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Using Audio-Visual Simulation to Elicit Nursing Students’ Noticing and Interpreting Skills to Assess Pain in Culturally Diverse Patients

Kelly, Michelle A; Slatyer, Susan; Myers, Helen; Gower, Shelley; Mason, Jaci; Lasater, Kathie


Michelle A Kelly

Susan Slatyer

Helen Myers

Shelley Gower

Jaci Mason

Kathie Lasater


Pain is a complex and multi-dimensional phenomenon. Nurses play a vital role in assessing and managing pain and must use sound clinical reasoning to accurately make clinical judgments to notice, interpret and respond to patients’ pain.
Exploratory research on the impact of a newly developed AV simulation on nursing students' Noticing and Interpreting skills in assessing pain of culturally diverse patients. Data were collected via self-administered pre and post–intervention surveys.
The majority of participants were able to identify that the patient was in greater pain than reported, however some participants were unable to notice and interpret the impact of culture during pain assessment. Participants were more aware of the subjectivity of pain (cultural knowledge), and that the strategies learnt would improve their future clinical practice (cultural desire).
Findings support the need to include AV simulations in the nursing curriculum to enhance student nurses’ cultural awareness, knowledge, and skills regarding pain, all complex factors for making the best clinical judgments to respond to pain.

Journal Article Type Article
Online Publication Date Jul 9, 2022
Publication Date 2022-10
Deposit Date Nov 29, 2022
Journal Clinical Simulation in Nursing
Print ISSN 1876-1399
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 71
Pages 31-40
Keywords clinical judgment, clinical reasoning, post–operative pain, nursing students, pain
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