Teaching the Social Determinants of Health to Nursing Students With Simulation

Study Overview
=================
Brief Summary
-----------------
The goal of this intervention study is to compare two different simulation modalities (standardized patient and manikin-based) in nursing student education. The main aim is to determine the effect of new scenarios on cultural awareness levels in two different types of simulation modalities and to determine the effect of new scenarios on social determinants of health knowledge levels in two different types of simulation modalities. Participants will assign to two groups and will attend simulation sessions.

Detailed Description
-----------------
The simulation session will contain prebriefing, simulation, and debriefing. The participants will be assigned to the simulation session. The first group will be the standardized patient group. They will ask to fill out the Cultural Awareness Scale and social determinants of health knowledge. Then, they will attend prebriefing, standardized patient simulation, and debriefing. The second group will be the manikin-based group. They will ask to fill out the Cultural Awareness Scale and social determinants of health knowledge. Then, they will attend prebriefing, manikin-based simulation, and debriefing.

Official Title
-----------------
Teaching the Social Determinants of Health to Nursing Students With Culturally Diverse Simulation: A Quasi Experimental Trial

Conditions
-----------------
Simulation of Physical Illness, Nurse's Role

Intervention / Treatment
-----------------
* Behavioral: Standardized patient simulation
* Behavioral: Manikin-based simulation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: being enrolled in Nursing in the Community course accepting to be a participant accepting to be recorded Exclusion Criteria: not attending at least one of the prebriefing, simulation, or debriefing sessions

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Standardized patient group<br>The standardized patient simulation participants will receive a simulation with standardized patients on how to identify social determinants of health in an individual | Behavioral: Standardized patient simulation<br>* The standardized patient simulation participants will receive a simulation with standardized patients on how to identify social determinants of health in an individual<br>|
| Experimental: Manikin-based group<br>The manikin-based simulation participants will receive a simulation with manikins on how to identify social determinants of health in an individual | Behavioral: Manikin-based simulation<br>* The manikin-based simulation participants will receive a simulation with manikins on how to identify social determinants of health in an individual<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline cultural awareness level on the 36 questions Cultural Awareness Scale | The Cultural Awareness Scale is a validated, reliable, and self-reported instrument assessing cultural awareness levels. Each statement is graded from 1=Strongly Disagree to 7=Strongly Agree. While lower scores indicate less cultural awareness, higher scores indicate greater cultural awareness (minimum = 36, maximum = 252). | Three hour | 
| Change from baseline social determinants knowledge on the 10 questions Social Determinants of Health Survey | Social Determinants of Health Survey is a 10-question multiple-choice survey created by researchers by searching the literature. The number of responses to the answer choice is determined. The lower scores indicate fewer social determinants of health knowledge and higher scores indicate greater social determinants of health knowledge (minimum = 0, maximum = 10). | Three hour | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Nursing student, Simulation-based training, Standardized patient simulation, Manikin-based simulation