The Effect of Simulation on Cardiac Auscultation Competence

The Effect of Simulation on Cardiac Auscultation Competence of Nursing Students: A Randomised Controlled Study

This randomized controlled study aims to determine the effect of simulation on the cardiac auscultation competence of nursing students. The main questions it aims to answer are:

• Simulation is effective in developing the cardiac auscultation competence of nursing students.
• The psychoacoustic approach is effective in developing the cardiac auscultation competence of nursing students.

One week after the 2-hour theoretical lecture, all three groups will be taken simultaneously to a 3-hour laboratory practice for cardiac auscultation. An instructor will lead each group to ensure coordination. The psychoacoustic approach group will listen to normal heart sounds (S1, S2), abnormal heart sounds (S3, S4) and murmur sounds from the audio file uploaded to their mobile phones in the laboratory environment through headphones for 500 repetitions each. The simulation group will practice auscultation of heart sounds in a one-to-one and repetitive manner, working with a high reality simulator. Trainers will act as facilitators during the cardiac auscultation practice of the students in the intervention groups. The control group will continue with the standard education.

Study Overview

• Status: Completed
• Conditions: Psychoacoustics; Simulation Based Learning; Auscultation of Heart
• Intervention / Treatment: Other: Psychoacoustic approach; Other: Simulation

• Study Type: Interventional
• Enrollment (Actual): 57
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Yenimahalle
    • Ankara, Yenimahalle, Turkey, 06500
      • Gazi University Faculty of Nursing

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

- First-time registration in the course.

Exclusion Criteria:

• Non-native speakers of the country's native language.
• Previous graduation from any health-related university.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Psychoacoustic group; The psychoacoustic approach group will listen to normal heart sounds (S1, S2), abnormal heart sounds (S3, S4) and murmur sounds from the audio file uploaded to their mobile phones in the laboratory environment through headphones for 500 repetitions each.	Other: Psychoacoustic approach; The psychoacoustic approach group will listen to normal heart sounds (S1, S2), abnormal heart sounds (S3, S4) and murmur sounds from the audio file uploaded to their mobile phones in the laboratory environment through headphones for 500 repetitions each.
Experimental: Simulation group; The simulation group will practice auscultation of heart sounds in a one-to-one and repetitive manner, working with a high reality simulator. Trainers will act as facilitators during the cardiac auscultation practice of the students in the intervention groups.	Other: Simulation; The simulation group will practice auscultation of heart sounds in a one-to-one and repetitive manner, working with a high reality simulator. Trainers will act as facilitators during the cardiac auscultation practice of the students in the intervention groups.
No Intervention: Control group; The control group will continue with the standard education.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
achievement test	It is a four-question test in which students mark the cardiac sounds they listen to on the computer.	From enrollment to the end of education at 4 weeks.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Student Satisfaction and Confidence in Learning	It is a five-point Likert-type scale consisting of 13 statements. It consists of two sub-dimensions: 'satisfaction with learning' and 'self-confidence'. The higher mean score obtained from the scale, the higher the student's satisfaction with the teaching method applied and the higher the level of self-confidence in learning.	At the end of education at 4 weeks.

Collaborators and Investigators

• Sponsor: Gazi University

Study record dates

Study Major Dates

• Study Start (Actual): December 25, 2024
• Primary Completion (Actual): May 5, 2025
• Study Completion (Actual): May 20, 2025

Study Registration Dates

• First Submitted: November 13, 2024
• First Submitted That Met QC Criteria: November 13, 2024
• First Posted (Actual): November 14, 2024

Study Record Updates

• Last Update Posted (Actual): June 4, 2025
• Last Update Submitted That Met QC Criteria: May 30, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Keywords: Simulation; nursing students; psychoacoustic; auscultation of cardiac sounds
• Other Study ID Numbers: GaziU-HF-ES-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No