High-Fidelity Simulation and Longitudinal Outcomes in Novice Nurses (HFS-NOVA)

NCT07604363 | Completed

• 2 other identifiers: TSGH-HFS-2025TSGH-D-114201
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

This study examined whether high-fidelity simulation (HFS) training - a realistic, hands-on learning method using advanced patient mannequins - can improve both technical skills and psychological well-being in newly graduated nurses. Seventy novice nurses at a tertiary medical centre in Taiwan participated in a structured HFS session focused on airway crisis management. Six outcomes were measured at three time points: before training (T1), immediately after training (T2), and three months later (T3). These outcomes included: airway management knowledge, clinical performance, learning attitude, self-efficacy (confidence in clinical abilities), nursing learning resilience (ability to cope with professional challenges), and psychological well-being.

Conditions

Nursing Education; Simulation-Based Learning; Simulation Training

Keywords

High-fidelity simulation; Novice nurses; Self-efficacy; Longitudinal study; Airway management; Psychological well-being; Resilience

Outcome Measures

Primary Outcomes (2)

• Clinical Performance

  Assessed using the 40-item Clinical Performance Checklist (CPC) scored by two independent raters (Cohen's κ = 0.88). Higher scores indicate better procedural performance. Range: 0-40.

  Baseline (T1), immediately post-simulation (T2, approximately 1 day after T1), and 3-month follow-up (T3)

• Self-Efficacy

  Assessed using a 10-item General Self-Efficacy Scale measuring confidence in managing clinical airway challenges (Cronbach's α = 0.922). Range: 10-40.

  Baseline (T1), immediately post-simulation (T2), and 3-month follow-up (T3)

Secondary Outcomes (4)

• Airway Management Knowledge

  Baseline (T1), immediately post-simulation (T2), and 3-month follow-up (T3)

• Learning Attitude

  Baseline (T1), immediately post-simulation (T2), and 3-month follow-up (T3)

• Nursing Learning Resilience

  Baseline (T1), immediately post-simulation (T2), and 3-month follow-up (T3)

• Psychological Well-Being

  Baseline (T1), immediately post-simulation (T2), and 3-month follow-up (T3)

Study Arms (1)

HFS Intervention Group

EXPERIMENTAL

All enrolled novice nurses received a standardised 40-minute high-fidelity simulation session focused on airway crisis management, comprising pre-briefing, scenario, and structured debriefing phases.

Behavioral: High-Fidelity Simulation Training for Airway Management

Interventions

High-Fidelity Simulation Training for Airway Management BEHAVIORAL

A standardised 40-minute HFS session using SimMan 3G (Laerdal Medical) comprising three phases: (1) Pre-briefing (10 min): environmental orientation, fiction contract, and psychological safety emphasis. (2) Scenario phase (20 min): each participant acted as primary decision-maker for a patient with acute respiratory failure, performing assessment, oxygen titration, airway suctioning, and care escalation. (3) Structured debriefing (10 min): facilitator-led debrief using the Debriefing for Meaningful Learning (DML) framework.

Also known as: HFS

HFS Intervention Group

Eligibility Criteria

• Age: 22 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Newly registered nursing license with 0 to 12 months of clinical experience
• Enrolled in the mandatory 2-year New Graduate Nurse (NGN) residency programme at Tri-Service General Hospital
• Willing and able to complete all three data collection phases (T1, T2, and T3)
• Able to provide written informed consent

You may not qualify if:

• Prior extensive critical care clinical experience
• Participation in a similar airway management simulation programme within the preceding 6 months
• Inability to participate in the full simulation session due to scheduling or health reasons

Sponsors & Collaborators

• Tri-Service General Hospital: lead

Study Sites (1)

Tri-Service General Hospital

Taipei, 114, Taiwan

Location

MeSH Terms

Conditions

Psychological Well-Being

Interventions

Airway Management

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Intervention Hierarchy (Ancestors)

Therapeutics

Study Officials

• Wu-Chien Chien, Ph.D.

  Tri-Service General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: All enrolled novice nurses received the same standardised HFS airway management training programme. No control or comparison group was included due to ethical considerations regarding withholding training from newly graduated nurses.

Study Record Dates

• First Submitted: April 29, 2026
• First Posted: May 22, 2026
• Study Start: March 28, 2025
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: May 22, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)