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High-Fidelity Simulation in Vaccination Training

24. juni 2026 oppdatert av: Signem ANOL KILIÇ, Zonguldak Bulent Ecevit University

The Effect of High-fidelity Simulation on Childhood Vaccination Training in Nursing Students: A Randomized Controlled Trial

This study compared the impact of high-fidelity simulation (HFS) versus standart laboratory practice (SLP) on nursing students' knowledge, psychomotor skills, learning satisfaction, and self-confidence within a childhood vaccination training.

Studieoversikt

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

104

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Zonguldak Province
      • Kozlu, Zonguldak Province, Tyrkia (Türkiye), 67600
        • Zonguldak Bulent Ecevit University

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Fourth-year nursing students
  • Voluntary participation

Exclusion Criteria:

  • Did not complete post-tests
  • Non-volunteering

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Helsetjenesteforskning
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
High-fidelity simulation-based training including a vaccine hesitancy scenario, structured briefing, simulation, and debriefing.
Aktiv komparator: 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.
Traditional laboratory-based vaccination training using a manikin without a structured simulation scenario.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Childhood Immunization Knowledge Test (CIKT)
Tidsramme: 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.
Baseline, 1 hour after training, and 1 month after training
Pediatric Intramuscular Vaccination Administration Checklist (PIVAC)
Tidsramme: 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.
1 hour after training

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Student Satisfaction and Self-Confidence in Learning Scale (SCLS)
Tidsramme: 1 hour after training
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.
1 hour after training
Simulation Design Scale (SDS)
Tidsramme: 1 hour after training
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.
1 hour after training

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Publikasjoner og nyttige lenker

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Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. november 2022

Primær fullføring (Faktiske)

1. januar 2023

Studiet fullført (Faktiske)

1. januar 2023

Datoer for studieregistrering

Først innsendt

21. april 2026

Først innsendt som oppfylte QC-kriteriene

24. juni 2026

Først lagt ut (Faktiske)

1. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

1. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

24. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

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UBESLUTTE

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Nei

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Nei

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