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Medical and nursing students are often anxious about communicating with patients with mental health problems, even when they have received general communication skills training. Communication is particularly challenging when patients are compulsorily admitted to hospital. The study reported here sought to explore medical and nursing students' attitudes to this challenge, stimulated by watching a DVD illustrating professional‐patient communications in this situation. Facilitated discussions of the DVD were recorded and the transcripts were thematically analysed. A strong commitment to three underlying principles of patient‐centred care emerged.1. A preference for egalitarian over authoritarian relationships between patients and professionals.2. A preference for empathetic over bureaucratic approaches to patients.3. Respect for patients as autonomous beings.Students seemed less aware of the need for clear and effective communication of information, and some appear confused about patient‐professional boundaries.

The purpose of this paper is to explore a method of incorporating on-line role play in mental health nursing education. Recreation of meaningful and realistic simulations for mental health nurses is challenging. Examination of the literature reveals there is a gap in the provision of simulations that replicate practice, encourage the development of skills and promote responsibility. Those that exist may require significant investment in complex technologies or a high degree of planning and time commitment.

An evaluation of a pedagogical design that used an on-line survey to gather responses and thematic analysis was undertaken.

The findings identified that students engaged with the case leading to a realistic experience of case management and development of professional communication skills.

This evaluation could be expanded further to a more formal study examining the students’ emotional responses and learning as they progress through the activity.

The activity outlined in this paper demonstrates that a relatively simple approach can result in deep learning whereby the student can fully experience the role of a qualified practitioner. This model could easily be adopted by other higher education institutions or as a part of continuing professional development.

This paper combines previously researched methods of providing role play to mental health nursing students. It has addressed the critiques of other methodologies such as being time consuming, expensive or lacking in realism. The end product, is low cost, manageable from the lecturers perspective and delivers important learning outcomes to the students.

By the end of this chapter, you should be able to demonstrate an understanding of:

How sustainability messages have diffused into mainstream discourse?

The role of behavioural economics, specifically nudge theory, in encouraging sustainable behaviours.

The visual elements in marketing that support nudge theory.

How businesses are aligning with consumer concern for sustainability to illustrate their ‘wokeness’ to social issues.