Quantifying the Influence of Expert Modeling

Sponsor

Oregon Health and Science University (Other)

Overall Status

Completed

CT.gov ID

NCT02100215

Collaborator

(none)

Enrollment

Location

Arms

Duration (Months)

2.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this study is to learn more about the effects of various types of simulation preparation methods on novice nurses' competence and self-efficacy. Participants will be recruited from an academic course (N424 Integrated Practicum). Participants will be randomized to three intervention groups (i.e. expert modeling video, voice over PowerPoint, and traditional readings). All participants will complete self-efficacy surveys and two simulations. During simulation, participants will be scored based on their competence according to a performance rubric. The hypothesis is that participants in the expert modeling group will demonstrate more change in competence and report more change in self-efficacy scores than participants in other groups.

Condition or Disease	Intervention/Treatment	Phase
Competence Self-efficacy	Other: Common readings and educational handouts Other: Expert Modeling Other: Voice Over Power Point	N/A

Detailed Description

Investigators will compare self-confidence and competence scores between the three groups after the pre-test and posttest simulations. The self-efficacy survey is an 7-item scale that involves participants rating their self-efficacy about providing care for multiple patients. Participants rate their self-efficacy on a 1 to 5 (not confident to very confident scale). The survey takes 5 minutes to complete. The self-efficacy survey has been used in many simulation research studies previously with novice nurses. Competence will be measured with a rater-observation measure which has previously been used in simulation research.

Study Design

Study Type:

Interventional

Actual Enrollment :

20 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Triple (Participant, Investigator, Outcomes Assessor)

Primary Purpose:

Other

Official Title:

Quantifying the Influence of Expert Modeling on Novice Nurse Competence and Self-Efficacy

Study Start Date :

Nov 1, 2013

Actual Primary Completion Date :

Jun 1, 2014

Actual Study Completion Date :

Jun 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Expert Modeling Participants will have access to 70 minutes of expert modeling videos available over 5 weeks on an online learning management system. The investigator will be the expert model in the videos. Expert modeling videos will address content related to seven concepts: Taking report with a graphic organizer worksheet, prioritizing patient care, delegating to unlicensed assistive personnel, safety checks in patient rooms, focused physical assessments, safe medication administration, and using a standardized healthcare provider communication tool on the telephone.	Other: Common readings and educational handouts Participants in all groups have common readings related to policies for nursing care in acute care facilities. There will be additional handouts related to performing safety checks and a focused physical assessment. Other: Expert Modeling 70 minutes of expert modeling videos
Active Comparator: Voice Over PowerPoint Participants will have access to 60 minutes of voice over PowerPoint slides, available over 5 weeks on an online learning management system, specifically to match exposure and content with the expert modeling video group. The script for PowerPoint will contain content related to the aforementioned seven concepts. There will be static photos, but no expert modeling videos, on PowerPoint slides. The investigator will narrate the voice over PowerPoint.	Other: Common readings and educational handouts Participants in all groups have common readings related to policies for nursing care in acute care facilities. There will be additional handouts related to performing safety checks and a focused physical assessment. Other: Voice Over Power Point 60 minutes of Voice Over PowerPoint presentations
Placebo Comparator: Reading Participants will have access to articles, policies, and procedures on an online learning management system. The estimated time required for participants to review these materials is 45 minutes	Other: Common readings and educational handouts Participants in all groups have common readings related to policies for nursing care in acute care facilities. There will be additional handouts related to performing safety checks and a focused physical assessment.

Arm

Intervention/Treatment

Experimental: Expert Modeling

Participants will have access to 70 minutes of expert modeling videos available over 5 weeks on an online learning management system. The investigator will be the expert model in the videos. Expert modeling videos will address content related to seven concepts: Taking report with a graphic organizer worksheet, prioritizing patient care, delegating to unlicensed assistive personnel, safety checks in patient rooms, focused physical assessments, safe medication administration, and using a standardized healthcare provider communication tool on the telephone.

Other: Common readings and educational handouts

Participants in all groups have common readings related to policies for nursing care in acute care facilities. There will be additional handouts related to performing safety checks and a focused physical assessment.

Other: Expert Modeling

70 minutes of expert modeling videos

Active Comparator: Voice Over PowerPoint

Participants will have access to 60 minutes of voice over PowerPoint slides, available over 5 weeks on an online learning management system, specifically to match exposure and content with the expert modeling video group. The script for PowerPoint will contain content related to the aforementioned seven concepts. There will be static photos, but no expert modeling videos, on PowerPoint slides. The investigator will narrate the voice over PowerPoint.

Other: Common readings and educational handouts

Other: Voice Over Power Point

60 minutes of Voice Over PowerPoint presentations

Placebo Comparator: Reading

Participants will have access to articles, policies, and procedures on an online learning management system. The estimated time required for participants to review these materials is 45 minutes

Other: Common readings and educational handouts

Outcome Measures

Primary Outcome Measures

Creighton Simulation Evaluation Instrument [Change from baseline on Creighton Simulation Evaluation Instrument at 5 weeks]

Secondary Outcome Measures

National League for Nursing Student Satisfaction and Self-Confidence with Learning scale [Change from baseline on NLN Student Satisfaction and Self-Confidence with Learning scale at 5 weeks]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 60 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Enrolled in capstone clinical course
Oregon Consortium for Nursing Education curriculum
Ashland, OR

Exclusion Criteria:

No exclusion criteria

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Oregon Health & Science University, School of Nursing	Ashland	Oregon	United States	97520

Sponsors and Collaborators

Oregon Health and Science University

Investigators

Principal Investigator: Ashley Franklin, Oregon Health and Science University
Study Chair: Christopher S Lee, PhD, Oregon Health and Science University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Ashley Franklin, Instructor, Oregon Health and Science University

ClinicalTrials.gov Identifier:

NCT02100215

Other Study ID Numbers:

MPtSim-Ashland

First Posted:

Mar 31, 2014

Last Update Posted:

May 2, 2019

Last Verified:

Apr 1, 2019

Keywords provided by Ashley Franklin, Instructor, Oregon Health and Science University

Study Results

No Results Posted as of May 2, 2019