Handling Strong Emotions Before, During, and After Simulated Clinical Experiences

• Published in: Clinical simulation in nursing 2016-02, Vol.12 (2), p.37-43
• Main Authors: Janzen, Katherine J., Jeske, Shelley, MacLean, Heather, Harvey, Giuliana, Nickle, Penny, Norenna, Leanne, Holtby, Murray, McLellan, Heather
• Format: Article
• Language: English
• Subjects: debrief; emotions in simulation; facilitators; nursing simulation; prebrief; psychological harm; psychological safety; scenario; simulated clinical experiences
• ISSN: 1876-1399; 1876-1402
• DOI: 10.1016/j.ecns.2015.12.004

Psychological harm is a complex phenomenon which becomes even more complex and problematic in simulated clinical experiences (SCEs). Currently, there exists only one published protocol that addresses policies and procedures to mediate psychological harm during simulated clinical experiences. In this article, the phenomenon of psychological safety and psychological harm is explored. By synthesizing the results of a literature search, actions that could be taken before, during, and after the debrief are outlined. With the literature acting as a springboard for further discussion, suggestions are provided by a think tank of novice to expert facilitators that may assist simulation teams to mediate and intervene when psychological harm occurs with students. •Psychological harm in simulated clinical experiences (SCEs) is a complex, understudied phenomenon.•The handling of potentially strong emotions, although not a common occurrence, must be addressed before, during, and after SCEs.•Self-care is encouraged for both facilitators and students.•A call for the development of protocols and policy is extended for all those that participate in developing and facilitating SCEs.•Attention and education regarding psychological harm can further enhance the safety and trust of students.