The Making of Scenario: A Descriptive Qualitative Study to Explore Lecturers’ View in Simulated Patient-based Simulation Session
Abstract
Simulated patient (SP) is defined as a layperson that simulates to portray the role of a patient with
health-related conditions based on varying levels of training. The aim of the study was to explore the
lecturers’ view toward an SP-based simulation session. The data were collected through semi-
structured interviews with five participants recruited for a focused group interview. The interviewer
used a list of guide questions to explore both the positive and negative experiences of teaching and
learning sessions as well as Objective Structured Clinical Examination (OSCE). A combination of
manual and computer software program was used for data management and analysis. Three main
themes and ten sub-themes have emerged. The first theme was SP resembles a real patient, with the
sub-themes of Value for the student, Alternative improve realism, In-role, and Appropriateness
response; the second theme was The making of scenario, with the sub-themes of Briefing strategy, Script
content, and SP attitude toward briefing; the third theme was SP feedback, with the sub-themes of
Content of feedback, Feedback skill, and Worth for student. The lecturers valued the SPs’ contribution
if only the SP is able to resemble a real patient during the simulation sessions, and demonstrated
effective feedback skills. Training SP for both realistic portrayals of the character and feedback is
essential to optimize the value of an SP-based simulation session.
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