In this paper, we focus on the difficulties faced by theater troupe members when beginning work as simulated patients, and we consider how to improve support and develop their understanding of the situation. A questionnaire survey was conducted for 20 female members of a senior musical theater group to assess the challenges they experienced while acting as simulated patients in a simulation exercise in chronic care nursing. Comparison of the mean scores for difficulty items revealed the following concerns with higher than average scores: “superimposing my own experiences onto those of the patient in the scenario,” “acting out the role of a patient with an unfamiliar disease,” “imagining the treatment situation and environment,” “empathizing with the emotions of a patient with a disease,” “being concerned that my comments might influence students’ learning,” and “being overly considerate of students’ perspectives, which affects my performance.” These findings highlight the importance of providing early explanations and requests for participation to help troupe members develop a clear understanding of the patient role and the care they will receive. Additionally, training that leverages strengths in acting and feedback, adjustments to the environment to facilitate relaxed performances, and further support to enhance awareness of the educational role are important considerations.
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