Effectiveness of Scenario-Based Online Simulation in Chest Trauma in Nurses

NCT06902870 | Completed

• 1 other identifier: TYGH112053
• Study Type: interventional
• Target: 95
• Locations: 1 country
• Sites: 1

Brief Summary

Methods This randomized controlled trial evaluated teaching strategies for chest trauma education. The course was promoted via posters and conducted over two days, with two sessions per day. Sessions were randomly assigned to the control or experimental group via a lottery system before the course. This process was repeated on day two. A total of 67 participants per group were recruited, ensuring 50% random allocation. Control Group Participants received traditional classroom instruction with case discussions. Pretest: Collected demographic data and assessed baseline knowledge using the Chest Trauma Knowledge Scale (CTKS) and Nursing Clinical Decision-Making Scale (NCDMS). First posttest (1-week follow-up): Measured CTKS, NCDMS, and Learning Engagement Scale (LES). Second posttest (3-month follow-up): Assessed CTKS and Confidence in Nursing Clinical Reasoning Scale (CNCRS). Experimental Group Participants received traditional instruction plus "CARE! I-DECIDE" online simulation. Pretest: Same as the control group. First posttest (1-week follow-up): Measured CTKS, NCDMS, and LES. Second posttest (3-month follow-up): Assessed CTKS and CNCRS. Assessments were completed via Google Forms or paper-based questionnaires. This study compared traditional teaching with blended learning using online simulation, evaluating immediate and delayed outcomes.

Conditions

Nursing Education

Keywords

Thoracic trauma online simulation clinical reasoning nursing education

Outcome Measures

Primary Outcomes (1)

• Chest Trauma Knowledge，Clinical Reasoning Scale

  Primary Outcome Measures: Chest Trauma Care Knowledge Scale：Measures knowledge of chest trauma care.Time Points: Before the intervention, right after the intervention, and 12 weeks later.Clinical Reasoning Scale：Assesses clinical reasoning skills in chest trauma care.Time Points: Before the intervention, right after the intervention, and 12 weeks later.Learning Engagement Scale：Evaluates participants' engagement in the learning process.Time Point: Right after the intervention.Overall Study Time Frame: 6 months.

  6months

Study Arms (2)

Experimental Group

EXPERIMENTAL

The experimental group received "Care I Decide!" online simulation-assisted teaching following the classroom-based instruction. Classroom-Based Teaching and Online Simulation-Assisted Instruction Classroom-Based Instruction: Participants were provided with a QR code to access the Moodle platform and download the electronic course materials. The classroom instruction covered the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. "Care I Decide!" Online Simulation-Assisted Teaching: A detailed explanation of the operational process for the "Care I Decide!" online simulation-assisted teaching materials was provided. The session integrated classroom knowledge with the "Care I Decide!" online simulation. It presented clinical scenarios involving changes in vital signs and symptoms.

Other: Scenario-Based Online Simulation Training Program

Control Group

OTHER

The control group received traditional case sharing following the classroom-based instruction. Classroom-Based Teaching Delivery of Course Materials: Participants were provided with a QR code to access the Moodle platform, where they could download the electronic course handouts. Classroom Instruction Content: The classroom teaching session included the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. Chest Trauma Case Sharing Case Presentation and Reflection: Clinical cases involving chest trauma were presented to participants. They were guided to describe the case details, reflect on the management process, and receive constructive feedback. Discussion and Problem Solving: During the discussion, questions and uncertainties raised by participants were addressed

Other: Classroom-Based Teaching

Interventions

Scenario-Based Online Simulation Training Program OTHER

Classroom-Based Teaching and Online Simulation-Assisted Instruction Classroom-Based Instruction: Participants were provided with a QR code to access the Moodle platform and download the electronic course materials. The classroom instruction covered the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. "Care I Decide!" Online Simulation-Assisted Teaching: A detailed explanation of the operational process for the "Care I Decide!" online simulation-assisted teaching materials was provided. The session integrated classroom knowledge with the "Care I Decide!" online simulation. It presented clinical scenarios involving changes in vital signs and symptoms of chest trauma patients, guiding participants through clinical decision-making processes.

Experimental Group

Classroom-Based Teaching OTHER

Classroom-Based Teaching Delivery of Course Materials: Participants were provided with a QR code to access the Moodle platform, where they could download the electronic course handouts. Classroom Instruction Content: The classroom teaching session included the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. Chest Trauma Case Sharing Case Presentation and Reflection: Clinical cases involving chest trauma were presented to participants. They were guided to describe the case details, reflect on the management process, and receive constructive feedback. Discussion and Problem Solving: During the discussion, questions and uncertainties raised by participants were addressed to enhance understanding and clarify key concepts.

Control Group

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Professional Setting:
• Nurses working in emergency departments or specific surgical specialties, including thoracic surgery, neurosurgery, general surgery, and orthopedics.
• Willingness to Participate:
• Nurses who voluntarily agree to participate in this study.

You may not qualify if:

• Non-Surgical Nurses:
• Non-Frontline Care Providers:
• Nurses not directly involved in the clinical care of chest trauma patients, such as outpatient nurses or case managers.
• Incomplete Participation:
• Nurses who do not complete the full course of the study program.

Sponsors & Collaborators

• tygh backup: lead

Study Sites (1)

Taoyuan General Hospital

Taoyuan District, 330, Taiwan

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Taoyuan General Hospital

Study Record Dates

• First Submitted: December 17, 2024
• First Posted: March 30, 2025
• Study Start: January 19, 2024
• Primary Completion: May 18, 2024
• Study Completion: May 18, 2024
• Last Updated: March 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)