Simulation Applications on the Level of Pressure Injury Knowledge and Evaluation

April 11, 2024 updated by: Zilan BARAN, Tepecik Training and Research Hospital

The Effect of Two Different Simulation Applications on the Level of Pressure Injury Knowledge and Evaluation in Nursing Students: A Randomized Controlled Trial

When the literature is examined, it is seen that the pressure injury knowledge and evaluation levels of nursing students are low. Today, innovative approaches have started to be introduced to nursing education in proportion to the development of technology. Simulation applications are also seen as one of these innovative approaches. In our study, it is aimed to examine the effect of pressure injury training to be given using high-reality standardized patient use and a medium-reality simulation model on the knowledge and evaluation level of intern nursing students. Students (n = 250) will be assigned blindly to the experimental and control groups using a simple randomization method, and then pressure injury information and assessment trainings will be given to the experimental group with a medium-reality simulation model on a standardized patient for the control group for 4 weeks. After 2 weeks, the final test will be performed, and the data will be assigned to blind groups. It will be evaluated by the researcher.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

According to the literature, it is seen that nursing students do not have sufficient knowledge about pressure injuries, and innovative applications are needed to improve their clinical skills. When the studies are examined, it is seen that the studies comparing standardized patient use and simulation application in pressure injury education for nursing students are very limited. In this context, it is seen that there is a need for studies in which the effectiveness of different simulation applications in learning pressure injury in nursing students is examined, and it is considered important to contribute to the literature with this study to be conducted. It is considered that the project has the potential to be published in internationally respected journals and presented at conferences. Due to the increase in the number of students in nursing education and the lack of clinical areas, it is extremely important to practice in reality-like environments. In addition, students are required to acquire nursing psychomotor skills before meeting with a real patient. In this study, it is aimed to examine the effect of pressure injury teaching performed with standardized patients and a medium-reality simulation model on the knowledge and evaluation levels of nursing students. In this context, the hypothesis of the study is:

H0: There is no difference between the knowledge and evaluation levels of pressure injury in nursing students of the teaching given using standardized patient and medium-reality simulation model applications. H1: There is a difference between the knowledge and evaluation levels of pressure injury in nursing students based on the teaching given using standardized patient and medium-reality simulation model applications. In this study, it is planned to provide two different types of simulation training aimed at improving the knowledge and evaluation levels of nursing students about pressure injuries. The use of simulation applications will increase the psychomotor skills of the student and increase the level of knowledge and evaluation without encountering the real patient. In addition, the standardized patient and medium-reality simulation model planned to be used in the study will provide many students with the opportunity to learn about pressure injuries without the need to train on patients in the hospital.

Study Type

Interventional

Enrollment (Estimated)

90

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Volunteer
  • Intern nursing students

Exclusion Criteria:

  • Students who have previously received Care Management lecture or wound care training
  • Have come with a horizontal transfer
  • Have graduated from health vocational high school
  • Work in a hospital or other institution
  • Do not volunteer

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Standardized Patient Group
Standardized Patient: A pressure wound similar to reality will be created with the application of mulage on a standardized patient. In accordance with the scenario of a patient with a pressure wound, students will perform pressure wound evaluation and maintenance on a standardized patient in a simulation laboratory. Following the simulation application, student groups of eight to ten individuals will participate in a debriefing session.
Other: Pressure injury training
Pressure injury training with mulage application on a standardized patient
Active Comparator: Simulated Manneqquin Group
Simulated Mannequin: A pressure wound similar to reality will be created with the simulated mannequin mulage application. In accordance with the same scenario used in the experimental group, pressure wound evaluation and maintenance will be performed on the simulated mannequin in the simulation laboratory. Following the simulation application, student groups of eight to ten individuals will participate in a debriefing session.
Other: Simulated Manneqquin training
Pressure injury training with mulage application on a simulated manneqquin

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
As a result of the study, it is expected that there will be an change in the students' pressure injury knowledge level.
Time Frame: Before and two weeks following applications
The Turkish version of the Pressure Ulcer Knowledge Assessment Tool-updated version (PUKAT 2.0)" was developed in 2022 as a tool to assess the level of knowledge of pressure ulcers among nurses. It is a 25-question measurement tool consisting of a total of 6 sub-dimensions, including etiology of pressure injury, classification and observation, risk assessment, nutrition, prevention of occurrence, and special patient groups, with 5 Likert-type options. It was reported to have valid and reliable psychometric properties, as indicated by a Cronbach's Alpha value of 0.72, and to be suitable for use in the evaluation of the level of knowledge regarding pressure injuries. The minimum and maximum values obtainable from the scale are 0 and 25, respectively. The higher the score, the higher the level of knowledge.
Before and two weeks following applications
As a result of the study, it is expected that there will be an change in the level of pressure injury assessment of students.
Time Frame: Before and two weeks following applications
The Pressure Injury Staging Registration Form was developed by the researchers. This form consists of pressure injuries at different stages, a total of 25 of which were taken by a wound care nurse. The form and photos have been submitted to three expert suggestions and have taken their final shape in accordance with the suggestions received. 5 of the photos include stage 1, 5 of them stage 2, 5 of them stage 3, 5 of them stage 4, 3 of them are non-staged pressure injuries, and 2 of them are deep tissue injuries.
Before and two weeks following applications

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Tepecik Training and Research Hospital

Collaborators

Dokuz Eylul University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

May 15, 2024

Primary Completion (Estimated)

December 30, 2024

Study Completion (Estimated)

May 30, 2025

Study Registration Dates

First Submitted

May 17, 2023

First Submitted That Met QC Criteria

July 12, 2023

First Posted (Actual)

July 14, 2023

Study Record Updates

Last Update Posted (Actual)

April 15, 2024

Last Update Submitted That Met QC Criteria

April 11, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TepecikTRH NURSE

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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