Implementation of a psychiatric nursing boot camp to improve the empathy and stigma toward psychiatric patients in nursing students

Mahnaz Ghaljeh; Fereshte Ghaljaei; Nasrin Rezaee; Mahin Naderifar; Majid Dastras; Azizollah ArbabiSarjou; Najmeh Ghiamikeshtgar

doi:10.4103/jehp.jehp_2043_23

Implementation of a psychiatric nursing boot camp to improve the empathy and stigma toward psychiatric patients in nursing students

J Educ Health Promot. 2025 May 30:14:214. doi: 10.4103/jehp.jehp_2043_23. eCollection 2025.

Authors

Mahnaz Ghaljeh¹, Fereshte Ghaljaei², Nasrin Rezaee¹, Mahin Naderifar³, Majid Dastras⁴, Azizollah ArbabiSarjou¹, Najmeh Ghiamikeshtgar⁵

Affiliations

¹ Department of Nursing, School of Nursing and Midwifery, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
² Department of Nursing, School of Nursing and Midwifery, Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
³ Department of Medical Surgical Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.
⁴ Department of Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran.
⁵ Department of Operating Room, School of Nursing and Midwifery, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Abstract

Background: Considering the emphasis of nursing bachelor's curriculum on teaching practical skills and clinical education, psychiatric nursing education is considered one of the weak points of nursing education. The present study was conducted with the aim of implementation of a psychiatric nursing boot camp to improve the empathy and stigma toward psychiatric patients in nursing students.

Materials and method: The present study is a semiexperimental study with a pretest and post-test group design, which was conducted by census sampling method on 35 nursing students of the 6^th semester at Zahedan University of Medical Sciences in 2023. The application of fishbowl technique, simulation, and learning café along with games were used to improve the empathy and stigma of nursing students. Jefferson's standard empathy questionnaire and kassam stigma were used to collect data. Data analysis was carried out using Statistical Package for the Social Sciences (SPPS) 28.0, Shapiro-wilk test, and paired t-test. A significance level of less than 0.05 was considered.

Results: According to the results, 35 nursing students (16 boys and 19 girls) participated in this research. The results showed that the average age of the students was (23.28 ± 2.34) years. The average empathy score of the students was (47.40 ± 3.22) before the intervention and (58.06 ± 2.50) after the intervention. These findings showed that the empathy score was significantly higher after the intervention; P < 0.001. Also, the average stigma score was (62.28 ± 3.37) before the intervention and (54.54 ± 1.30) after the intervention, and the results showed that the average score of this variable was significantly higher after the intervention (P < 0.001).

Conclusion: This study shows that psychiatric nursing boot camp and training through simulation of auditory hallucinations, learning cafe, and tight fish technique can play a role in increasing students' empathy and reducing stigma toward psychiatric patients and is a suitable tool in reducing stigma and increasing empathy in nursing students can be incorporated into routine training.

Keywords: Boot camp; education; fish bowl; nursing; psychosocial nursing; simulation training; students.