Empathy, Nursing Education, Nursing Students, Patient-centered Care, Simulation Based Learning
Conditions
Keywords
simulation fidelity, standardized patient, manikin simulation, nursing students, patient-centered care, empathy, learning self-confidence, debriefing, randomized controlled trial, nursing education Turkey
Brief summary
This randomized controlled trial examines the effects of simulation fidelity on nursing students' patient-centered care competency, empathy, learning self-confidence, and satisfaction. Participants will be randomly assigned to two groups: one group will practice with a standardized patient (actor) and the other with a manikin in a myocardial infarction scenario. All sessions will follow the same structured simulation protocol including briefing, simulation, and debriefing phases. The study aims to provide evidence on whether the type of simulated patient affects learning outcomes in nursing education.
Detailed description
Simulation-based education is widely used in nursing training to develop clinical competency in safe environments. The fidelity of simulation particularly whether a standardized patient or a manikin is used may influence the realism of the experience and subsequently affect learning outcomes. However, evidence comparing these two modalities on patient-centered care competency, empathy, and learning outcomes remains limited. This study will be conducted at Atılım University School of Health Sciences Nursing Skills Laboratory in Ankara, Turkey. Second, third, and fourth-year nursing students who have completed the Internal Medicine Nursing course. Eligible participants will be randomly assigned. The Standardized Patient Group (experimental) will practice a myocardial infarction nursing care scenario with a trained actor portraying the patient. The Manikin Group (active comparator) will perform the same scenario using a high-fidelity manikin. Both groups will follow an identical structured simulation protocol consisting of three phases: education and briefing (45 minutes), simulation (10-15 minutes), and debriefing (20 minutes). A semi-structured perceived reality interview will be conducted with the standardized patient group following the simulation. Data will be collected using four instruments: the Patient-Centered Care Competency Scale, the Jefferson Empathy Scale, the Student Satisfaction and Self-Confidence in Learning Scale, and a Descriptive Information Form. All instruments will be administered immediately after the simulation session. Each group will have at least 20 participants. Data will be analyzed using independent samples t-test or Mann-Whitney U test depending on normality of distribution.
Interventions
BEHAVIORALSimulation-Based Nursing Education
A structured simulation protocol consisting of education and briefing (45 min), simulation (10-15 min), and debriefing (20 min) phases applied to both groups. The standardized patient group uses a trained actor; the manikin group uses a high-fidelity manikin in an identical myocardial infarction scenario.
Sponsors
Atılım University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Second, third, and fourth year undergraduate nursing students at Atılım University School of Health Sciences * Successfully completed the Internal Medicine Nursing course * Willingness to participate voluntarily and providing written informed consent
Exclusion criteria
* Did not complete the informed consent form * Withdrawal of consent at any point during the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient-Centered Care Competency Scale Score | Immediately after the simulation session | Total score obtained from the Patient-Centered Care Competency Scale measuring nursing students' competency in providing patient-centered care |
| Jefferson Scale of Empathy Score | Immediately after the simulation session | Total score obtained from the Jefferson Scale of Empathy measuring nursing students' empathy levels toward patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Student Satisfaction and Self-Confidence in Learning Scale Score | Immediately after the simulation session | Total score obtained from the Student Satisfaction and Self-Confidence in Learning Scale measuring students' satisfaction and self-confidence following simulation |
| Perceived Reality of Simulation | Immediately after the simulation session | Semi-structured interview responses assessing students' perceived realism of the simulation experience |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORECEM OZGUL, PhD
Atilim University School of Health Sciences, Department of Nursing
Outcome results
None listed