Standard Patient Simulation in Nursing Students' Approach Toward Patients With Bipolar Disorder

NCT04027933 | Completed

• 1 other identifier: Nesibe GUNAY MOLU
• Study Type: interventional
• Target: 83
• Locations: 1 country
• Sites: 1

Brief Summary

The study was conducted to determine the effect of the simulation method with the participation of standardized patients towards the patients suffering from bipolar disorder to benefit the education of the psychiatry nursing students. The Research Questions

1. 1.Does the use of simulation training with the standardized patients have any effect on the average scores of the fear and behavioral intentions of the students as they approach patients with bipolar disorder?
2. 2.Does the use of simulation training with the standardized patients have any effect on the average scores of the communication skills assessment scale of the students as they approach patients with bipolar disorder?
3. 3.Does the use of simulation training with the standardized patients have any effect on the average scores of the state and trait anxiety level of the students as they approach patients with bipolar disorder?
4. 4.Does the use of simulation training with the standardized patients have any effect on the average scores of the clinical decision making in the nursing scale of the students as they approach patients with bipolar disorder?
5. 5.Does the use of simulation training with the standardized patients have any effect on the average scores of the self-efficacy - sufficiency scale of the students as they approach patients with bipolar disorder?

Conditions

Educational Problems; Anxiety and Fear; Nurse-Patient Relations

Keywords

Psychiatric nursing; Simulation; Standardized patients

Outcome Measures

Primary Outcomes (5)

• Fear and Behavior Intent Scale

  The scale, developed by Wolf (1996) measures fear and behavioral attitudes toward mentally disordered patients. The scale was adapted into Turkish by Günay Molu and Özkan after the required permission was taken from the e-mail address on the original article (Günay Molu and Özkan 2018). It is a 5-Likert type scale including ten items, and each item is graded between 1-5. An change in the total score of the scale means an change in negative attitudes towards the mentally disordered patient. Cronbach's alpha was 0.784.

  Change from fear and behavioral intentions of the students at 2 months.

• The Communication Skills Assessment Scale

  The 5-Likert type scale developed by Korkut (1996) is scored from "always" to "never". The scale consists of 25 items in total, and the maximum possible score is 100 while zero is the minimum. Higher scores indicate better communication skills. The reliability coefficient is .76 and the alpha internal consistency coefficient is .80.

  Change from communication skills assessment scale of the students at 2 months.

• State and Trait Anxiety Level

  The scale developed by Spielberger in 1970 is a self-assessment questionnaire which is used to define state and trait anxiety levels. It was adapted into Turkish by Öner and Le Compte in 1985. It is a 4-Likert type scale. The scores of both scales range from 20 to 80 in total (Oner, 1992). It is reported that the Alpha's coefficient ranges between .83 and .87, while the test re-test reliability ranges between .71 and .86, and the item reliability ranges between .34 and .72.

  Change from the state and trait anxiety level of the students at 2 months.

• Self-Efficacy - Sufficiency Scale

  The scale developed by Sherer et al. (1982) and adapted into Turkish by Gözüm and Aksayan (1999) was developed to assess behavior and behavioral changes. It is a 23 item 5-Likert type self-assessment scale. Its score ranges between 23 and 115. Higher scores mean that the individual has higher SES perception (Gözüm and Aksayan, 1999). The reliability and validity of the Turkish version was done for the same sample, and the Cronbach's alpha internal consistency coefficient was found to be .81, and the test re-test reliability was .92.

  Change from the self-efficacy - sufficiency scale of the students at 2 months.

• Clinical Decision Making in The Nursing Scale

  The scale developed by Jenkins (1983) defines the clinical decision making perceptions of nursing students. The original scale consists of 40 items and four sub-scales. Each sub-scale consists of 10 items. Total score ranges between 40 and 200, and each subscale ranges between 10 and 50 with no cut-off point. Total Cronbach's alpha reliability coefficient is 0.78.

  Change from the clinical decision making in the nursing scale of the students at 2 months.

Study Arms (2)

Experimental

ACTIVE COMPARATOR

Education Based on Standard Patient Simulation was given to this group

Behavioral: Education Based on Standard Patient Simulation

Control

NO INTERVENTION

Control group

Interventions

Education Based on Standard Patient Simulation BEHAVIORAL

In the first phase of the study, a theoretical education was provided to the students. In the second phase, the students in the experimental and control groups who completed their theoretical education were given data collection forms. In the third phase, after the scales were implemented, there was no intervention with the control group. There was a standard patient implementation to the experimental group. In the fourth phase of the study, after completing the simulation practice, all scales were re-applied both to the experimental and control groups. The scales were applied after the simulation training was completed and students were sent to the clinical practice after three weeks. In the fourth phase of the study, right before the students practiced their trainings and at the end of the initial rotations of the clinical practice, which turned out to be about four weeks later on average, all scales were re-applied both to the experimental and control groups.

Experimental

Eligibility Criteria

• Age: 17 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Volunteer Students

You may not qualify if:

• Foreign National Students

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Ankara Yıldırım Beyazıt Universty, Faculty Of Health Sciences, Department Nursing, Mental health and Nursing

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Birgül Özkan, Assoc. Prof

  Ankara Yildirim Beyazıt University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcomes Assessor does not know which group the data belongs to.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Nursing Department, Principal Investigator and Phd student

Model Details: Two parallel group pretest-poshest randomized control trial

Study Record Dates

• First Submitted: July 2, 2019
• First Posted: July 22, 2019
• Study Start: September 28, 2017
• Primary Completion: November 23, 2017
• Study Completion: November 23, 2017
• Last Updated: July 22, 2019

Record last verified: 2019-07

Locations

TU (1)