THE EFFECT OF SİMULATİON-BASED INTERPROFESSİONAL EDUCATİON ON ATTİTUDES TOWARD TEAMWORK

THE EFFECT OF SİMULATİON-BASED INTERPROFESSİONAL EDUCATİON ON TEAMWORK ATTİTUDES AMONG NURSİNG AND PARAMEDİC STUDENTS

Our study aims to evaluate the effect of interprofessional simulation-based learning on teamwork attitudes among nursing and paramedic students during the patient handover process. The study sample consists of fourth-year (senior) students from the Gülhane Faculty of Nursing at the University of Health Sciences and second-year (senior) students from the Paramedic Program at the School of Health Professions. In this study, the intervention will be conducted in two phases: the preparation phase and the implementation phase.

Study Overview

• Status: Not yet recruiting
• Conditions: No Specific Diseases or Conditions Are Being Studied
• Intervention / Treatment: Other: Simulation-Based Interprofessional Education Program

• Study Type: Interventional
• Enrollment (Estimated): 56
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Fırat S SEYHAN, PhD, Assistant Professor; Phone Number: +90 530 886 8099; Email: firat.seyhan@sbu.edu.tr
• Study Contact Backup: Name: Esma Y YILDIZ, MsC, Research Assistant; Phone Number: +90 544 242 70 28; Email: 250902032@ogrenci.sbu.edu.tr

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

Nursing Student:

• Be a 4th-year (senior) student in a bachelor's degree program in nursing
• Have completed an emergency department rotation as part of the Clinical Practice I course and have finished the emergency department internship
• Having previously participated in a simulation-based practice

Paramedic Student:

• Be a second-year (final-year) student in the paramedic associate degree program
• Since the emergency department internship is completed in the first year, have completed the first-year summer internship of the Paramedic Program
• Have taken the Professional Practice-I course
• Having previously participated in a simulation-based practice

Exclusion Criteria:

Paramedic and nursing students:

• Must be a graduate of a vocational high school for health professions,
• Must have worked or currently be working in the field as a nurse or emergency medical technician
• Having previously participated in an interprofessional simulation-based practice.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Simulation-Based Interprofessional Education Group; Nursing and paramedic students in this group will participate in a simulation-based interprofessional education program. A pre-test will be administered before the training and a post-test after the training to assess the impact on participants' attitudes toward teamwork.

Other: Simulation-Based Interprofessional Education Program; Participants will receive theoretical training on the ATMIST (Age, Time, Mechanism, Injuries, Signs, Treatment) patient handover method. During the simulation exercises, teams consisting of a paramedic and a nursing student will be expected to perform patient handover using the ATMIST method. A prebriefing will be conducted before the simulation, and a debriefing using the Gather-Analyze-Summarize (GAS) model will be conducted afterward. Simulation performances will be evaluated by researchers using checklists. A Sociodemographic Data Collection Form and a Teamwork Attitudes Scale will be administered as a pre-test. In the post-test, the Teamwork Attitudes Scale and the Simulation Design Scale will be administered.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Teamwork Attitudes Questionnaire	The Teamwork Attitudes Questionnaire (TAS) was developed based on the Teamwork Attitudes Questionnaire (TAQ), which was created as part of the TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) program to assess healthcare professionals' attitudes toward teamwork. The validity and reliability study of the scale in Turkish was conducted by Yardımcı et al. The scale consists of five subscales: team structure, leadership, situational awareness, mutual support, and communication. Reliability analyses revealed that the Cronbach's alpha coefficients for the scale's subscales ranged from 0.70 to 0.89, demonstrating that the scale is a valid and reliable measurement tool for healthcare professionals in the Turkish population. The minimum score that can be obtained on the scale is 28, and the maximum score is 140. There are no reverse-scored items, and as the score increases, the level of teamwork attitude is higher.	Baseline (pre-test), immediately after the training session (post-test)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Simulation Design Scale	The Simulation Design Scale was developed by Jeffries et al. (2006) to evaluate the design characteristics of simulation-based learning environments (19). Its validity and reliability were established by Ünver et al. in [year]. The scale consists of 20 items and two sections. The first section assesses the level of implementation of simulation design elements, while the second section evaluates the importance of these elements from the students' perspective. The scale consists of five subscales: objectives and knowledge, support, problem-solving, feedback/guided reflection, and realism. A higher score indicates a higher quality of simulation design and the student's greater emphasis on the simulation experience. In the reliability analyses conducted, the Cronbach's alpha coefficients for the scale's sub-dimensions ranged from 0.73 to 0.86, demonstrating that the scale is a valid and reliable measurement tool for nursing students in the Turkish population.	İmmediately after the training session (post-test)

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Study record dates

Study Major Dates

• Study Start (Estimated): June 15, 2026
• Primary Completion (Estimated): July 15, 2026
• Study Completion (Estimated): July 15, 2026

Study Registration Dates

• First Submitted: June 13, 2026
• First Submitted That Met QC Criteria: June 13, 2026
• First Posted (Actual): June 18, 2026

Study Record Updates

• Last Update Posted (Actual): June 18, 2026
• Last Update Submitted That Met QC Criteria: June 13, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: Simulation, Interdisciplinary Education, Teamwork
• Other Study ID Numbers: 2026-066

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data will not be shared to ensure the confidentiality of the participants and to comply with institutional ethical guidelines.

Drug and device information, study documents

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