Evaluating Simulation Experiences to Help Navigate Racism and Hidden Bias

NCT07095335 | Enrolling By Invitation

• 1 other identifier: 6041616
• Study Type: interventional
• Target: 450
• Locations: 1 country
• Sites: 1

Brief Summary

This study utilizes a quasi-experimental design to examine the acceptability, usability and impact of the A-CHARM resources including the pre-learning, the SEs and the debrief. Consenting participants will be asked to complete a demographic questionnaire and pre-simulation assessment of cultural humility using the Cultural Humility Scale, and cultural awareness using the Cultural Diversity Awareness Questionnaire. Participants will complete an education intervention that provides definitions of race, racism, and discrimination and provides an overview of the Six-Step Approach, ERASE framework and Microaggression Triangle model. Following the education intervention, they will complete a SE and a post-simulation questionnaire that reassess cultural humility, cultural awareness and the usability and acceptability of the SE.

Conditions

Implicit Bias

Keywords

Implicit bias; racism; nurisng; clinical settings; nursing students; simulation experiences; education intervention

Outcome Measures

Primary Outcomes (1)

• Cultural Humility

  To evaluate cultural humility the Foronda's Cultural Humility Scale will be used. This outcome measure includes 19 questions and was validated and tested with 322 undergraduate nursing and health sciences students and yielded a Cronbach's α = 0.85 (Foronda, Porter \& Phitwong, 2021). The Foronda Cultural Humility Scale has three subscales including 1) context for difference in perspective; 2) self-attributes; and 3) outcomes of cultural humility.

  Day 1

Secondary Outcomes (2)

• Cultural Awareness

  Day 1

• usability, engagement, and impact

  Day 1

Study Arms (1)

Intervention

EXPERIMENTAL

A-CHARM education and virtual simulation

Other: education intervention A-CHARM

Interventions

education intervention A-CHARM OTHER

Didactic education plus virtual simulation regarding discrimination in the hospital setting

Intervention

Eligibility Criteria

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

You may qualify if:

• undergraduate and graduate nursing students at a University in Southern Ontario
• clinical faculty at a University in Southern Ontario
• speak, read and understand English.
• able to navigate a virtual simulation experience using an electronic device.

You may not qualify if:

• students not enrolled in the nursing program
• faculty not teaching in the nursing program

Sponsors & Collaborators

• Queen's University: lead

Study Sites (1)

Queen's University

Kingston, Ontario, K7L 2N6, Canada

Location

Related Publications (1)

• Li JS, Patterson M, Gumapac NP, Sau C, Mohamed S, Yusef HA, Sawhney M. Simulation Experiences Focusing on Addressing Culturally Based Hidden Bias and RacisM (A-CHARM). J Nurs Educ. 2025 Jul;64(7):449-453. doi: 10.3928/01484834-20240612-04. Epub 2024 Sep 20.

  PMID: 39292736 RESULT

MeSH Terms

Conditions

Bias, Implicit; Racism

Condition Hierarchy (Ancestors)

Prejudice; Social Behavior; Behavior; Social Discrimination

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Quasi-experimental

Study Record Dates

• First Submitted: May 18, 2025
• First Posted: July 31, 2025
• Study Start: August 22, 2023
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: March 20, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)