Patient Assessment, and Anxiety and Self-Confidence With Clinical Decision Making in Auscultation Skills With Simulation

NCT ID: NCT05668273

Last Updated: 2023-08-23

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-05

Study Completion Date

2023-07-06

Brief Summary

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This research is a randomized controlled experimental design. This research will be applied within the scope of the Health Assessment Course. The population of the research will be the students enrolled in the Health Assessment Course (n=138). The sample will consist of students who volunteered to participate in the research.

Introductory Specifications Form, Nursing Anxiety and Self-Confidence with Clinical Decision-Making scale, Auscultation of Heart, Lung, and Bowel Sounds Checklist, and Opinions of Students about the Auscultation Skills Training will be used in the implementation of the research.

Permission was obtained from the Gazi University Ethics Committee and the Dean of the Faculty of Health Sciences to conduct the research. Informed consent will be obtained from the students who will participate in the research.

Detailed Description

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This research will be applied within the scope of the Health Assessment Course in Gazi University Faculty of Nursing in the fall and spring semesters of the 2022-2023 academic year. The population of the research will be the students enrolled in the Health Assessment Course (n=138). The sample will consist of students who volunteered to participate in the research.

Introductory Specifications Form, Nursing Anxiety and Self-Confidence with Clinical Decision-Making scale, Auscultation of Heart, Lung, and Bowel Sounds Checklist, and Opinions of Students about the Auscultation Skills Training will be used in the implementation of the research.

The researcher will teach all students the theoretical content of the subject. The students who meet the criteria for inclusion in the research will then be given the Introductory Specifications Form and the Nursing Anxiety and Self-Confidence with Clinical Decision-Making scale (pre-test). Students will be divided into three groups based on their academic averages and scale scores using stratified randomization. Students in experimental group 1 will be trained with a standardized patient, students in experimental group 2 will be trained with a high-fidelity simulator, and students in the control group will be trained with their peers. Following the completion of the application, the students will participate in a debriefing session. Students will be evaluated using checklists one week after submitting their applications. At this point, students in experimental group 1 will practice auscultation of heart, lung, and bowel sounds on a standardized patient, students in experimental group 2 will practice on a high-fidelity simulator, and students in the control group will practice on their peers.

While the students are applying, the observers will fill out the checklist for each item from the "observed," "incorrect/incomplete," and "not observed" options. Following the application, students will complete the Nursing Anxiety and Self-Confidence with Clinical Decision-Making scale (post-test).

During the spring semester, students will participate in clinical practice at various clinics two days per week as part of the Surgical Nursing Course. They also use auscultation skills in clinical settings. Students in the Experimental 1, Experimental 2, and Control groups will complete the Nursing Anxiety and Self-Confidence with Clinical Decision-Making scale and Opinions of Students about the Auscultation Skills Training at the end of the spring semester (when clinical applications are completed) (follow-up test).

Permission was obtained from the Gazi University Ethics Committee and the Dean of the Faculty of Health Sciences to conduct the research. Informed consent will be obtained from the students who will participate in the research.

The quantitative data from this study will be digitized in the SPSS package program, and the necessary statistical analyses will be performed.

Conditions

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Anxiety Self-Confidence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This research is a randomized controlled experimental design.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

The analysis of the tests data will be done by the statistician. No information will be given to the statistician about which group the participants are in.

Study Groups

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education with simulated patient

Participants will be given training on auscultation skills with a simulated patient.

Group Type EXPERIMENTAL

education with simulated patient

Intervention Type OTHER

Students in the education with the simulated patient group will practice auscultation skills on the simulated patient with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination. A debriefing session will be held with the students by the educator right after the students have finished the application.

education with simulator

Participants will be given training on auscultation skills with a simulation.

Group Type EXPERIMENTAL

education with simulator

Intervention Type OTHER

Students in the simulator group will practice auscultation skills on high fidelity simulator with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination. A debriefing session will be held with the students by the educator right after the students have finished the application.

control group

Participants will be given training on auscultation skills with their peer students.

Group Type ACTIVE_COMPARATOR

control group

Intervention Type OTHER

Students in the control group will practice auscultation skills on their peers with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination.

Interventions

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education with simulated patient

Students in the education with the simulated patient group will practice auscultation skills on the simulated patient with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination. A debriefing session will be held with the students by the educator right after the students have finished the application.

Intervention Type OTHER

education with simulator

Students in the simulator group will practice auscultation skills on high fidelity simulator with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination. A debriefing session will be held with the students by the educator right after the students have finished the application.

Intervention Type OTHER

control group

Students in the control group will practice auscultation skills on their peers with heart, lung, and bowel sounds. There will be a lecturer at the head of the group who will provide the necessary coordination.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Enrolling in the Health Assessment Course for the first time
* Volunteering to participate in research

Exclusion Criteria

* Having a high school, associate, or undergraduate degree in a health-related field,
* Take a previous course in health assessment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Gazi University

OTHER

Sponsor Role lead

Responsible Party

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Evrim Eyikara

Research Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nurcan Çalışkan, Prof.

Role: STUDY_DIRECTOR

Gazi University

Locations

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Gazi University

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Bektaş, İ., Yardımcı, F., Bektaş, M., & White, K. A. (2017). Psychometric properties of the Turkish version of nursing anxiety and self-confidence with clinical decision-making scale (NASC-CDM-T). Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 10(2), 83-92.

Reference Type BACKGROUND

Gawlik, K.S., Melnyk, B.M., Teall, A.M. (Eds.), (2022), Evidence-based physical examination handbook, Springer Publishing Company, LLC

Reference Type BACKGROUND

Hogan-Quigley, B., Palm, M.L., Bickley, L.S., (2012). Bates' nursing guide to physical examination and history taking. Wolters Kluwer Health | Lippincott Williams & Wilkins.

Reference Type BACKGROUND

Other Identifiers

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GaziU-SBF-SA-2

Identifier Type: -

Identifier Source: org_study_id

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