out of a possible 40, with a range from 0 to 30. There were significant differences in levels of stress based on program year and clinical level. No significant differences in level or sources of stress were noted based on gender or clinical setting. Academic sources were the greatest source of stress reported. Amount of student debt and percentage of responsibility for graduate education were significantly correlated with financial sources of stress. Conclusion: Participants in this study reported mean PSS scores during clinical education experiences similar to those previously reported for physical therapy. Identifying perceived stress levels, sources of stress, and mitigating factors has the potential to improve the health of students and positively impact patient care.

Internationalisation at home: Creating an equitable virtual space for language learning

ABSTRACT This study investigates the impact of telecollaborative practices grounded in internationalisation at home (IaH) on foreign or additional language learning and intercultural understanding. Two higher education institutions (HEIs) from Taiwan and Aotearoa New Zealand (NZ) collaboratively re-innovate a virtual learning space to facilitate equitable access to intercultural communication experiences for first-year university language learners. Using a qualitative approach, data were collected through student e-portfolios, social networking sites, and reflections to evaluate the effectiveness of the telecollaborative learning design in achieving its goals. Findings demonstrated that the telecollaborative practices not only afforded students opportunities to practice with peers from native-language countries but also prompted them to strengthen their sense of belonging and identity as their intercultural knowledge broadened and deepened. Future research is suggested to explore the potential impact of IaH initiatives on a broader range of tertiary students.

Alexithymia-A Neglected Factor Influencing Educational Satisfaction and Psychological Wellbeing in Medical Students.

Alexithymia presents a reduced ability to identify, express, and describe one's own emotions. In medical professionals, alexithymia is associated with increased burnout and substance use, as well as reduced altruistic behavior. Our aim was to examine the association between alexithymia and different sociodemographic, psychological, and somatic parameters among medical students. Participants included 186 third- and sixth-year students of the Faculty of Medicine in Belgrade, Serbia. Data were collected through an online survey, composed of 1) a general questionnaire (sociodemographic data, education satisfaction, grade point average, presence of psychological and somatic disorders), 2) Twenty-Item Toronto Alexithymia Scale, 3) Patient Health Questionnaire-9, and 4) Beck Anxiety Inventory. Third-year students had significantly higher rates of alexithymia compared with sixth-year students. Negative correlation was found between alexithymia and educational satisfaction (r = -0.276**) and alexithymia and grade point average (r = -0.186*). A positive correlation was found between alexithymia and depression (r = 0.424**) and alexithymia and anxiety (r = 0.338**). The negative impact of alexithymia on educational satisfaction and psychological health is pronounced in the population of medical students, indicating a need for preventive programs aimed in medical schools.

Mental imagery in education: What impact on the relationships with visuospatial processing and school performance in junior high school students?

This study examined the relationship between mental imagery, visuospatial processing, and academic performance among junior high school students. The influence of these variables on learning outcomes in Italian, mathematics, art, and music was also investigated. Third-year students were tested using the Mental Imagery Test and Raven's Progressive Matrices. Gender differences were explored, revealing no significant differences in mental imagery and visuospatial processing. Higher mental imagery correlated with better academic performance, particularly in Italian and mathematics. Visuospatial processing mediated the relationship between mental imagery and academic performance in Italian and mathematics, suggesting its significant role in these subjects. However, this mediation was not significant for music and art, suggesting the involvement of alternative cognitive mechanisms. These findings highlight the importance of mental imagery and visuospatial processing in academic success, particularly in abstract subjects, and advocate for educational strategies targeting these cognitive domains to enhance not only student performance but also creativity and thinking skills.

Perceptions regarding attitude towards simulation-based learning among nursing students in Saudi Arabia: A cross-sectional study.

Simulation-based education is essential for preparing nursing students for their professional roles and enhancing their learning experiences and patient care skills. However, there is a gap in understanding how nursing students perceive and engage with simulation-based learning, particularly in the context of Saudi Arabia. This lack of insight limits the ability to develop effective educational strategies. This study aimed to evaluate nursing students' perceptions regarding attitudes toward simulation-based learning in Saudi Arabia. A cross-sectional study was conducted from December 2023 to February 2024, involving 173 nursing students from a single university. Participants completed a structured questionnaire assessing their attitudes toward simulation-based learning, focusing on its relevance, interprofessional education opportunities, communication, situation awareness, and roles and responsibilities. Descriptive statistics were used to analyze the data. Mann-Whitney and Kruskal-Wallis tests were used to examine correlations between variables, with a significance level of p <0.05. The study found that 91.3% of participants had a favorable attitude toward simulation-based learning (Median = 4.43, IQR = 4 - 5). Age and grade level significantly influenced attitudes; younger students (under 20 years) had lower scores (Z = -2.490, p = 0.013), while fourth-year students had higher scores than third-year students, showing a statistically significant difference (H = 8.573, p = 0.014). Additionally, grade point average (GPA) was a significant factor, as students with GPAs between 5.00 and 4.50 scored higher than those in the 3.74-2.75 range (H = 25.893, p <0.001). The study concluded that nursing students in Saudi Arabia have a generally positive attitude toward simulation-based learning, recognizing its importance in enhancing their educational journey and clinical preparedness. These findings highlight the need to integrate simulation-based pedagogical approaches in nursing education to foster critical thinking and improve communication skills, thereby enhancing patient care outcomes.

The effectiveness of 3d printing technology course on attitudes of occupational therapy students-a controlled study

There is interest in three-dimensional (3D) printing technology, but views on the integration of these technologies into business and education vary. It is crucial to determine how the introduction of new technologies will impact the attitudes of occupational therapy undergraduate students. Hence, the purpose of this study is to examine the effect of using this technology in the assistive technology (AT) lesson on the attitudes and acceptance of technology among students. This study was designed as a non-randomized controlled pretest and posttest control group study. The intervention group consisted of second-year undergraduate students (n = 50) enrolled in a compulsory “AT course,” while the control group consisted of third-year undergraduate students (n = 41) who had completed the AT course in the previous academic year. The intervention involved participants attending a 3D printing course in combination with an 8-week AT course. A Modified Technology Acceptance Model (M-TAM) questionnaire was used to assess students’ acceptance of 3D printing technology. The related study observed that experiencing and practicing new technologies, such as 3D printing and modeling course in the intervention group AT lesson effectively increased the acceptability of these new technologies that students encountered. The pre-post test analysis of the intervention group was statistically significant in all categories of the M-TAM questionnaire (p < 0.05). Compared to the control group, the effect size was small and moderate in all categories (p < 0.05). This course has increased student acceptance of this technology. Future studies should examine the long-term effects of such courses on student attitudes.

Integrating Academic Service Activities into Business English Translation Class Through Project-Based Learning of Business Administration Undergraduates

The purposes of this study were (1) to compare the translation scores of Business English students before and after participating in academic service activities in the course “Business English Translation” using project-based learning and (2) to compare the attitudes of students before and after participating in the academic service activities through project-based learning. The participants consisted of 73 third-year students majoring in Business English who were enrolled in the Business English Translation course. The research employed two types of research instruments: (1) experimental tools, encompassing a lesson plan that integrated community service activities through project-based learning in the Business English Translation course, and (2) data collection instruments, including a pre-and post-test to assess proficiency in English translation, and a questionnaire to measure students’ attitudes towards community service activities through project-based learning. These research instruments underwent validation by three experts and exhibited a reliability coefficient of .93. The research findings revealed that the average scores for advertisement translation from Thai to English after engaging in community service activities through project-based learning were significantly higher than the scores prior to the activity participation. Furthermore, a statistically significant difference was observed in the average scores of students’ attitudes towards participating in community service activities through project-based learning, with a significance level of .05.

An evaluation of practice supervisor training for final-year healthcare students.

Practice supervisors are fundamental in the development and upskilling of the future workforce in health care. This article outlines a new initiative for one higher education institution, which integrated practice supervisor training into the curriculum for third-year students across several healthcare programmes. The training consisted of two pre-recorded sessions, which were delivered by the students' personal tutors. A final face-to-face session was then facilitated, where students were supported to consolidate their learning and build on their knowledge. Evaluation data were collected via an anonymous questionnaire. In total, 352 questionnaires were returned. Data were managed and analysed using descriptive statistics within Excel. The qualitative comments received were collated and analysed using simple thematic framework analysis. Most attendees found the content and the delivery of the programme and their opportunity for discussions to be good, very good or excellent, showing overall that content was positively evaluated by 98.4% of attendees, delivery at 97.4% and opportunity for discussion at 97.9%. The evaluation data results show that practice supervisor preparation can be effectively delivered when located in the final year for undergraduate healthcare students. The importance of the content being interactive and allowing for plenty of opportunities for group discussions has been highlighted by the feedback.

Empathy unmasked: the compassion quotient of dental students

BackgroundDespite an empathic doctor patient relationship being of utmost importance to improve health care outcomes, this aspect is scarcely explored in dental students of Pakistan. This primary objective of the present study was to assess the reliability and validity of the Jefferson Scale of Empathy- Health Professions Student (JSE- HPS) version in a sample of Pakistani dental students. The study also compared the differences in empathy levels of dental students studying in different academic years.MethodsThis comparative cross-sectional study was conducted on a sample of 304 students from first to final year from selected 02 private and 02 public dental colleges of Karachi, Pakistan from December 2021- January 2022. The self-administered Jefferson Scale of Empathy- Health Professions Student (JSE-HPS) version was used for data collection. This questionnaire includes 20 items that can be answered on a 7-point Likert scale. After attendance sheets were obtained, random student names were marked, and questionnaire distributed by hand to these students. All forms were collected right after to maximize response rate.ResultsA total of 304 forms with complete data were returned, a response rate of 86.9%. Females (97.79 ± 15 94) were more empathetic than males (94.16 ± 12.13) (p = 0.001). Students of third-year were the most empathetic (p = 0.000). Internal consistency of questionnaire was acceptable (Cronbach’s α- 0.77). Factor analysis revealed factor related to belief that patient’s perspectives improve health outcome had 14 items with factor coefficient > 0.4 contributing to largest proportion of variance (23.15%).ConclusionsOur study shows JSE- HPS to have acceptable internal consistency. Structural validity of the scale evaluated by confirmatory factor analysis reported results that were in concordance to those suggested by developers of this scale. In our study population, like other studies, females were more empathic than males. Third-year dental students were more empathetic than students of other undergraduate years.

The Effect of Educational Exercises According to the Stages of Building a Motor Program on Learning Some Epee Skills for Students

The research problem focused on curriculum has specific courses with a small number of educational units through which the student must go through all the stages of learning basic skills. Therefore, we must increase the effectiveness of learning these skills and correct the errors that the learner may face. From here, the problem of the research became clear to us in the lack of effectiveness of learning some skills. Basic skills for students in fencing and the many technical errors during performance, so the researcher thought one should study educational exercises that are appropriate for the stages of building the motor program for some basic fencing skills to increase the effectiveness of learning so that the learner can master the skill with the least number of errors. The research objectives prepared educational exercises according to the stages of building the motor program, and Identifying the effect of educational exercises according to the stages of building a motor program on learning some epee skills for students in the experimental group, and Identify the differences between the two groups Control and experimental In learning some skills with epee weapons for students In the posttest. and Use Finder One The experimental approach was designed with two equal groups : control and experimental. The same pre-test and post-test, because it suits the nature of the problem and achieves the research objectives. And the research population are third-year students in the Department of Physical Education and Sports Sciences/Islamic University, who number (306) students, and the research sample of (40) students was randomly selected and divided into two equal groups(Control and experimental) with (20) students for each group, in addition to the exploratory experiment sample of (8) students. And it was done using some educational means during educational exercises and based on the stages of building the motor program for the skill to be learned. The time of the educational unit was (90/min), and the implementation of the educational curriculum began on (11/21/2023 AD) and ended on (1/18/2024 AD). The researchers concluded that the use of complex instructional exercises helped to learn and develop the skill performance of some skills with the epee weapon according to the stages of building the motor program, and the use of focused educational exercises helped build motor perception among learners, which led to accelerating and activating the learning process. The most important recommendations were: Emphasis on the use of complex educational exercises when learning basic skills for students with epee weapons to build motor programs and new motor perceptions about the skill to be learned. also it is necessary to focus on the use of complex educational exercises according to the construction of the motor program in the educational units by trainers and teachers.

The Dynamics of Slido to Promote Learning in Rural University Classrooms

Slido is an interactive online platform facilitating active learning in rural university settings. Rural universities often need more resources, including access to technology and opportunities for diverse pedagogical approaches. Traditional lecture-based teaching predominates due to these constraints, which can hinder student engagement and learning outcomes. Slido offers a solution by leveraging technology to enhance interaction, collaboration, and participation within the classroom environment. This study, therefore, adopted the Slido application to promote active learning in one of the rural university classrooms within South African higher education. Active learning methodologies have gained widespread recognition for their effectiveness in engaging students, fostering more profound understanding, and promoting critical thinking skills. However, implementing such strategies, especially in rural university classrooms, can pose unique challenges. Through features such as live polls, quizzes, and audience Q&amp;A sessions, Slido enables instructors to create dynamic learning experiences that encourage active participation from students. In rural contexts where class sizes may be smaller and student diversity limited, Slido provides an avenue for inclusive participation and allows even the most reserved students to contribute anonymously. Hence, the qualitative study adopted a transformative paradigm as a lens and approached it through active learning designed by Action Research. Furthermore, the study was a two-year project involving third-year business studies students and their transition to, and completion of, their fourth year of study. Seven students were selected as the participants, and data was generated through a Focus Group discussion and analyzed using Thematic Analysis. The study revealed that Slido promotes activeness among students in the module selected in the rural university. In conclusion, Slido offers a promising solution for promoting active learning in rural university classrooms. The study recommends that lecturers should be empowered in terms of resources and training to infuse technology into teaching.

Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students

BackgroundThe use of appropriate personal protective equipment (PPE) in healthcare settings is a very important factor of infection control activities to prevent transmission of infection. In this study, we aimed to develop a non-face-to-face method that can reduce transmission of infection and an educational method that allows self-learning and self-training, and verify the effectiveness of a donning and doffing PPE education using video debriefing on third-year nursing students in clinical train.MethodsThe researcher assigned groups through random sampling using a random number table from the list of research subjects who agreed to participate. Therefore, 35 subjects in the experimental group with an education on donning and doffing PPE using video debriefing and 34 subjects in the control group with video-based training (VBT) were participated in April 2023 at a university in Incheon, South Korea. The evaluation phase involved verifying effects of the education on observer evaluation donningand doffing PPE performance and self-evaluation donningand doffing PPE performance. Satisfaction with the education also assessed immediately after intervention by the experimental group.ResultsThe experimental group had significantly higher scores for observer evaluationdonning (t = 7.84, p < .001) and observer evaluation doffing (t = 6.52, p < .001) PPE performances than the control group. However, there was no significant difference in self-evaluation donning (t = 0.98, p < .330) or doffing PPE performance (t = 0.17, p < .869) between the two groups. In the experimental group that applied video debriefing, learning satisfaction was 4.33 ± 0.82 points out of 5 points.ConclusionsThe education on donning and doffing PPE applying video debriefing was effective. If the education developed in this study is used as a self-learning method to improve the infection control capacity necessary to respond to a disaster crisis caused by infectious diseases, it is considered to be useful for preventing the transmission of infectious diseases in the future.

Pharmacy Students’ Self-Reported Cultural Competence in a Pharmacy Curriculum by Academic Year

ObjectiveThis study aims to explore results of a Cultural Competency Assessment of Pharmacy Students (CCAPS) survey to identify areas where cultural competence content in one college of pharmacy curriculum can be improved. MethodsThe 39-item CCAPS survey was developed and administered to Doctor of Pharmacy (PharmD) students from July 2022 (after the end of the didactic curriculum and at the beginning of experiential rotations for fourth-year students) through October 2022 (at the beginning of the Fall semester for first-year, second-year, and third-year students). Self-perception of cultural competency items were selected from the Cultural Competence Assessment Instrument and the Clinical Cultural Competency Questionnaire items. Responses were collected anonymously and analyzed in the aggregate by academic year using SPSS. ResultsFive hundred forty-one students participated, with ethnicities including White/European American (26.6%), East/South/Southeast Asian (17%, 18.5%, 5.4%), Arab/Middle Eastern (17.9%), African-American/Black (6.7%), and Hispanic (6.1%). Two-thirds of respondents identified as “very or extremely” culturally competent, and 78% reported comfort interacting with culturally diverse patients. Students scored lower on questions that assessed their comfort interacting with patients who have limited English proficiency or who refuse medications due to cultural reasons. Students in fourth year reported more difficulty practicing skills related to cultural competency in their daily life compared to students in other years. ConclusionUsing the CCAPS survey annually could help evaluate the cultural competency of pharmacy students across different academic years and identify gaps in the curriculum related to cultural competency.

The effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency among nursing students: A quasi-experimental study

AimThis study aimed to evaluate the effects of problem-based learning integrated with the nursing process on clinical reasoning, communication skills attitude and nursing process competency of nursing students. BackgroundSystematic and integrated application of nursing process in various nursing scenarios are necessary as an alternative to limited learning experiences during conventional lectured-based learning. Thus, an innovative nursing curriculum should be developed by adopting problem-based learning integrated with the nursing process, the effectiveness of this process should be tested to improve the quality of nursing education and explore effective educational strategies. DesignA quasi-experimental non-equivalent control group pre-test and post-test design. MethodsThe study was conducted from September to October, 2023. Third-year nursing students who were selected by intentional sampling were allocated to the control (n=69) and experimental (n=87) groups. The control group participated in conventional lectures, whereas the experimental group participated in the problem-based learning integrated with the nursing process (six sessions) regarding various high-risk obstetrics and gynecology nursing. Thereafter, the students completed structured questionnaire on Google surveys including items on clinical reasoning, communication skills attitude and nursing process competency. ResultsClinical reasoning (t=-4.599, p=<.001), communication skills attitude (t=-1.848, p=.033) and nursing process competency (t=-3.795, p<.001) increased significantly more in the post-test for the experimental than the control group. ConclusionsThis study shed light on the learning effects that enable effective communication and enhance confidence in nursing students for applying clinical reasoning and the nursing process based on various high-risk obstetrics and gynecology nursing modules. Moreover, learners are expected to experience knowledge expansion and transfer through reasoning and application. Therefore, modules of high-prevalence diseases should be developed for various nursing major courses and problem-based learning integrated with the nursing process linked to these modules should be designed for use in nursing classes.

The Impact of Augmented Reality on Motor Skills in Piano Education: Improving the Left-Hand Technique with AR Piano

This study investigates the impact of augmented reality (AR) technologies on the development of motor skills, specifically left-hand piano playing skills, among piano students. The paper employed the AR Piano application, which generates three-dimensional, intuitively understandable visualizations aimed at facilitating the piano learning process, thereby minimizing the cognitive load on students. The Piano Proficiency Test-2 was used to analyze piano playing skills. The sample consisted of 297 right-handed third-year students from three educational institutions in China. According to the post-test results, the experimental group, which underwent training utilizing augmented reality (AR) technology, exhibited significantly greater skill level improvement following the experimental period compared to the control group. These findings suggest a positive effect of AR technology application on the development of motor skills and may provide valuable insights to researchers exploring the application of AR technologies in diverse educational settings, particularly for musical instrument instruction.

Attitudes Towards Learning Communication Skills Among University Nursing Students

A major skill of nurses for achieving high-quality care is their ability to communicate effectively with patients, and this has been considered very valuable in the patient healing process. Objectives: To assess the learning attitudes of university nursing students towards communication skills and to find out the association of demographic characteristics of students with their attitude level. Methods: This cross-sectional analytical study design was conducted on 230 student nurses studying in a four-year Bachelor of Science in Nursing program. Permissions were obtained from the Ethical Review Committee and the Head of the Department for data collection. Data were collected via non-probability purposive sampling. Communication Skills Attitudes Scale was used to assess the attitude of university nursing students. Student's t-test and One-way analysis of variation were used to identify the differences in Positive Attitude Scores and Negative Attitude Scores between demographic variables. Results: Most of the study participants (77.4%) were male and 94% belonged to the age group 18-25 years. There was a significant difference in the Positive Attitude Score between gender and education of the students with p-values of 0.009 and 0.015 respectively. Furthermore, education level is the only variable that shows a significant association with a Negative Attitude Score with a p-value&lt;0.0001. Conclusions: It was concluded that female students had more positive attitudes compared to their counterparts. Third-year students had a more positive attitude compared to other study years.

Student perspectives of simulated learning to improve their dysphagia management

Background: The use of simulation to enhance knowledge translation and bridge the theoretical-clinical gap to enhance clinical training and competency in health professions has received mixed reviews in the literature.Objectives: This research examined student perspectives of a simulation laboratory in speech therapy to improve students’ clinical competency when working with adults with communication and dysphagia impairments.Method: An exploratory descriptive pilot study was conducted in 2022 with 16 third-year speech-language therapy students. This mixed-methods study involved students completing purposefully developed pre-and post-surveys to explore their experiences with simulated teaching and learning and their perceptions of confidence. Data were analysed using an independent t-test. Following the surveys, the students participated in a focus group discussion about their simulation experience, and data were analysed using thematic analysis.Results: Student ratings of clinical skills improved from pre to post-simulation significantly overall and across six out of the eight items. The focus group revealed insights into students’ experiences, highlighting increased confidence, the benefits of making mistakes in a safe environment and improved preparedness to work with dysphagia in patients.Conclusion: While simulation serves as a valuable tool in enhancing clinical skills and building confidence, it must be used as an adjunct to real-life exposure and not as a replacement.Contribution: The integration of both simulated and real-life experiences is essential to provide a comprehensive and practical learning environment for students.