Quan Van Tran Shadow Health Assessment

When students first meet Quan Van Tran, who is 50 years old, they see him in a medical setting shortly after he finds out he has HIV. Quan is originally from Vietnam but now lives in the United States. Studies have shown that in recent years, more Asians in the U.S. have been diagnosed with HIV, and many of them didn’t even know they had it. Quan doesn’t define himself based on his sexual orientation. When students interact with Quan in a learning scenario called Community Health DCE, they need to show respect for his cultural background.

When students ask Quan about his sexual history, they shouldn’t focus on his sexual orientation. If they keep asking inappropriate questions about his identity instead of relevant questions about his health, Quan will push back. This part of the learning experience in Shadow Health teaches students to be thoughtful when asking patients about their history and behaviors that affect their health.

Research has shown that many nurses aren’t properly trained to care for LGBTQ+ individuals. This is why Shadow Health chose to highlight this specific group. They collaborated with a nursing expert from the Vietnamese American Nurses Association to create Quan’s character. Quan represents an older Asian American population, which is seeing more cases of HIV but isn’t often talked about in healthcare education.

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Shadow Health also conducted a study, published in Clinical Simulation in Nursing, to see if virtual simulations can help nursing students learn about issues like caring for patients with HIV. They focused on HIV because people living with it often face discrimination. The study found that participating in a virtual simulation with an HIV-positive patient can improve nursing students’ attitudes towards caring for such patients.

Quan Van Tran Shadow Health Assessment

When students first meet Quan Van Tran, who’s 50, they meet him in a doctor’s office just after he’s learned he has HIV. Quan is originally from Vietnam but now lives in the United States. Research shows that more Asians in the U.S. have been diagnosed with HIV in recent years, and many don’t even know they have it. Quan doesn’t see himself based on who he likes romantically. When students work with Quan in a learning activity called Community Health DCE, they need to be respectful of his background.

When students ask Quan about his sexual history, they shouldn’t focus on his romantic preferences. If they keep asking the wrong questions about his identity instead of the right ones about his health, Quan will tell them to stop. This part of the learning experience in Shadow Health teaches students to be careful when asking patients about their history and behaviors that affect their health.

Research shows that many nurses don’t know how to properly care for LGBTQ+ people. That’s why Shadow Health chose to focus on this group. They worked with a nursing expert from the Vietnamese American Nurses Association to create Quan’s character. Quan represents an older Asian American group, which is seeing more cases of HIV but isn’t talked about much in healthcare classes.

Shadow Health also did a study, published in Clinical Simulation in Nursing, to see if using pretend patients in virtual lessons can help nursing students learn how to care for patients with HIV. They chose HIV because people who have it often face unfair treatment. The study found that pretending to care for a patient with HIV in a virtual lesson can make nursing students feel more positive about helping such patients.

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