High-Fidelity Simulation Training: A Mixed Method Study
Study Details
Study Description
Brief Summary
The goal of this clinical trial is to compare in describe first-year nursing students' skills. The main questions it aims to answer are:
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Are nursing students who perform the simulation practice with the scenario-based high-fidelity simulation manikin higher than those who perform the practice with the standard demonstration method?
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Are the satisfaction levels of nursing students who perform the simulation practice with the scenario-based high-fidelity simulation manikin higher than those who perform the practice with the standard demonstration method? Researchers will compare two groups of nursing students training with high-fidelity simulation manikin and training with standard demonstration method.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Intervention In the process of teaching personnel protective equipment (PPE) use with the scenario-based high-fidelity simulation mannikin, a simulation application was made with 26 students. The simulation scenario was implemented with 13 groups consisting of 3 students each playing different roles (nurse, head nurse, patient relative). Throughout the scenario, the students who played the role of the nurse and the head nurse simulated the PPE wearing-removal practice in a way to cover all steps of the process (preparation, implementation, and evaluation). During the implementation of the scenario, the student playing the role of the patient's relative provided guiding clues to the nurse when needed. Debriefing was started right after the simulation. Frequency of administration the implementation of each group is once and the debriefing stage where the learning process was reinforced and lasted 30 minutes. |
Device: High-Fidelity Simulation Manikin
A high-fidelity simulator was developed to teach skills in nursing education, and it is sized to represent an adult male patient. The mannequin can be controlled using a computer program, it can breathe, and its vital signs can be monitored using a bedside monitor.
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Other: Control The 26 students who constituted the control group performed the personnel protective equipment (PPE) wearing-removal practice once under the supervision of the researcher at the Fundamentals of Nursing skills laboratory. Frequency of administration the implementation of each group is once. The students applied experiential learning principles through active experience and reflective observation. |
Other: Education
Training for 26 nursing students who constituted the control group performed personnel protective equipment (PPE) wearing-removal practice
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Outcome Measures
Primary Outcome Measures
- Assessing nursing students of skills in wearing-removing personal protective equipment [1 month]
Procedural Steps Checklist was used to assess nursing wearing-removing skills. The checklist for PPE wearing-removal skills was created by the researchers based on their review of the relevant literature (Göçmen Baykara et al. 2020; Patricia Potter et al. 2020; World Health Organization 2021). Opinions were received from five faculty members with expertise in Fundamentals of Nursing for the checklist, and Kendall's W coefficient for the checklist was found as 0.776 (p < .001). The Cronbach's alpha coefficient of the checklist was calculated as 0.64, which showed a moderate level of internal consistency. The checklist to be used for assessment was finalized, and it consisted of 17 items. Each item was scored as 0 or 1, and the minimum and maximum total scores of the checklist were 0 and 17. When the participant performed the procedural step, they received 1 point for the related item, while they received 0 points when they failed to perform the step.
- Describing nursing students of satisfaction levels [1 month]
VAS was used to determine which model was more satisfactory to nursing students. VAS was used to measure the satisfaction levels of the participants based on their own assessment between "0 (not satisfied at all) and 10 (very satisfied)".
Secondary Outcome Measures
- Establish fear of COVID-19 levels of nursing students [Through study completion, an average of 1 month]
Fear of COVID-19 Scale (FCV-19S) was used to determine the COVID-19 fear levels of nursing students. This scale, which was developed by Ahorsu et al. (2020), was adapted to Turkish culture by Bakioğlu, Korkmaz, and Ercan (2020). It is a unidimensional scale consisting of seven items. The item-total correlation coefficients of the scale were reported to vary from 0.47 to 0.56, while its factor loads were reported to vary from 0.66 to 0.74. The Cronbach's alpha coefficient of the scale was reported as α = 0.82. A set of validity and reliability analyses was carried out for the five-point Likert-type scale in its Turkish adaptation study. The authors conducting the study reported Cronbach's alpha coefficient of the scale as 0.88. Other authors also adapted the scale to Turkish (Satıcı et al. 2020). Considering the results of adaptation studies, it may be stated that it is a valid and reliable scale (Ahorsu et al. 2022; Bakioğlu, Korkmaz, and Ercan 2021).
Eligibility Criteria
Criteria
Inclusion Criteria:
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First-year nursing students
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Not have been trained in simulation before
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Taking a nursing fundamentals course for the first time
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Open to communication and volunteering to be involved in the study
Exclusion Criteria:
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Not meeting the inclusion criteria
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Not volunteering to participate in the study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sakarya University | Sakarya | Turkey | 54050 |
Sponsors and Collaborators
- Sakarya University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
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- Alsolais A, Alquwez N, Alotaibi KA, Alqarni AS, Almalki M, Alsolami F, Almazan J, Cruz JP. Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. J Ment Health. 2021 Apr;30(2):194-201. doi: 10.1080/09638237.2021.1922636. Epub 2021 May 12.
- Apisarnthanarak A, Apisarnthanarak P, Siripraparat C, Saengaram P, Leeprechanon N, Weber DJ. Impact of anxiety and fear for COVID-19 toward infection control practices among Thai healthcare workers. Infect Control Hosp Epidemiol. 2020 Sep;41(9):1093-1094. doi: 10.1017/ice.2020.280. Epub 2020 Jun 8. No abstract available.
- Bakioglu F, Korkmaz O, Ercan H. Fear of COVID-19 and Positivity: Mediating Role of Intolerance of Uncertainty, Depression, Anxiety, and Stress. Int J Ment Health Addict. 2021;19(6):2369-2382. doi: 10.1007/s11469-020-00331-y. Epub 2020 May 28.
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- Campanati FLDS, Ribeiro LM, Silva ICRD, Hermann PRS, Brasil GDC, Carneiro KKG, Funghetto SS. Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study. Rev Bras Enferm. 2021 Oct 18;75(2):e20201155. doi: 10.1590/0034-7167-2020-1155. eCollection 2021. English, Portuguese.
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- Eyikara E, Baykara ZG. Effect of simulation on the ability of first year nursing students to learn vital signs. Nurse Educ Today. 2018 Jan;60:101-106. doi: 10.1016/j.nedt.2017.09.023. Epub 2017 Oct 13.
- Fawaz MA, Hamdan-Mansour AM. Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurse Educ Today. 2016 Nov;46:36-42. doi: 10.1016/j.nedt.2016.08.026. Epub 2016 Aug 25.
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- Koukourikos K, Tsaloglidou A, Kourkouta L, Papathanasiou IV, Iliadis C, Fratzana A, Panagiotou A. Simulation in Clinical Nursing Education. Acta Inform Med. 2021 Mar;29(1):15-20. doi: 10.5455/aim.2021.29.15-20.
- Kuru Alici N, Ozturk Copur E. Anxiety and fear of COVID-19 among nursing students during the COVID-19 pandemic: A descriptive correlation study. Perspect Psychiatr Care. 2022 Jan;58(1):141-148. doi: 10.1111/ppc.12851. Epub 2021 May 20.
- Lei YY, Zhu L, Sa YTR, Cui XS. Effects of high-fidelity simulation teaching on nursing students' knowledge, professional skills and clinical ability: A meta-analysis and systematic review. Nurse Educ Pract. 2022 Mar;60:103306. doi: 10.1016/j.nepr.2022.103306. Epub 2022 Feb 2.
- Medina Fernandez IA, Carreno Moreno S, Chaparro Diaz L, Gallegos-Torres RM, Medina Fernandez JA, Hernandez Martinez EK. Fear, Stress, and Knowledge regarding COVID-19 in Nursing Students and Recent Graduates in Mexico. Invest Educ Enferm. 2021 Feb;39(1):e05. doi: 10.17533/udea.iee.v39n1e05.
- Najjar RH, Lyman B, Miehl N. Nursing students' experiences with high-fidelity simulation. Int J Nurs Educ Scholarsh. 2015 Mar 19;12:/j/ijnes.2015.12.issue-1/ijnes-2015-0010/ijnes-2015-0010.xml. doi: 10.1515/ijnes-2015-0010.
- Padilha JM, Machado PP, Ribeiro A, Ramos J, Costa P. Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial. J Med Internet Res. 2019 Mar 18;21(3):e11529. doi: 10.2196/11529. Erratum In: J Med Internet Res. 2019 Jun 27;21(6):e14155.
- Pol-Castaneda S, Carrero-Planells A, Moreno-Mulet C. Use of simulation to improve nursing students' medication administration competence: a mixed-method study. BMC Nurs. 2022 May 16;21(1):117. doi: 10.1186/s12912-022-00897-z. Erratum In: BMC Nurs. 2022 Jun 14;21(1):154.
- Tabah A, Ramanan M, Laupland KB, Buetti N, Cortegiani A, Mellinghoff J, Conway Morris A, Camporota L, Zappella N, Elhadi M, Povoa P, Amrein K, Vidal G, Derde L, Bassetti M, Francois G, Ssi Yan Kai N, De Waele JJ; PPE-SAFE contributors. Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey. J Crit Care. 2020 Oct;59:70-75. doi: 10.1016/j.jcrc.2020.06.005. Epub 2020 Jun 13. Erratum In: J Crit Care. 2021 Jun;63:280-281.
- Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, Tikka C, Ruotsalainen JH, Kilinc Balci FS. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database Syst Rev. 2020 Apr 15;4(4):CD011621. doi: 10.1002/14651858.CD011621.pub4.
- Watson C, Gomez-Ibanez R, Granel N, Bernabeu-Tamayo MD. Nursing students first experience on high fidelity simulation: A phenomenological research study. Nurse Educ Pract. 2021 Aug;55:103162. doi: 10.1016/j.nepr.2021.103162. Epub 2021 Jul 23.
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