Hybrid Simulation Training on Nursing Students

Hybrid Simulation Training on Nursing Students' Wound Care Knowledge, Skills, and Compassion Competence: A Randomized Controlled Trial

To investigate the effects of hybrid simulation training on nursing students' wound care knowledge, skills and compassion competence.

Design: This study was a randomised controlled experimental design. Methods: The study comprised nursing students divided into two groups: the experimental group (n=42) and the control group (n=38). All participants received a two-class-hour (100 minutes) training session covering skin anatomy, wound formation, wound characteristics, wound types, appropriate dressing selection, and compassion in nursing.

Nursing students' wound care knowledge was assessed using a knowledge test, while their skills in wound physical assessment, intervention, and dressing application were evaluated through a structured objective clinical examination.

Additionally, students' compassion competencies were measured using the Compassion Competency Scale.

Study Overview

• Status: Completed
• Conditions: Wounds and Injuries; Wound Heal; Wounds
• Intervention / Treatment: Other: hybrid simulated wound training

Detailed Description

Wounds are divided into acute and chronic Acute wounds, characterized by their sudden appearance on the skin, include various types such as surgical wounds, traumatic wounds, and burn wounds Inadequate care of acute wounds leads to their transformation into chronic wounds. Nurses and nursing students have low levels of wound management competence Compassion is defined as an internal emotion that motivates individuals to relieve the suffering of others. Compassionate care can be formally defined as the recognition and understanding of an individual's suffering, characterized by deep empathy and understanding.

Provides a safe environment for nursing students to solve and develop critical attitudes. In hybrid simulation, the use of wound attachments and wound moulages facilitates accurate wound identification, classification, appropriate intervention, and correct wound dressing. The development of compassion competence through simulation training to improve nursing students' knowledge and skills in wound care has not yet been examined. The purpose of this study was to investigate the effects of hybrid simulation training on nursing students' wound care knowledge, wound assessment and dressing skills, and compassion competence.

Methods This study was a randomized controlled experimental study conducted with nursing students. The study consisted of nursing students divided into two groups: experimental group (EG) (n=42) and control group (CG) (n=38).

This study was conducted with 3rd year nursing students (n=155) enrolled in a four-year undergraduate nursing program at Bursa Uludağ University, and they were invited to participate in this research in the spring semester of the 2023-2024 academic year.

Participants who were transitioning to internship practice, had no previous experience with simulation training, and wound care training were included.

Theoretical Training Sessions All students received training on acute and chronic wounds. Detailed explanations were provided through case scenarios and visual videos. After the theoretical training, students were given information and skills were assessed with a knowledge test and structured clinical exam. The control group received theoretical training and applied wound dressings on additional parts.

Students were given simulation training. A patient who had a traffic accident resulting in open and closed wounds of different degrees, sizes and depths on the chest, right hand and arm a scenario was developed that includes.

• Study Type: Interventional
• Enrollment (Actual): 100
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Bursa, Turkey, 19600
    • Uludag Üniversty
  • Nilüfer
    • Bursa, Nilüfer, Turkey, 16100
      • Bursa Uludağ University

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Third year nursing student
• First to attend simulation training

Exclusion Criteria:

• Not a third year nursing student
• Have attended simulation training before

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental; Hybrid simulated wound training	Other: hybrid simulated wound training; hybrid simulated wound training
No Intervention: Control; Received standard education

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Wound information ( min=0, Mak=20 points)	survey	2 week
Wound skill ( min=0, Mak=42 points)	survey	2 week
Compassion Competence Scale (min=1 Mak=5 points)	Compassion Competence Scale	2 week

Collaborators and Investigators

• Sponsor: EDA UNAL
• Investigators: Study Chair: Betül SANLAN, Medical Sciences, University of Surrey

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2024
• Primary Completion (Actual): May 30, 2024
• Study Completion (Actual): June 30, 2024

Study Registration Dates

• First Submitted: December 7, 2024
• First Submitted That Met QC Criteria: January 5, 2025
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 5, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: wound care, nursing student, simulation
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: BursaUludagUEda

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The study was published before the study was published

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No