Simulation-Based Training on the Preparedness and Burden of Caregiver
Condition: Burns
MeSH terms: Burns
Study type: Interventional

Summary: 
      Major burn injuries are serious traumas that cause physical and psychological problems. The
      acute period that begins with admission to the hospital is followed by a rehabilitation
      period that lasts for months or even years. The main goal in the acute care of the patient in
      hospital is to discharge the patient from the hospital as soon as possible, with the least
      morbidity, functional and cosmetic loss. The care of the patient in rehabilitation period
      continues at home, and the home care is provided by informal caregivers. Due to the
      physiological and psychological changes occurring in the patient with burns, the informal
      caregiver has important duties such as; helping with or doing feeding, wound care, personal
      care, organizing household chores, providing economic, medical and psychological support. So
      that, informal caregivers may experience lack of information and anxiety. Nurses should
      include the informal caregivers in discharge education to meet the information requirement of
      them, to prepare them for home care and to reduce anxiety of home care. The basis of
      discharge education is to help individual to cope with the problems related to the disease
      and to maintain individual care. Nurses, who play a key role in discharge education, have
      been keeping up with the change over the years and trying to maintain the effectiveness of
      education by various methods. The educational environment enriched with different
      technological tools and materials used in the field of education makes it easier to provide a
      change of behavior in the desired direction in the learner. A controlled and safe simulation
      environment ensures patient safety at all times, while ensuring that training is tailored
      specifically to the needs of the trained. Simulation gives caregivers an opportunity to
      manage stressful medical events in a risk-free environment, which allows healthcare providers
      to be involved in and manage the family's traditional education when it comes to caring and
      teaching families. When the literature on increasing the preparedness of the caregivers for
      care, and thus reducing the burden of care, no studies evaluating the simulation-based
      training for informal caregivers were found. This study was needed with the idea that
      simulation-based training, which is provided with a high fidelity of moulage, will help the
      caregiver to understand the burn care easily, to be ready for care and therefore to reduce
      the burden of care.
    

Detailed description: 
      Method:

      The study was designed as a randomised controlled study with the control group in order to
      determine the effect of simulation-based training applied to the caregivers of burn patients
      on their preparedness for care and caregiving burden. The research will be conducted in the
      Burn Unit of Hacettepe University Adult Hospital and Burn Center of Gulhane Training and
      Research Hospital. The population of the research includes caregivers of adult patients
      admitted to Hacettepe University Adult Hospital Burn Unit and Burn Center of Gulhane Training
      and Research Hospital after 02.02.2021 and have treatment in inpatient or outpatient clinics.
      Since there is no similar research in the literature, sample size was not calculated. At the
      end of the study, power analysis will be done to evaluate the adequacy of the sample size. In
      the study, participants in the intervention group and control group will be assigned by block
      randomization method and each block will consist of 4 caregivers and 6 blocks will be formed.
      The data sheets of the research are Caregivers Information Form, Preparedness for Caregiving
      Scale, Caregiving Burden Scale and Post-Discharge Assessment Form for Burn patients. In
      addition, the Questionnaire for the Burn patients will be used to obtain information about
      the burn patients.

      Implementation of study:

      The control group will receive only the standard discharge education. Simulation based
      education will be performed after the standard discharge training with the intervention
      group. The preparedness of caregivers before and after both training will be assessed. The
      burden of caregiving will be assessed during the first and third months of care.

      Collection of Data:

      In order to test the understandability of standard discharge training, training will be
      provided to 3 patient relatives. The presentation of the training will be organized according
      to the feedback received.

      After the pre-application of the simulation scenario in the laboratory environment 3 times,
      the necessary changes will be made on the scenario and the final version will be given.

      Data collection tools will be applied on the both group, unrecognized questions and
      corrections will be made on missing items. Individuals participating in these preliminary
      studies will not be included in the study.

      Percentage, mean, standard deviation will be used in the evaluation of the data. Chi-square,
      Fisher's exact test, independent paired T-test and Mann-Whitney U test will be used for
      comparison between groups and within groups. p <0.05 will be considered statistically
      significant.
    

Intervention name(s): Simulation based education
Intervention type(s): Behavioral
Intervention description(s): high fidelity simulation with moulage
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Simulation-based education will be performed after the standard discharge training with the intervention group. The control group will receive only the standard discharge education
Masking: Single (Outcomes Assessor)
Primary purpose: Other
Keywords: burn; simulation; burden of care; readiness for caregiving.; caregiver