- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07678190
High-Fidelity Simulation in Vaccination Training
The Effect of High-fidelity Simulation on Childhood Vaccination Training in Nursing Students: A Randomized Controlled Trial
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
This randomized controlled trial evaluated the effectiveness of high-fidelity simulation (HFS) versus standard laboratory practice (SLP) on nursing students' knowledge, psychomotor skills, satisfaction, and self-confidence in childhood vaccination training. A total of 122 fourth-year nursing students were randomly assigned to HFS or SLP groups; 104 completed the study.
All participants received the same theoretical training on childhood immunization. The HFS group participated in a simulation scenario involving vaccine hesitancy, while the SLP group performed traditional laboratory-based practice on a manikin.
Knowledge was assessed using a pre-test, post-test at 1 hour, and a one-month follow-up test. Skills were evaluated immediately after the intervention. Satisfaction and self-confidence were also measured post-intervention.
The primary outcomes were knowledge and skill performance, while secondary outcomes included satisfaction and self-confidence. The study was conducted in accordance with ethical standards, and informed consent was obtained from all participants.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Zonguldak Province
-
Kozlu, Zonguldak Province, Turkki (Türkiye), 67600
- Zonguldak Bulent Ecevit University
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Inclusion Criteria:
- Fourth-year nursing students
- Voluntary participation
Exclusion Criteria:
- Did not complete post-tests
- Non-volunteering
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Terveyspalvelututkimus
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: High-Fidelity Simulation Group (HFS)
The HFS intervention was developed in accordance with INACSL Healthcare Simulation Standards and validated by six nursing experts.
All participants first received a standardized 100-minute childhood vaccination training consisting of theoretical instruction and laboratory practice.
The simulation session included a 10-minute briefing, a 20-minute high-fidelity scenario involving a vaccine-hesitant mother, and a 30-minute structured debriefing using the PEARLS framework.
During the simulation, students were required to assess parental concerns, provide education, safely administer vaccines, and complete documentation.
The debriefing process included reflection and analysis through structured phases to enhance learning outcomes.
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High-fidelity simulation-based training including a vaccine hesitancy scenario, structured briefing, simulation, and debriefing.
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Active Comparator: Standard Laboratory Practice Group (SLP)
The SLP group received the identical 100-minute theoretical and practical training session.
One week later, instead of a structured simulation, they participated in a 20-minute individual skills session in the nursing fundamentals laboratory.
Each student independently performed the vaccination procedure on a baby manikin and verbally described the parent education they would provide.
Following their session, each student also participated in an individual, video-assisted PEARLS debriefing focused on their technical performance and communication description.
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Traditional laboratory-based vaccination training using a manikin without a structured simulation scenario.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Childhood Immunization Knowledge Test (CIKT)
Aikaikkuna: Baseline, 1 hour after training, and 1 month after training
|
A 10-item multiple-choice test developed by the researchers based on national guidelines and literature.
Each correct answer is scored as 10 points.
Total scores range from 0 to 100, with higher scores indicating greater knowledge of childhood immunization.
Expert validation was obtained, and the KR-20 reliability coefficient was 0.93.
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Baseline, 1 hour after training, and 1 month after training
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Pediatric Intramuscular Vaccination Administration Checklist (PIVAC)
Aikaikkuna: 1 hour after training
|
Items are scored from 0 (not performed) to 2 (performed).
Total scores range from 0 to 40, with higher scores indicating better pediatric intramuscular vaccination administration skills.
The checklist demonstrated expert validity and a Cronbach's alpha of 0.90.
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1 hour after training
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Student Satisfaction and Self-Confidence in Learning Scale (SCLS)
Aikaikkuna: 1 hour after training
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A validated 12-item, 5-point Likert scale with two subscales (Satisfaction and Self-Confidence).
Total scores range from 12 to 60, with higher scores indicating greater satisfaction and self-confidence in learning.
In this study, Cronbach's alpha was 0.96 for the satisfaction subscale, 0.94 for the self-confidence subscale, and 0.96 for the total scale.
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1 hour after training
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Simulation Design Scale (SDS)
Aikaikkuna: 1 hour after training
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The Simulation Design Scale consists of 20 items rated on a 5-point Likert scale.
Total scores range from 20 to 100, with higher scores indicating a more positive evaluation of the simulation design.
Cronbach's alpha was 0.98.
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1 hour after training
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Yhteistyökumppanit ja tutkijat
Sponsori
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Nelson, B., Ridgway, J., Brown, A., Anthamatten, A., Hall, E., & McClure, N. (2025). Interactive simulation for addressing vaccine hesitancy in nurse practitioner education. Clinical Simulation in Nursing,102, 101719. https://doi.org/10.1016/j.ecns.2025.101719
- Hekel BE, Dugger J, Pullis BR, Cron S, Edwards AP. Vaccine Hesitancy: Developing Competency in Nursing Students Through Simulation. Nurse Educ. 2024 Mar-Apr 01;49(2):E62-E67. doi: 10.1097/NNE.0000000000001505. Epub 2023 Sep 1.
- Costa RRO, Medeiros SM, Martins JCA, Coutinho VRD, Araujo MS. Effectiveness of simulation in teaching immunization in nursing: a randomized clinical trial. Rev Lat Am Enfermagem. 2020 Jun 19;28:e3305. doi: 10.1590/1518-8345.3147.3305. eCollection 2020.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
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