Schizoaffective Disorder: A Simulation in Holistic Care
J. T. Seaman, MSN, RN, PMHNP-BC; Linda Olliff, RN, MSN; Dr. Nancye McAfee, PhD, RN; Dr. LeAnn Chisholm, PhD, RN; Kacie Calloway, BSN, RN
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- International Nursing Association for Clinical Simulation and Learning (INACSL)
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Nursing students often show a lack of enthusiasm when faced with caring for mental health clients, especially when the student is certain that they want to work in Intensive Care, Emergency, or some other area that has been traditionally considered “medical” in nature. Many issues impact the "I’ll never work in psych” attitude. Holistic care is a concept that assists in alleviating the segmented ‘medical versus psychiatry’ model. Nurses are the most effective when they consider all facets of the person. Since many individuals use Emergency Departments for primary and psychiatric care, the attention to assessing and treating the whole person is vital.
Mental health faculty are always looking for ways to enhance students’ perceptions regarding care of mental health patients. This simulation was designed to reshape perceptions regarding inclusion of mental health and medical conditions in treatment of the individual. During the simulation, Schizoaffective Disorder- Bipolar Type, Most Recent Episode- Mania, the students were required to complete a brief physical exam and a focused mental status exam; call a nursing report to a nurse practitioner provider; obtain an order for labs and medications; review lab results; safely administer medication; and complete nursing documentation.
The simulation was a success. Students and faculty indicated that it met the students’ learning outcomes. Student surveys indicated that 82% to 89% of the students agreed or strongly agreed that the simulation resembled a real life situation with factors and real life variables built into the scenario.
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