Effectiveness of Simulation With Nursing Students in the Care of Patients With Sepsis

NCT ID: NCT04512183

Last Updated: 2020-08-13

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-01

Study Completion Date

2021-08-31

Brief Summary

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Simulation is an active teaching strategy capable of reproducing real situations and allowing practical experiences, in which the student is the protagonist of his own knowledge. Scientific evidence highlights, that exposure to the unknown or new can generate stress to the individual, but when dosed, to a certain extent it can increase the level of knowledge. Not infrequently, the lack of stress control can trigger physiological and subjective changes resulting from the increase in its level, such as situations that include the implementation of simulation scenarios in pedagogical teaching models.

Detailed Description

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Objective:

To evaluate the effect of simulation (high and low fidelity) on the cognitive, physiological and emotional sphere of nursing students in caring for patients with signs of sepsis.

Hypothesis of the study:

Null hypothesis: Students undergoing high-fidelity simulation will show similar levels of stress, cognitive performance and retention of knowledge in relation to those who will perform low-fidelity simulation in patients with signs of sepsis.

Alternative hypothesis: The cognitive performance and stress will be higher in students who experience high fidelity simulation when compared to students who experience low fidelity simulation.

Conditions

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Learning Process in Nursing Graduation Stress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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High-Fidelity Simulation

First, students will go through an inverted class on sepsis. Then, they will be submitted to high-fidelity simulation scenarios to care for patients with sespe. After the scenario, the students' physiological parameters (blood pressure, heart rate, body temperature, respiratory rate and oxygen saturation) will be measured. After the scenario, students will go through a reflective debriefing session.

Group Type EXPERIMENTAL

High-Fidelity Simulation

Intervention Type OTHER

Teaching strategy based on high-fidelity simulation, which simulates the reality of health care to promote meaningful learning.

Low-Fidelity Simulation

First, students will go through an inverted class on sepsis. Then, they will be submitted to low-fidelity simulation scenarios to care for patients with sespe. After the scenario, the students' physiological parameters (blood pressure, heart rate, body temperature, respiratory rate and oxygen saturation) will be measured. After the scenario, students will go through a feedback session.

Group Type ACTIVE_COMPARATOR

Low-Fidelity Simulation

Intervention Type OTHER

Teaching strategy based on low-fidelity simulation, which simulates the reality of health care using less technological and less interactive mannequins.

Interventions

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High-Fidelity Simulation

Teaching strategy based on high-fidelity simulation, which simulates the reality of health care to promote meaningful learning.

Intervention Type OTHER

Low-Fidelity Simulation

Teaching strategy based on low-fidelity simulation, which simulates the reality of health care using less technological and less interactive mannequins.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Students approved in the discipline related to nursing care for adult and elderly patients;
* Aged over 18 years.

Exclusion Criteria

* Who have experience in the health field (firefighters and nursing technicians, among others);
* Members of the Health Simulation League;
* Those who do not complete all stages of the research.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Brasilia

OTHER

Sponsor Role lead

Responsible Party

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Marcia Cristina da Silva Magro

Principal Investigator; PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcia CS Magro, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Brasilia

Central Contacts

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Marcia CS Magro, PhD

Role: CONTACT

5561982690888

Barbara S Rodrigues, Graduate

Role: CONTACT

5561982409357

References

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Boostel R, Felix JVC, Bortolato-Major C, Pedrolo E, Vayego SA, Mantovani MF. Stress of nursing students in clinical simulation: a randomized clinical trial. Rev Bras Enferm. 2018 May;71(3):967-974. doi: 10.1590/0034-7167-2017-0187. English, Portuguese.

Reference Type BACKGROUND
PMID: 29924167 (View on PubMed)

Kaneko RMU, Lopes MHBM. Realistic health care simulation scenario: what is relevant for its design? Rev Esc Enferm USP. 2019 May 30;53:e03453. doi: 10.1590/S1980-220X2018015703453. English, Portuguese.

Reference Type BACKGROUND
PMID: 31166535 (View on PubMed)

Bingham AL, Sen S, Finn LA, Cawley MJ. Retention of advanced cardiac life support knowledge and skills following high-fidelity mannequin simulation training. Am J Pharm Educ. 2015 Feb 17;79(1):12. doi: 10.5688/ajpe79112.

Reference Type BACKGROUND
PMID: 25741028 (View on PubMed)

Machado FR, Assuncao MS, Cavalcanti AB, Japiassu AM, Azevedo LC, Oliveira MC. Getting a consensus: advantages and disadvantages of Sepsis 3 in the context of middle-income settings. Rev Bras Ter Intensiva. 2016 Oct-Dec;28(4):361-365. doi: 10.5935/0103-507X.20160068. No abstract available.

Reference Type BACKGROUND
PMID: 28099632 (View on PubMed)

Englert NC, McDermott D. Back to Fundamentals: Using High- and Low-Fidelity Simulation to Provide Reinforcement of Preventative Measures for Sepsis. Crit Care Nurs Q. 2016 Jan-Mar;39(1):14-23. doi: 10.1097/CNQ.0000000000000097.

Reference Type BACKGROUND
PMID: 26633154 (View on PubMed)

Other Identifiers

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3906816

Identifier Type: -

Identifier Source: org_study_id

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