Position and Communication Skills Simulation

Study Overview
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Brief Summary
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The goal of this study was to compare two different simulation applications in developing the positioning skill, one of the most common nursing practices, and the communication skill, which forms the basis of nursing practices.

Official Title
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Position and Communication Skills Simulation: Comparison of Two Simulation Models in Nursing Student

Conditions
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Comparing to Effect Two Simulation Models

Intervention / Treatment
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* Other: Standard patient simulation model


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteering to participate in the research First-year nursing students Not have training in simulation Exclusion Criteria: Not meeting the inclusion criteria

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 26 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The population of the study consisted of 112 second-semester nursing students who took the Nursing Fundamentals course in the spring semester of the 2021-2022 academic year, and the sample included volunteers who took the course for the first time. A power analysis was performed on the G*Power (v3.1.7) software to determine the sample size. The power of a study is expressed as 1-β (β = probability of type II error), and in general, studies should have 80% power. According to Cohen's effect size coefficients, assuming that the evaluations between two independent groups would have a large effect size (d = 0.8), the sample size was calculated as 60 subjects. Students were randomly assigned to groups using computer software.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>The students involved in the intervention group were divided into subgroups, and the simulation was carried out using standardized patients. Each subgroup consisted of two students. Students were asked to practice supine and lateral recumbent positions in each scenario. | Other: Standard patient simulation model<br>* Nursing students were trained with a standard patient simulation model for position and communication skills education.<br>|
| No Intervention: Control<br>The students in the control group were divided into subgroups and practised the supine position and the lateral recumbent position with a high-fidelity manikin. Each subgroup consisted of two students. The applications lasted 5-10 minutes for each group, and after the applications, the debriefing phase was conducted, which lasted 20 minutes. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparing of two simulation models | Describing the performance scores of the students in the standardized patient group and the high-fidelity simulation manikin group. The checklist consisted of 20 steps. The student scored 0 if the step was not applied at all or the step was applied incorrectly. If the step was not fully implemented, it was graded with 1 point, and if the step was performed correctly and completely, it was graded with 2 points. Checklists were filled out by an independent observer, who was not a researcher. Scores that can be obtained from the skill checklist ranged between 0 and 80, which were converted to 100 points. | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Therapeutic Communication Skills Questionnaire for Nursing Students | Therapeutic Communication Skills Questionnaire for Nursing Students: It is a 7-point Likert-type scale and consists of 16 items and three sub-dimensions. The highest total score that can be obtained from the scale is 112, which shows high therapeutic communication skills. | 1 month | 
| The Student Satisfaction and Self-Confidence Scale | The Student Satisfaction and Self-Confidence Scale: The scale has a 5-point Likert-type evaluation structure and consists of 13 items and two sub-dimensions. The highest total score that can be obtained from the scale is 65, which means high satisfaction and self-confidence. | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Positioning skills, Communication skills, Standardized patient, Simulation, Nurse