The Effect of Repeated Standardized Patient Use on Students' Anxiety and Learning Levels in Teaching Extremity Examination Skills

Aims: This study aimed to examine the effects of peer assessment and repeated standardized patient use on students' self-confidence and anxiety and their psychomotor skill performance in teaching extremity examination skills.

Design: This randomized controlled experimental study was carried out following the CONSORT checklist.

Methods: The study sample consisted of second-grade nursing students enrolled in the " Health Diagnosis" course in the fall semester of the 2023-2024 academic year (n:67). The students in the peer assessment group performed the upper and lower extremity examinations once whereas those in the standardized patient group performed these examinations three times. Research data were analyzed in IBM SPSS 25.0 (Statistical Package for Social Sciences) software. The Shapiro-Wilk test was used to check whether the data were normally distributed. Parametric and nonparametric tests and descriptive statistical methods were used for data analysis. The significance levels were taken as p<0.001 and p<0.05. The scales used were analyzed with the Cronbach alpha reliability coefficient; the scenarios and forms created by the researchers were evaluated with the Lawshe Technique.

Study Overview

• Status: Completed
• Conditions: Nursing Students
• Intervention / Treatment: Other: the peer assessment group

• Study Type: Interventional
• Enrollment (Actual): 67
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Center
    • Isparta, Center, Turkey, 32260
      • Suleyman Demirel University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Second-grade nursing students
• Enrolled in the " Health Diagnosis" course at the Faculty of Health Sciences, Department of Nursing of a university in the fall semester of the 2023-2024 academic year

Exclusion Criteria:

- Students who actively continue their nursing profession as well as their education life

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: the peer assessment group; Students in the peer assessment group were paired (by randomization, on their request) to have a teammate of the same sex before the extremity examination experience. In the following process, the students were asked to perform extremity examinations in line with the specified objectives.	Other: the peer assessment group; Students in the peer assessment group were paired (by randomization, on their request) to have a teammate of the same sex before the extremity examination experience. In the following process, the students were asked to perform extremity examinations in line with the specified objectives. Students in the standardized patient group were asked to perform extremity examinations per the specified objectives in standardized patient.
Experimental: the standardized patient group; Students in the standardized patient group were asked to perform extremity examinations per the specified objectives in standardized patient.	Other: the peer assessment group; Students in the peer assessment group were paired (by randomization, on their request) to have a teammate of the same sex before the extremity examination experience. In the following process, the students were asked to perform extremity examinations in line with the specified objectives. Students in the standardized patient group were asked to perform extremity examinations per the specified objectives in standardized patient.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Extremity examinations	The students in the standardized patient group performed extremity examinations on the same standardized patient three times, whereas the students in the peer assessment group performed this examination on their peers once	First week

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
First measurement (Self-conficent and Anxiety)	The students in the standardized patient group performed extremity examinations on the same standardized patient three times, whereas the students in the peer assessment group performed this examination on their peers once.	First week
Second measurement (Self-conficent and Anxiety)	The students in the standardized patient group performed extremity examinations on the same standardized patient three times, whereas the students in the peer assessment group performed this examination on their peers once	Third week
Third measurement (Self-conficent and Anxiety)	The students in the standardized patient group performed extremity examinations on the same standardized patient three times, whereas the students in the peer assessment group performed this examination on their peers once	fifth week

Collaborators and Investigators

• Sponsor: Suleyman Demirel University

Publications and helpful links

General Publications

• Aydin AG, Ince S. The effect of Jigsaw technique on nursing students' psychomotor skill levels and academic achievement: A quasi-experimental study. Nurse Educ Pract. 2023 Nov;73:103821. doi: 10.1016/j.nepr.2023.103821. Epub 2023 Oct 30.

Study record dates

Study Major Dates

• Study Start (Actual): November 9, 2023
• Primary Completion (Actual): December 21, 2023
• Study Completion (Actual): December 21, 2023

Study Registration Dates

• First Submitted: November 26, 2024
• First Submitted That Met QC Criteria: November 29, 2024
• First Posted (Actual): December 3, 2024

Study Record Updates

• Last Update Posted (Actual): December 3, 2024
• Last Update Submitted That Met QC Criteria: November 29, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: Anxiety; self-confidence; standardized patient; extremity; active learning; peer; passive learning; psychomotor skills
• Other Study ID Numbers: 72867572-050.01.04-616349

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

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