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

NCT05668273 | Completed

• 1 other identifier: GaziU-SBF-SA-2
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Anxiety; Self-Confidence

Keywords

Simulation; Nursing; Auscultation; Patient assessment

Outcome Measures

Primary Outcomes (2)

• The Change of the Nursing Anxiety and Self-Confidence with Clinical Decision-Making

  This scale consists of 27 questions. Separate scores are obtained for self-confidence and anxiety from the scale. For both self-confidence and anxiety sections of the scale; It has three sub-dimensions: "Using resources to obtain information and listening fully (13 questions)", "Using the information at hand to determine the problem (7 questions)" and "knowing and acting (7 questions)". As the scores obtained from the self-confidence section and its sub-dimensions increase, the self-confidence level of the student increases, and the low scores obtained from the anxiety section and its sub-dimensions indicate a low level of anxiety. In the scale prepared in a six-point likert type; The lowest score that can be obtained from the self-confidence and anxiety sections is 27, and the highest score is 162.

  5 months

• Auscultation of Heart, Lung and Bowel Sounds Checklist

  The checklist has been prepared in line with the objectives of the course content on heart, lung and bowel sounds. It consists of application steps that include the process steps in detail. It was created in the form of a rubric in order to observe the students objectively. Each item in the checklist has different scores according to its importance. The total score to be taken from all of them is 50. Expert opinion of the checklist was taken by 5 faculty members who are experts in the field.

  One week

Secondary Outcomes (1)

• Opinions of students about the auscultation skills training

  one week

Study Arms (3)

education with simulated patient

EXPERIMENTAL

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

Other: education with simulated patient

education with simulator

EXPERIMENTAL

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

Other: education with simulator

control group

ACTIVE COMPARATOR

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

Other: control group

Interventions

education with simulated patient 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 simulated patient

education with simulator 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.

education with simulator

control group 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.

control group

Eligibility Criteria

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

You may qualify if:

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

You may not qualify if:

• Having a high school, associate, or undergraduate degree in a health-related field,
• Take a previous course in health assessment

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, 06490, Turkey (Türkiye)

Location

Related Publications (3)

• 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.

  BACKGROUND

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

  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.

  BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Educational Status; Control Groups

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Nurcan Çalışkan, Prof.

  Gazi University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: 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.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Model Details: This research is a randomized controlled experimental design.

Study Record Dates

• First Submitted: December 12, 2022
• First Posted: December 29, 2022
• Study Start: December 5, 2022
• Primary Completion: July 6, 2023
• Study Completion: July 6, 2023
• Last Updated: August 23, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)