- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07793188
Simulation-Based Subcutaneous Injection Training in Midwifery Students
Effects of Different Simulation-Based Approaches to Subcutaneous Injection Training on Learning Outcomes, Self-Efficacy, and Anxiety in Midwifery Students
The goal of this clinical trial is to compare three simulation-based approaches for teaching subcutaneous injections to first-year midwifery students. A subcutaneous injection is an injection given into the tissue just under the skin. The main questions this study aims to answer are:
Do the three teaching approaches lead to different levels of learning and injection skills? Do the approaches affect students' confidence in performing the skill? Do the approaches affect students' anxiety during injection practice?
Researchers will compare three groups of midwifery students. One group will practice on the abdominal area of a patient-care mannequin. A second group will practice on an injection training pad placed on a peer's abdomen. A third group will practice on an injection training pad placed on their own abdomen.
Participants will first receive the same classroom teaching and laboratory instruction on subcutaneous injection. One week later, they will practice the injection according to the group to which they were randomly assigned. No medication will be injected into a participant's body; the practice will use training equipment and saline solution. After the practice, researchers will assess participants' learning, injection skills, self-efficacy, and anxiety.
연구 개요
상태
상세 설명
This randomized controlled study evaluates three simulation-based approaches to teaching subcutaneous injection skills to first-year midwifery students. All students will receive the same theoretical instruction and laboratory-based teaching on subcutaneous heparin injection. During the laboratory session, students will practice the standardized steps of the procedure using the Subcutaneous Heparin Injection Practice Guide. One week later, participants will repeat the procedure according to their randomly assigned training approach.
The three approaches differ in the level of physical realism and personal involvement during practice. Students will perform the procedure either on the abdominal area of a patient-care mannequin, on an injection training pad placed on a peer's abdomen, or on an injection training pad placed on their own abdomen. For safety, the simulation will use an insulin syringe containing saline instead of a prefilled heparin syringe. The study is designed to determine whether these different practice contexts provide different educational experiences during subcutaneous injection training and to inform future clinical skills teaching strategies in midwifery education.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Nursemin Unal, PhD, RN
- 전화번호: +905077433629
- 이메일: nurse_unal@hotmail.com
연구 연락처 백업
- 이름: Betül TOSUN, PhD, RN
- 이메일: tosunbetul@gmail.com
연구 장소
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Ankara, 터키 (Türkiye), 06230
- Ankara University Faculty of Nursing
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연락하다:
- Nursemin Unal
- 전화번호: 05077433629
- 이메일: nurse_unal@hotmail.com
-
연락하다:
- Betül TOSUN, PhD, RN
- 전화번호: +905053652121
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참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Students enrolled in the Midwifery Program at Ankara University Faculty of Nursing who took the Fundamentals of Midwifery Practice course for the first time during the 2025-2026 academic year.
- Willing to participate in the study and provide informed consent.
Exclusion Criteria:
- Previous experience with self-administered subcutaneous injection
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 다른
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: Mannequin-Based Practice
Participants assigned to this group will perform subcutaneous injection practice on the abdominal area of a patient-care mannequin.
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Participants will practice the standardized steps of subcutaneous injection on the abdominal area of a patient-care mannequin.
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실험적: Peer-Based Practice
Participants assigned to this group will perform subcutaneous injection practice on an injection training pad placed on a peer's abdomen.
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The injection will be administered into the training pad and will not penetrate the peer's body.
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실험적: Self-Based Practice
Participants assigned to this group will perform subcutaneous injection practice on an injection training pad placed on their own abdomen.
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Participants will practice the standardized steps of subcutaneous injection on an injection training pad placed on their own abdomen.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Perceived Learning
기간: Immediately after the simulation-based practice session
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Perceived learning will be assessed using the Perceived Learning Scale.
The scale consists of 9 items covering cognitive, affective, and psychomotor learning.
Total scores range from 9 to 63, with higher scores indicating greater perceived learning.
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Immediately after the simulation-based practice session
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Self-Efficacy for Subcutaneous Injection
기간: Immediately after the simulation-based practice session
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Self-efficacy will be assessed using the Subcutaneous Heparin Injection Self-Efficacy Form.
Participants rate how competent they feel in performing the skill safely and correctly on a scale from 1 to 10, with higher scores indicating greater self-efficacy.
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Immediately after the simulation-based practice session
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State Anxiety
기간: Immediately after the simulation-based practice session
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State anxiety will be assessed using the State Anxiety Inventory.
The scale consists of 20 items and yields a total score ranging from 20 to 80, with higher scores indicating greater state anxiety.
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Immediately after the simulation-based practice session
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Subcutaneous Injection Skill Performance
기간: During the simulation-based practice session
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Subcutaneous injection skill performance will be assessed using the Subcutaneous Heparin Injection Practice Skills Checklist developed by the researchers based on current literature and expert review.
The checklist evaluates whether the required steps of the procedure are performed correctly.
Higher total scores indicate better subcutaneous injection skill performance.
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During the simulation-based practice session
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공동 작업자 및 조사자
수사관
- 수석 연구원: Nursemin Unal, PhD,RN, Ankara University
간행물 및 유용한 링크
일반 간행물
- Cant RP, Cooper SJ. Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Educ Today. 2017 Feb;49:63-71. doi: 10.1016/j.nedt.2016.11.015. Epub 2016 Nov 22.
- Chen SH, Lin BB, Wang XY, Xu GR, Song JH. Construction and implementation of a comprehensive midwifery skills practice course based on scenario simulation teaching: An action research. Nurse Educ Today. 2025 Sep;152:106754. doi: 10.1016/j.nedt.2025.106754. Epub 2025 Apr 17.
- Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: meta-analysis. Nurse Educ Today. 2015 Jan;35(1):176-82. doi: 10.1016/j.nedt.2014.09.009. Epub 2014 Oct 29.
- Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1970.
- Kokkiz R, Inangil D, Turkoglu I. The effect of formative assessment on students' clinical knowledge, skills and self-efficacy levels. Nurse Educ Pract. 2024 Oct;80:104120. doi: 10.1016/j.nepr.2024.104120. Epub 2024 Aug 28.
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- 228
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
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