Effectiveness of a Multimodal Intervention With Simulation for Learning Home Health Nursing Care of Patients With Multimorbidity and Heart Failure
NCT ID: NCT06855719
Last Updated: 2025-07-03
Study Results
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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COMPLETED
NA
80 participants
INTERVENTIONAL
2025-03-10
2025-05-23
Brief Summary
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* Does using validated simulation scenarios on multipathological patients with heart failure improve care competencies in nursing students?
* Does knowledge of scientific evidence and healthcare protocols improve nursing students' performance in the simulator?
Researchers will compare a multimodal intervention with high-fidelity simulations on home health nursing to conventional intervention (theoretical teaching) to see if nursing students better learn competencies related to the care of patients with multimorbidity and heart failure during the home health nursing.
Participants will:
* Experience simulations on validated simulation scenarios on multipathological patients with heart failure (All participants).
* Reflect on the intervention performed on the simulator through individual and group debriefings (Experimental Group).
* Learn about the main scientific evidence and international and national protocols related to comorbidities and health failure (Experimental Group).
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
DOUBLE
Study Groups
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Experimental Group
Students will receive simulation training, which will be evaluated through individual and group debriefing sessions. They will also have access to their recording simulations for autonomous learning. They will learn the protocols and current scientific evidence on the care of multipathologic patients with heart failure.
Training in high-fidelity simulation and knowledge of care protocols in patients with multimorbidity and heart failure
Participants will perform an individual simulation as nurses related to the patient profile in their home (pretest and postest). After each simulation, each participant will receive a recording of their simulation, and both individual and group debriefings will be conducted. In addition, they will be trained in scientific evidence and international and national protocols regarding the care of these patients in the context of home health nursing.
Control Group
Students will receive only theoretical teaching about primary health care in nursing.
No interventions assigned to this group
Interventions
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Training in high-fidelity simulation and knowledge of care protocols in patients with multimorbidity and heart failure
Participants will perform an individual simulation as nurses related to the patient profile in their home (pretest and postest). After each simulation, each participant will receive a recording of their simulation, and both individual and group debriefings will be conducted. In addition, they will be trained in scientific evidence and international and national protocols regarding the care of these patients in the context of home health nursing.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Failure to follow the instructions of the instructors during the course of the study.
* Voluntary withdrawal from the study during the study or declaring non-participation.
18 Years
ALL
Yes
Sponsors
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University of Cadiz
OTHER
Responsible Party
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Antonio Jesús Marín Paz
Principal Investigator
Locations
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Faculty of Nursing
Algeciras, Cadiz, Spain
Countries
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References
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Zeidi IM, Morshedi H, Alizadeh Otaghvar H. A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients. J Prev Med Hyg. 2021 Jan 14;61(4):E601-E613. doi: 10.15167/2421-4248/jpmh2020.61.4.1504. eCollection 2020 Dec.
Turen S, Enc N. A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial. Appl Nurs Res. 2020 Jun;53:151247. doi: 10.1016/j.apnr.2020.151247. Epub 2020 Mar 5.
Villalba NL, Ballesteros BC, Alvarez LP, Mainar PD, Sanchez AN, Martinez JM, Manuel EC, Bailon MM. [Predictive factors of early readmission and mortality in patients with heart failure hospitalized in the Department of Internal Medicine of the San Carlos University Hospital, Spain]. Pan Afr Med J. 2019 Dec 17;34:202. doi: 10.11604/pamj.2019.34.202.17356. eCollection 2019. French.
Skou ST, Mair FS, Fortin M, Guthrie B, Nunes BP, Miranda JJ, Boyd CM, Pati S, Mtenga S, Smith SM. Multimorbidity. Nat Rev Dis Primers. 2022 Jul 14;8(1):48. doi: 10.1038/s41572-022-00376-4.
Santos GC, Liljeroos M, Dwyer AA, Jaques C, Girard J, Stromberg A, Hullin R, Schafer-Keller P. Symptom perception in heart failure - Interventions and outcomes: A scoping review. Int J Nurs Stud. 2021 Apr;116:103524. doi: 10.1016/j.ijnurstu.2020.103524. Epub 2020 Jan 10.
Jara Jara V, Sambuceti Nunez C. Clinical Simulation in Nursing: A Scale to Evaluate Satisfaction and Self-Confidence in Learning. Stud Health Technol Inform. 2018;250:89-90.
Merrou S, Baslam A, Idrissi Jouicha A, Ouhaz Z, El Adib AR. Blended learning and simulation in nursing education: A quasi-experimental study on a nursing institute. J Educ Health Promot. 2023 Sep 29;12:303. doi: 10.4103/jehp.jehp_72_23. eCollection 2023.
Martinez-Arce A, Rodriguez-Almagro J, Velez-Velez E, Rodriguez-Gomez P, Tovar-Reinoso A, Hernandez-Martinez A. Validation of a short version of the high-fidelity simulation satisfaction scale in nursing students. BMC Nurs. 2023 Sep 28;22(1):344. doi: 10.1186/s12912-023-01515-2.
Fernandez-Gutierrez M, Bas-Sarmiento P, Del Pino-Chinchilla H, Poza-Mendez M, Marin-Paz AJ. Effectiveness of a multimodal intervention and the simulation flow to improve empathy and attitudes towards older adults in nursing students: A crossover randomised controlled trial. Nurse Educ Pract. 2022 Oct;64:103430. doi: 10.1016/j.nepr.2022.103430. Epub 2022 Aug 22.
Fegran L, Ten Ham-Baloyi W, Fossum M, Hovland OJ, Naidoo JR, van Rooyen DRM, Sejersted E, Robstad N. Simulation debriefing as part of simulation for clinical teaching and learning in nursing education: A scoping review. Nurs Open. 2023 Mar;10(3):1217-1233. doi: 10.1002/nop2.1426. Epub 2022 Nov 9.
Driscoll A, Gao L, Watts JJ. Clinical effectiveness and cost-effectiveness of ambulatory heart failure nurse-led services: an integrated review. BMC Cardiovasc Disord. 2022 Feb 22;22(1):64. doi: 10.1186/s12872-022-02509-9.
De Maria M, Ausili D, Lorini S, Vellone E, Riegel B, Matarese M. Patient Self-Care and Caregiver Contribution to Patient Self-Care of Chronic Conditions: What Is Dyadic and What It Is Not. Value Health. 2022 Jul;25(7):1165-1173. doi: 10.1016/j.jval.2022.01.007. Epub 2022 Mar 23.
Chen J, Aronowitz P. Congestive Heart Failure. Med Clin North Am. 2022 May;106(3):447-458. doi: 10.1016/j.mcna.2021.12.002. Epub 2022 Apr 4.
Bas-Sarmiento P, Fernandez-Gutierrez M, Poza-Mendez M, Marin-Paz AJ, Paloma-Castro O, Romero-Sanchez JM; ASyAG_PPIC Team. Development and Effectiveness of a Mobile Health Intervention in Improving Health Literacy and Self-management of Patients With Multimorbidity and Heart Failure: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2022 Apr 29;11(4):e35945. doi: 10.2196/35945.
Bas-Sarmiento P, Fernandez-Gutierrez M, Poza-Mendez M, Carrasco-Bernal MA, Cuenca-Garcia M, Diaz-Rodriguez M, Gomez-Jimenez MP, Paloma-Castro O, Torres-Castano A, Marin-Paz AJ. Needs of patients with multi-morbidity and heart failure for the development of a mHealth to improve their self-management: A qualitative analysis. Digit Health. 2023 Jun 8;9:20552076231180466. doi: 10.1177/20552076231180466. eCollection 2023 Jan-Dec.
Al-Hassan NM, Aldohaim SA, Benhjji MA, Al-Harbi OK, Alsaadi NA, Almogbel O, Elnour E, Hersi A. Prevalence and risk of hospitalization for depression in patients with heart failure. Curr Probl Cardiol. 2024 Nov;49(11):102793. doi: 10.1016/j.cpcardiol.2024.102793. Epub 2024 Aug 8.
Alconero-Camarero AR, -Romero AG, Sarabia-Cobo CM, Arce AM. "Clinical simulation as a learning tool in undergraduate nursing: Validation of a questionnaire". Nurse Educ Today. 2016 Apr;39:128-34. doi: 10.1016/j.nedt.2016.01.027. Epub 2016 Feb 4.
Provided Documents
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Document Type: Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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087_2024
Identifier Type: -
Identifier Source: org_study_id
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