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NO STIGMA Simulation Toolkit

Six high-fidelity simulations were developed with the goal of educating nursing students about stigma related to opioid use disorder (OUD) and promoting empathetic, evidence-based nursing care that fosters health equity and mitigates disparities. The simulations are available for undergraduate, master’s in nursing education, and nurse practitioner students, and take place in a range of settings with a variety of different patient populations. A comprehensive NO STIGMA Simulation Manual is provided here, including the simulations and their resources.

Access to Timely Care

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Simulation on empathetic communication around delay in care and stigmatizing behaviors that devalue the patient. Designed for undergraduate nursing students.

Estimated run time

15 minutes

Adapted for student population

Undergraduate

Setting

Emergency Department

Patient population

Adult

NO STIGMA Sim 1

Standard Pre-Work

 

Pain Management

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Simulation to address pain management, OUD withdrawal and interdisciplinary care. Designed for undergraduate nursing students.

Estimated run time

15 minutes

Adapted for student population

Undergraduate

Setting

Acute Care

Patient population

Adult

NO STIGMA Sim 2

Standard Pre-Work

Family Centered Neonatal Abstinence Syndrome

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Simulation to address bias in care and strategies for redirecting the stigmatizing narrative. This simulation is designed for nurse educator students and/or clinical faculty orientation training.

Estimated run time

15 minutes

Adapted for student population

Graduate

Setting

Level 2 Nursery

Patient population

Infant

NO STIGMA Sim 3

Standard Pre-Work

Harm Reduction

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Trauma informed simulation to assess and address harm reduction for unhoused young adult. This simulation can be tailored to undergraduate or nurse practitioner students.

Estimated run time

25 minutes

Adapted for student population

Undergraduate

Setting

Emergency Department

Patient population

Adult

NO STIGMA Sim 4

Standard Pre-Work

Telehealth/Remote Care

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Telehealth simulation with patient and family for MOUD follow-up and discussion of long-acting medications. Designed for nurse practitioner students (remote).

Estimated run time

15 minutes

Adapted for student population

NP/DNP

Setting

Virtual/Telehealth

Patient population

Adult

NO STIGMA Sim 5

DNP Pre-Work

Older Adult/Stigmatizing Labels

This image was created with the assistance of DALL·E 2
This image was created with the assistance of DALL·E 2

Older adult follow-up clinic appointment to address SBIRT, stigmatizing labels in the medical record, SDOH and warm handoffs. Designed for nurse practitioner students (in person).

Estimated run time

25 minutes

Adapted for student population

NP/DNP

Setting

Primary Care

Patient population

Older Adult

NO STIGMA Sim 6

DNP Pre-Work

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