Quantifying the Influence of Expert Modeling

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2014-06-30

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Competence Self-efficacy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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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.

Group Type EXPERIMENTAL

Common readings and educational handouts

Intervention Type OTHER

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.

Expert Modeling

Intervention Type OTHER

70 minutes of expert modeling videos

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.

Group Type ACTIVE_COMPARATOR

Common readings and educational handouts

Intervention Type OTHER

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.

Voice Over Power Point

Intervention Type OTHER

60 minutes of Voice Over PowerPoint presentations

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

Group Type PLACEBO_COMPARATOR

Common readings and educational handouts

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER