{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T22:20:46Z","timestamp":1789078846132,"version":"build-2803163510"},"reference-count":25,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T00:00:00Z","timestamp":1515628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>BACKGROUND: The stigma of psychosis, with the accompanying symptoms of auditory and visual hallucinations, can affect a nurse\u2019s ability to provide safe, effective care. Increasing knowledge of the patient\u2019s perspective during auditory hallucinations can increase the nurse\u2019s ability to be empathetic and engage in a therapeutic alliance. OBJECTIVE: To evaluate the efficacy of a six-second auditory hallucination simulation to increase empathy in preclinical undergraduate nursing students. DESIGN: This descriptive, content analysis, qualitative study evaluated narratives written by students in a pre-licensure baccalaureate nursing student population, assessing empathy, insight, knowledge, and therapeutic communication. Students experienced the 6-second auditory hallucination simulation as part of preclinical instruction, and then they wrote a self-reflection. RESULTS: More than 200 self-reflections were collected, with a randomized final sample of 82 narratives evaluated. CONCLUSION: Self-reflections indicated that the experience of the 6-second hearing voices simulation increased efficacy, insight, knowledge, and intention to use therapeutic communication.<\/jats:p>","DOI":"10.1177\/1078390317750749","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T02:14:15Z","timestamp":1515723255000},"page":"426-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Fostering Transformation by Hearing Voices: Evaluating a 6-Second, Low-Fidelity Simulation"],"prefix":"10.1177","volume":"24","author":[{"given":"Brenda","family":"Marshall","sequence":"first","affiliation":[{"name":"Brenda Marshall, EdD, APRN-BC, ANEF, William Paterson University, Wayne, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Bliss","sequence":"additional","affiliation":[{"name":"Julie Bliss, EdD, RN, William Paterson University, Wayne, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Evans","sequence":"additional","affiliation":[{"name":"Benjamin Evans, DD, DNP, APRN-BC, Felician University, Lodi, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oksana","family":"Dukhan","sequence":"additional","affiliation":[{"name":"Oksana Dukhan, BSN, MA, RN, William Paterson University, Wayne, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,1,11]]},"reference":[{"key":"bibr1-1078390317750749","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8535.2009.01029.x"},{"key":"bibr2-1078390317750749","unstructured":"American Association of Nurse Practitioners. 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