The Effect of Haptic and Highly Fidelity Simulator in Cardiopulmonary Resuscitation Training

Study Overview
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Brief Summary
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Cardiopulmonary Resuscitation (CPR) is of great importance for nurses who frequently encounter cardiopulmonary arrest in health care institutions and who are within their duties, authorities and responsibilities. Therefore, nurses should have sufficient, up-to-date knowledge and skills about cardiopulmonary resuscitation. Nursing educators should try different training methods on CPR education and ensure that the student has sufficient knowledge and skills before graduation. This study, In order to examine the effects of haptic and highly fidelity simulator use in Cardiopulmonary Resuscitation training in nursing students on their knowledge, skills, satisfaction and self-confidence levels, it was planned to be performed in a randomized controlled type.

Detailed Description
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This study aim to examine the effects of Haptic and Highly Fidelity Simulator use in Cardiopulmonary Resuscitation training in nursing students on their knowledge, skills, satisfaction and self-confidence levels, it was planned to be performed in a randomized controlled type. The population of the research will be 4th grade students enrolled in the Faculty of Health Sciences, Faculty of Nursing . The sample of the study will consist of all 4th grade students who meet the sample selection criteria. Sampling Inclusion Criteria: Individuals over the age of 18, who agreed to participate in the study in written and verbal form, and participated in all phases of the study will be included. In the randomization part of the study, the students will assigned to the experiment (n=30) and control (n=30) groups according to their number in the class list using the random numbers table. Data will collect with Sociodemographic Data Form, Cardiopulmonary Resuscitation Knowledge Test, Cardiopulmonary Resuscitation Skills Checklist and Student Satisfaction and Confidence in Learning Scale. Written permission will be obtained from the individuals who volunteered to participate in the study, and Sociodemographic Data Form and Cardiopulmonary Resuscitation Knowledge Test will be applied to all students. Cardiopulmonary Resuscitation training will be given theoretically to all students in the classroom environment by an expert academician who has an associate professor in the field of Surgical Nursing. This training will take 1 hour. The names of all students will be written in alphabetical order, and students will be divided into Haptic or Highly Fidelity Simulator groups using the random numbers table. Intervention in Haptic Group: Students will perform Cardiopulmonary resuscitation using 3D Systems Touch Haptic Simulator. During the intervention, there will be 2 researchers and the student who made the application in the room. While one of the researchers will be with the student only for support during the practice, the other researcher will fill the Cardiopulmonary Resuscitation Skills Checklist by evaluating the cardiopulmonary resuscitation skill of the student. Intervention in the High Fidelity Simulator Group: Students will perform Cardiopulmonary resuscitation using High Fidelity CPR Simulator. During the intervention, there will be 2 researchers and the student who made the application in the room. While one of the researchers will be with the student only for support during the practice, the other researcher will fill the Cardiopulmonary Resuscitation Skills Checklist by evaluating the cardiopulmonary resuscitation skill of the student. The application of the student will take a total of 10 minutes.

Official Title
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The Effect of Haptic and Highly Fidelity Simulator Use on Knowledge, Skills, Satisfaction and Self-Confidence Levels in Cardiopulmonary Resuscitation Training: A Randomized Controlled Study

Conditions
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Nursing Caries, Cardiopulmonary Resuscitation

Intervention / Treatment
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* Device: High Fidelity Simulator
* Device: Haptic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Over18 years old Being 4nd year student Volunteering to take a CPR training who agreed to participate in the study in written and verbal form, participated in all phases of the study will be included. Exclusion Criteria: Not being volunteer to participate in the study

Ages Eligible for Study
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Minimum Age: 18 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: This study will conducted between April and July 2022 on 60 volunteer students studying in the Department of Nursing Faculty in Turkey. The inclusion criteria were as follows being 18 years old or over, being a fourth year student, be in the classroom on training day. The students included in the study were randomly divided into two groups.The Haptic group will use the Haptic Device with 3D technology and the High Fidelity Simulator group will use High Fidelity CPR Simulator.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Haptic<br>Practice in Haptic Group: Students will be taught cardiopulmonary resuscitation skills with the 3D Systems Touch Haptic Simulator. During the application, there will be 2 researchers and the student who made the application in the room. While one of the researchers will be with the student only for support during the practice, the other researcher will fill the Cardiopulmonary Resuscitation Skills Checklist by evaluating the cardiopulmonary resuscitation skill of the student. | Device: Haptic<br>* First of all, students will be given 1 hour of CPR training. Then they will be asked to apply with the 3D technology Haptic Device Simulator. This tool has a computer screen and a swing haptic pen. It will not be interfered during the application. The student's practice will be evaluated by an observer. The student will evaluate his/her satisfaction after the application is over.<br>|
| Experimental: High Fidelity Simulator<br>Application in the Simulator Group with High Fidelity: Students will be taught cardiopulmonary resuscitation skills with the CPR Simulator. The student and 2 researchers who will practice will remain in the environment, and the student will also be asked to practice. | Device: High Fidelity Simulator<br>* First of all, students will be given 1 hour of CPR training. Then they will be asked to apply with the High Fidelity CPR Simulator. This simulator is adult human sized and specialized for CPR practice. It will not be interfered during the application. The student's practice will be evaluated by an observer. The student will evaluate his/her satisfaction after the application is over.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sociodemographic Data of the students | The form in which the socio-demographic data of the students such as age and gender are questioned. | Baseline | 
| Change from Resuscitation Knowledge Test at 3 weeks | Using the books, articles and guides in the literature, 15 multiple-choice questions about CPR were prepared and will be measured with the Resuscitation Knowledge Test. The maximum score to be obtained from this test is 15 and the minimum 0. | Baseline and 3 week later. | 
| Cardiopulmonary Resuscitation Skills Checklist | While practicing, the student will be evaluated by the observer with a 20-step checklist. Each step will be evaluated as applied, partially implemented, not implemented. The highest score is 100, the lowest score is 0. | after 1 hour of CPR training (while the student is practicing CPR skill) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Student Satisfaction and Self-Confidence in Learning Scale | This instrument is a 12-item scale. It has 2 sub-dimensions: Satisfaction with current learning(5 items) and Self-Confidence in Learning(7 items). Responses are rated on a 5-point Likert scale with values ranging from 1 (strongly disagree) to 5 (strongly agree). The highest score is 60, the lowest score is 12. It is evaluated that as the score increases, student satisfaction and self-confidence in learning increase. | within 10 minutes, after the student has practiced the CPR skill | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Haptic, Highly Fidelity Simulator, Skills, Satisfaction, Training