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

NCT04512183 | Unknown

• 1 other identifier: 3906816
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Learning Process in Nursing Graduation; Stress

Keywords

Simulation; Stress, Psychological; Nursing, Education; Simulation Training; Learning

Outcome Measures

Primary Outcomes (3)

• Cognitive Performance (Baseline)

  Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

  Applied before the intervention

• Cognitive Performance (Post-test)

  Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

  Applied immediately after the intervention

• Cognitive Performance (Retention)

  Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

  Applied thirty days after the intervention

Secondary Outcomes (2)

• Student stress (Baseline)

  Before the intervention

• Student stress (Post-test)

  Immediately after the intervention

Study Arms (2)

High-Fidelity Simulation

EXPERIMENTAL

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.

Other: High-Fidelity Simulation

Low-Fidelity Simulation

ACTIVE COMPARATOR

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.

Other: Low-Fidelity Simulation

Interventions

High-Fidelity Simulation OTHER

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

High-Fidelity Simulation

Low-Fidelity Simulation OTHER

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

Low-Fidelity Simulation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• University of Brasilia: lead

Related Publications (5)

• 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.

  PMID: 29924167 BACKGROUND

• 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.

  PMID: 31166535 BACKGROUND

• 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.

  PMID: 25741028 BACKGROUND

• 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.

  PMID: 28099632 BACKGROUND

• 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.

  PMID: 26633154 BACKGROUND

MeSH Terms

Conditions

Stress, Psychological

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Marcia CS Magro, PhD

  University of Brasilia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Marcia CS Magro, PhD

CONTACT

5561982690888; marciamagro@unb.br

Barbara S Rodrigues, Graduate

CONTACT

5561982409357; mio.barby@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator; PhD

Study Record Dates

• First Submitted: August 2, 2020
• First Posted: August 13, 2020
• Study Start: September 1, 2020
• Primary Completion: March 30, 2021
• Study Completion: August 31, 2021
• Last Updated: August 13, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share