Quan Van Tran Shadow Health Assessment

When students are introduced to Quan Van Tran, a man aged 50, they encounter him within a clinical setting, just moments after he’s been given the news of testing positive for HIV. Quan’s roots trace back to Vietnam, but he now calls the United States home. Recent research sheds light on a concerning trend: the rising number of HIV diagnoses among Asians in the U.S., with a troubling statistic revealing that 1 in 5 Asians living with HIV are unaware of their status. Despite these grim statistics, Quan does not define himself based on his sexual orientation. The educational scenario featuring Quan is designed to instill in students the importance of cultural sensitivity and humility, particularly in healthcare settings. Quan’s narrative is embedded within the Community Health DCE module.

As students engage in discussions about Quan’s sexual history, it’s crucial for them to approach the topic with sensitivity and respect. Pressing Quan to define his sexual orientation may not be appropriate, and he will assertively respond if students veer into intrusive questioning. This aspect of the Shadow Health simulation prompts students to carefully consider their approach to gathering patient information, ensuring they focus on medically relevant aspects while respecting the patient’s boundaries.

Research underscores a concerning reality: many nurses lack the necessary training to effectively care for LGBTQ+ individuals. This deficiency in education prompted the team at Shadow Health to shine a spotlight on an often overlooked and vulnerable demographic. Collaborating with an expert nurse from the Vietnamese American Nurses Association, Quan’s character was carefully crafted to represent an older Asian American man—a demographic increasingly affected by new HIV infections but inadequately addressed in healthcare education.

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Moreover, Shadow Health recently conducted a study, the findings of which were published in Clinical Simulation in Nursing. The aim was to evaluate the efficacy of virtual patient simulations in educating nursing students about healthcare issues that may not be covered in traditional clinical training. By focusing specifically on patients living with HIV, the study aimed to address the stigma and discrimination faced by this population both in society and within the healthcare system itself. Encouragingly, the results suggested that participation in virtual simulations featuring HIV-positive patients could positively influence nursing students’ attitudes towards these individuals, potentially fostering greater empathy and understanding among future healthcare providers.

Quan Van Tran Shadow Health Assessment

When students first meet Quan Van Tran, a 50-year-old man, they see him in a medical setting just after he found out he has HIV. Quan is originally from Vietnam but now lives in the United States. Studies have shown that more Asian people in the U.S. have been diagnosed with HIV in recent years, and many Asian people with HIV don’t know they have it. Quan doesn’t really think about his sexual orientation. In this learning activity called Community Health DCE, students need to show they understand and respect different cultures.

When talking to Quan about his sexual history, it wouldn’t be right for students to keep asking him about his sexual orientation. Quan will let them know if they’re asking the wrong questions. This part of the learning activity in Shadow Health helps students learn to ask the right questions when talking to patients and not make them uncomfortable.

Research has shown that many nurses don’t have enough training to provide good care to LGBTQ+ people. The team at Shadow Health wanted to highlight this issue by focusing on a group of people who are often overlooked. They worked with an expert nurse from the Vietnamese American Nurses Association to create Quan’s character. Quan represents an older Asian American man, a group that’s seeing more cases of HIV but isn’t getting enough attention in nursing education.

In addition, Shadow Health recently did a study, which was published in Clinical Simulation in Nursing. They wanted to see if virtual simulations with patients could help nursing students learn about issues they might not encounter in their regular training. They focused on patients with HIV because they know these patients face a lot of discrimination. The study found that taking part in virtual simulations with HIV patients can make nursing students have better attitudes towards them.

Quan Van Tran Shadow Health Assessment

When students first meet Quan Van Tran, 50, they encounter him in a clinical setting shortly after he has received a positive diagnosis of HIV. Quan is a Vietnamese American who immigrated to the United States. In previous years, research shows the number of HIV diagnoses among Asians in the U.S. increased, and 1 in 5 Asians living with HIV in the U.S. did not know they had it. Quan also does not think of himself in terms of sexual orientation. His assignment is imbued with a need for students to demonstrate cultural humility. HIV is a sensitive topic and the depth of history required for contact tracing may also be challenging for new nurses. He is featured in Community Health DCE.

When obtaining a patient’s sexual history, it would be inappropriate for students to ask Quan to think of himself in terms of his sexual orientation and will push back if students continuously ask inappropriate questions about his identity instead of appropriate questions about his sexual history. This is a feature in Shadow Health that makes students think carefully about obtaining patient history and obtaining medically relevant behavior.

Studies show nurses often lack the proper education to adequately provide safe and competent care to the LGBTQ+ community (Kroning et al., 2018). It was important to the Shadow Health team to call attention to a specific vulnerable and underrepresented population. This character was developed with a nursing expert from the Vietnamese American Nurses Association. His demographics as an older Asian American man represent a growing population for new HIV infections, which is underrepresented in healthcare education.

Additionally, Shadow Health recently conducted research, published in Clinical Simulation in Nursing, to determine if virtual patient simulations can effectively teach nursing students about patient care issues they may not encounter as part of their clinical education. The team focused specifically on a patient living with HIV, recognizing that people living with HIV face stigma and discrimination in society at large and in the healthcare system itself. Findings suggest that participation in a virtual simulation of a patient living with HIV can positively impact nursing students’ attitudes.

Simulations in Shadow Health

• Undergraduate DCE: Community Health DCE