Education Nursing, Simulation-based Education, Vaccination Training
Conditions
Keywords
vaccine hesitancy, high-fidelity simulation, nursing students, ımmunization, knowledge, skill
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALHigh-Fidelity Simulation
High-fidelity simulation-based training including a vaccine hesitancy scenario, structured briefing, simulation, and debriefing.
BEHAVIORALStandard Laboratory Practice
Traditional laboratory-based vaccination training using a manikin without a structured simulation scenario.
Sponsors
Zonguldak Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Experimental Group: High-Fidelity Simulation (HFS) Control Group: Standard Laboratory Practice (SLP)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Fourth-year nursing students * Voluntary participation
Exclusion criteria
* Did not complete post-tests * Non-volunteering
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Childhood Immunization Knowledge Test (CIKT) | 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. |
| Pediatric Intramuscular Vaccination Administration Checklist (PIVAC) | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Student Satisfaction and Self-Confidence in Learning Scale (SCLS) | 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. |
| Simulation Design Scale (SDS) | 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. |
Countries
Turkey (Türkiye)
Outcome results
None listed