1. Quality Education for a Healthier Scotland Walk in my shoes : simulated learning and the care of the person with dementia Margaret Brown Senior Lecturer Institute for Older Persons’ Health and Wellbeing. School of Health, Nursing and Midwifery.

2. Quality Education for a Healthier Scotland Dementia: a public health priority (World Health Organization, 2012)

3. Quality Education for a Healthier Scotland Aims of this project To deliver and assess the impact of a simulated learning experience on the attitudes of nursing students to the person with dementia. To measure change within and between a study and control group.

4. Quality Education for a Healthier Scotland Method A mixed method design using the Virtual Dementia Tour ©. Participants: year one nursing students at UWS Measures: – Quantitative data from the Approaches to Dementia Questionnaire (Lintern and Woods 1997). – Qualitative data from focus groups.

5. Quality Education for a Healthier Scotland Results: Total Score ADQ

6. Quality Education for a Healthier Scotland Results: Hope subscale

7. Quality Education for a Healthier Scotland Results: Person-centred subscale

8. Quality Education for a Healthier Scotland Focus groups and critical incident analysis

9. Quality Education for a Healthier Scotland Preparing for the TheVirtual Dementia Tour©. “Fear of the unknown”

10. Quality Education for a Healthier Scotland TheVirtual Dementia Tour© experience “Try to do things normally” “ I just kept wandering and picking things up and putting them back down” “I was getting totally wound up and I was getting panicky” “I’ll just sit here until they come and get me. I just sat down” “ 10 minutes felt like a lifetime”

11. Quality Education for a Healthier Scotland The debrief Relief when the lecturer spent time with them “You’re alright now” “I felt it was very important for me to go “oh my goodness” and for somebody to sit there and listen to me” Some felt the need to explore the issues in more depth as soon as they came out. “get you to challenge things a bit more when you’ve just came out” “your anxiety is at 9/10 when you come out but after a few minutes goes down to about 3/10”

12. Quality Education for a Healthier Scotland Impact The environment “then the noise hit me and I thought “how can all these people actually sit and have a conversation in that ward” Communication “well the tour helped me…… what would I want somebody to say to me?” Preparation“You think more about your actions before you go in” Empathy “you are very mindful……you empathise when they take time to do things”

13. Quality Education for a Healthier Scotland Impact Dissonance in practice placements. “We’ve got the knowledge now, but we can’t do anything” “The trained nurses…. Think there’s a first year student coming and telling me what to do” ‘It felt like them and us”

14. Quality Education for a Healthier Scotland Do it again? YES!!!! Right at the start. We want to watch others in the room. Do the tour in ward and dining areas. Do it again in third year. Have a group of people all together. Everyone should do it.

15. Quality Education for a Healthier Scotland “you could read 100 textbooks, but to feel it and get that experience….”

16. Quality Education for a Healthier Scotland Next steps… Develop a new tool to provide a more specific and rigorous measure of change. Development of simulation. Mentor awareness.

17. Quality Education for a Healthier Scotland Our thanks go to……….. Our pre-registration nursing students Professor Pauline Banks. Alison McLachlan, senior lecturer and Anthony Wales lecturer at UWS Martin Smith (IT and media UWS) CSMEN and NHS Education Scotland