Effect of Cinematic Simulation on Emotions, Resilience, and Empathy Among Undergraduate Nursing Students

Study Overview
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Brief Summary
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The aim of this study is to: Determine the effect of cinematic simulation as action to regulate emotions, leverage resilience, and foster empathy among undergraduate nursing students. Research Hypothesis Nursing students who participated in cinematic simulation will exhibit better regulation of emotions, resilience, and empathy than those in the control group

Detailed Description
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The current study's population was the second-term 4th level registered undergraduate nursing candidates in the year 2022/2023. A sample of 70 randomly selected students from the psychiatric nursing rotation will be included in this study. The study subjects will be divided equally into two groups (study and a control group) matched as much as possible. The exclusion criteria include students who were not willing to participate in the study, those who complained of any mental disorders or had a previous history of any mental problems. Assigned students will be randomly divided into two groups of intervention; study (n = 35) and control (n = 35). The control group will receive usual training based on the educational objectives of routine methods of lectures, discussion, …etc. The study group (35 students) will be divided into 7 small groups of (5 students in each group). In addition to routine training provided for the control group, the students of the intervention group will be provided with micro learning content following the educational topics of the course in the form of short videos of cinematic films reinforcing values of resilience, empathy, and positive emotions in dealing with others. Objectives for the cinematic simulation included the following: 1) apply the principles of positive emotions, empathetic understanding and resilience to students from diverse backgrounds; 2) analyze the care management process as it relates to assessment, goals, interventions, teaching, and outcomes in mental health nursing; and 3) Reinforcing the psychological role of the professional nurses in caring for patients with different diagnoses.

Official Title
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The Power of Cinematic Simulation as Action to Regulate Emotions, Leverage Resilience, and Foster Empathy Among Undergraduate Nursing Students: A Randomized Control Trial

Conditions
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Power of Cinematic Simulation on Emotions, Resilience, and Empathy Among Undergraduate Nursing Students

Intervention / Treatment
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* Behavioral: Cinematic Simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Egyptian Nursing students Exclusion Criteria: complained of any mental disorders or had a previous history of any mental problems.
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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: STUDY GROUP<br>The group (35 students) will be divided into 7 small groups of (5 students in each group). In addition to routine training provided for the control group, the students of the intervention group will be provided with micro learning content following the educational topics of the course in the form of short videos of cinematic films reinforcing values of resilience, empathy, and positive emotions in dealing with others. • Pre-simulation activities will also be developed that required watching a tutorial video on how to create a plan of care for such cases. Students also will be provided with background on cinematic simulation and a summary of the characters. Learners will be assigned to one of the films characters and introduced to the assessment tool they would utilize. A pre-briefing discussion on patient confidentiality, nursing role expectations, and developing a plan of care also preceded the activity. | Behavioral: Cinematic Simulation<br>* Comprehensive videos from specific films will be selected as films fitting the needs of participants and the established objectives. The films comprehensively develops several characters enriching the values of positive emotions, resilience and empathy. The intervention film videos will be delivered on 5 sessions for each group (2 sessions per week).<br>|
| No Intervention: Cintrol group<br>They will receive usual training based on the educational objectives of routine methods of lectures, discussion. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Emotion Regulation Questionnaire: | The Emotion Regulation Questionnaire (ERQ) is a 10-item self-report scale designed to assess habitual use of two commonly used strategies to alter emotion: cognitive reappraisal and expressive suppression. Participants respond to each item using a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). Cognitive reappraisal involves thinking differently about a situation in order to change its meaning in order to alter one's emotional experience. | 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Connor-Davidson Resilience Scale | The Connor-Davidson Resilience Scale (CD-RISC) is a test that measures resilience, or readiness to bounce back after a stressful event, tragedy, or trauma. It consists of 25 items, each rated on a 5-point scale (0-4), as follows: not true at all (0), rarely true (1), sometimes true (2), often true (3), and true nearly all the time (4). Reliability, validity, and factor analysis structure of scales were assessed and reference values for study samples were calculated. The ratings result in a number between 0-100, and higher scores indicate higher resilience. Scores are categorized as follows: < 50% for low resilience levels and ≥50% for high resilience levels. | 2 weeks |