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Table 2 Scenario simulation template: Type 2 diabetes

From: Construction and practice of a comprehensive nursing skills course with simulation in an RN-BSN program in China: a quasi-experimental study

Initial Scenario

Scenario Progressions

Expected Actions

Xing Chen, male, 72 years old, widowed, living with his daughter. He is admitted to the hospital with due to thirst, excessive drinking for more than 2 years and diagnosed with type 2 diabetes. The symptoms are ignored and not treated before. He doesn’t know much about the disease and is very anxious.

Medical prescription:

Glargine insulin 10 U H qn.

Metformin 0.5 g po tid.

Pancreatic kininogenase 40 U IM qd.

∙ Fundamental nursing: administer intramuscular and subcutaneous injections and dispense oral medications.

∙ Medical nursing & Psychological nursing: explain the effects of medications to patients; comfort the patient’s emotions.

The 5th day of admission, at 8 p.m., the patient developed dizziness, oppression in chest, and sweating. The patient is very scared.

∙ Medical nursing: recognize the symptoms of hypoglycemia.

∙ Health evaluation: measure blood sugar and vital signs.

∙ Psychological nursing: comfort the patient’s fear.

Blood glucose is 3.4 mmol/L; T36.4 °C; P94; R22; BP115/75 mmHg.

∙ Fundamental nursing: prepare glucose solution for patients to correct hypoglycemia.

∙ Health education & Nursing interpersonal communication: symptoms, causes, preventions and emergency treatment of hypoglycemia.

∙ Fundamental nursing: retest blood glucose after 15 min.

Patient is gradually taking diabetes seriously, but is still unclear about how to manage diet and exercise, and feel anxious and confused.

∙ Psychological nursing: reassure and communicate with anxious patient.

∙ Health education & Medical nursing & Communication: teach the patient to manage diet and exercise.

The patient is ready to be discharged from the hospital tomorrow with medical prescription: Glargine insulin 12 U H qn; However, patient and his daughter don’t know how to inject insulin at home.

∙ Fundamental nursing & Health education & Communication: teach the patient and his daughter methods and precautions for insulin injections at home.