Mental Health

Mental Health

Engage students with conversation-based learning

Digital Clinical Experiences provide a safe, standardized environment that allows students to build the confidence necessary to provide therapeutic communication and effectively handle high-stakes interactions with patients who present with a range of mental health conditions. These Digital Clinical Experiences are powered by our conversation engine and assessed using our proprietary Student Performance Index™.

Utilizing our natural language conversation engine, students engage in open-ended conversations to gather subjective data and practice patient-centered communication.

Students perform tests and use instruments to gather physical assessment findings and understand the major manifestations of different mental health disorders.

Students synthesize their findings and compare their work to an exemplar's model note.

Students engage in debriefing immediately following every assignment, and are given feedback on the discrete components of clinical reasoning measured by our Student Performance Index.

Digital Standardized Patient Nicole Diaz

Nicole Diaz, 48, visits the VA clinic to establish primary care. She reports issues with sleep, weight gain, and chronic pain. Students must recognize the major manifestations of PTSD by applying concepts from her health history and physical assessment findings.

QSEN co-author:
Susan Philips, DNP, MPH, PMHCNS
Cleveland VA Medical Center, Ohio

Digital Standardized Patient Rachel Adler

Rachel Adler, 20, is taken to the ED following a one-car crash in which she was driving under the influence. She reveals she may be a harm to herself, which cause an admit to the psychiatric floor. The student sees Ms. Adler the next day to take a health history and ask questions from the CAGE assessment.

QSEN co-author:
Cynthia Danko, DNP, RN
Assistant Professor and Institutional Researcher
Frances Payne Bolton School of Nursing, Case Western Reserve University

Digital Standardized Patient Abigail Harris

Abigail Harris, 86, is brought to the ED by her son, who reports that she is lethargic and not herself. She reports feeling week and sleepy. Ms. Harris has a history of depression, and she takes medication for it. The student takes a health history and performs a depression screening.

QSEN co-author:
Evanne Juratovac, PhD, RN
Associate Professor
Frances Payne Bolton School of Nursing, Case Western Reserve University

Digital Standardized Patient John Larsen

John Larsen, 48, goes to the ED with what he believes are potential symptoms of a heart attack. After emergency and cardiovascular issues are ruled out, the student takes a health history and does an anxiety screening.

QSEN co-author:
Alaa Masoon, MSN, RN
Doctoral Student
Frances Payne Bolton School of Nursing, Case Western Reserve University

Digital Standardized Patient Eric Ford

Eric Ford, 28, is admitted to the psychiatric floor after presenting in the ED with hallucinations. He has a history of schizophrenia, and has been off medications for 5 days. The student takes a health history and performs an AIMS assessment.

QSEN co-author:
Amanda Eymard, DNS, CNE, RN
Associate Professor
Nicholls State University College of Nursing

Student Performance Index

Measure Clinical Reasoning

Shadow Health has developed and validated the first conceptual framework to operationalize cliinical reasoning within virtual patient simulations.

This innovative framework includes six discrete components of clinical reasoning: Subjective Data Collection, Objective Data Collection, Therapeutic Communication, Documentation, Information Processing, and Self-Reflection.

Shadow Health's Student Performance Index provides both you and your students with the immediate, detailed feedback necessary to accurately identify areas of strength and opportunities for remediation.

Measuring Clinical Reasoning in the DCE using the Student Performance Index
Developed in partnership with the QSEN Institute

Map student actions to QSEN competencies

The Quality and Safety Education for Nurses (QSEN) Institute has partnered with Shadow Health to infuse QSEN competencies into the Digital Clinical Experiences.

The QSEN Institute advises and lends expertise to the Shadow Health team as they build virtual patient simulations for all courses across the Graduate and Undergraduate curriculum.

Click here to view the QSEN faculty partners who co-authored the Mental Health Digital Clinical Experience patient cases.


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