Use of Serious Game Simulation on Newborn Resuscitation Education

Study Overview
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Brief Summary
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Neonatal death is one of the important indicators showing the development level of countries. Many newborn deaths are preventable. Preventable neonatal deaths arise from events such as birth asphyxia at the time of delivery. Nursing students receive neonatal resuscitation training with classical training methods and graduate without the opportunity to experience it in a clinical setting. The aim of the study is to evaluate the effectiveness of web-based serious game simulation method in neonatal resuscitation training given to nursing students.

Detailed Description
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The study was planned as a randomized controlled trial with a single blind, pretest-posttest design. This study will be conducted in the Fall Semester of the 2020-2021 Academic Year with nursing students studying in the 3rd grade of Akdeniz University Faculty of Nursing between October and December 2020. An intervention and control group (intervention group: 50, control group: 50) will be formed from 100 students who accepted to participate in the study. Participants will be randomly allocated to one of the two groups. Pre-test and post-test will be applied to both groups before and after the training. Neonatal resuscitation training will be given online to the intervention and control group. After the theoretical training, web-based neonatal resuscitation serious game simulation will be applied to the intervention group. Ethics Committee and Institutional Permission was obtained for the study. In addition, written consent will be obtained from the participants. Statistical analysis will be done using SPSS 23.0 and significance will be evaluated at p <0.05. Support will be received in the analysis phase of the Statistical Information Unit of Akdeniz Universit It is predicted that the new information obtained from the data of the research will guide the methods used in education and new researches.

Official Title
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The Effect of Serious Game Simulation on Newborn Resuscitation Education of Nursing Students

Conditions
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Newborn; Vitality

Intervention / Treatment
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* Behavioral: Neonatal resuscitation training with classical method and serious game simulation method
* Behavioral: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Students who are volunteers, Those who attend the Neonatal Nursing Course, Nursing students in the 3rd grade, Students with laptops Exclusion Criteria: Those with neonatal resuscitation certificate, Students without internet access

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 23 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This was pretest-posttest design, randomized controlled trial.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Group<br>Neonatal resuscitation training with classical method and serious game simulation method | Behavioral: Neonatal resuscitation training with classical method and serious game simulation method<br>* After the theoretical training, the participants will be given technical information on the use of web-based neonatal resuscitation serious game simulation method. Each participant will be asked to apply this method at least three times.<br>|
| Experimental: Control Group<br>Neonatal resuscitation training with classical method. | Behavioral: Control Group<br>* Neonatal resuscitation training with classical method<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neonatal resuscitation knowledge level assessment questionnaire | This 15-item multiple-choice questionnaire was developed by the researchers to evaluate the knowledge level of the participants. Each question will be evaluated as correct answer = 1 point, wrong answer = 0 points. Participants will fill in online before and after the training. | Immediately before training and one week after training completion | 
| Evaluation of Newborn Resuscitation Practice Skills | Serious game simulation software will be used to Assess Newborn Resuscitation Practice Skill. Participants will be expected to practice web-based neonatal resuscitation with serious game simulation and their skills will be evaluated. Each correct practice will be evaluated as sufficient 1 point and incorrect practice will be evaluated as 0 points. | Immediately before training and one week after training completion | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Student Satisfaction and Self-Confidence in Learning Scale | The scale consists of two sub-dimensions, satisfaction with learning and self-confidence, in five-point Likert type, and a total of 13 items. There are five items in the satisfaction with learning sub-dimension and eight items in the self-confidence sub-dimension. Internal consistency coefficient of the scale: 0,90 The internal consistency coefficient of student satisfaction is 0.89, and the self-confidence in learning sub-dimension is 0.83. | One week after training completion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Newborn Resuscitation, Simulation, Serious game, Nursing Student