Nursing Students& Breastfeeding Education& Simulation

Study Overview
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Brief Summary
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The study aimed to determine the effect of different simulation methods on nursing students' self-confidence, satisfaction, and clinical breastfeeding management knowledge and skills in managing and supporting breastfeeding in the early postpartum period.

Detailed Description
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This study aimed to investigate the effectiveness of simulation-based training methods in improving the breastfeeding management knowledge and skills of third-year nursing students. The study utilized a quasi-experimental design with pre-test and post-test control groups. The results of the intervention groups that received high-fidelity, hybrid, and telesimulation training were compared with a control group that received traditional training. A clinical follow-up phase was conducted after the interventions to evaluate their impact. The study used various data collection tools to measure different factors, including knowledge and skills, confidence in learning, satisfaction, training satisfaction, and self-assessment of simulations.

Official Title
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The Effectiveness of Simulation-Based Education on Nursing Students' Breastfeeding Knowledge, Skills, Confidence, and Satisfaction.

Conditions
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Breastfeeding

Intervention / Treatment
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* Other: high-fidelity simulation
* Other: hybrid simulation
* Other: telesimulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The voluntarily agree to participate in the study Not having experience with simulation Being a 3rd year nursing undergraduate student not working as a nurse Exclusion Criteria: During the study, participants must complete all forms, attend all theoretical training, and remain in the study until completion.

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: prospective, parallel, randomized, controlled quasi-experiment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: high-fidelity simulation<br>These students participated in a breastfeeding management scenario with a high-fidelity simulation mannikin named Noella S554.100 (n=11). | Other: high-fidelity simulation<br>* The high-fidelity simulation involved a student and a computer-based mannikin. Prior to the start of the scenario, a pre-briefing session was provided. The scenario was executed with the help of the researcher from the control room. The student's performance during the simulation was recorded with video. Each simulation lasted around 30 minutes. Following the simulation, a debriefing session was held with the student, and feedback was provided. Scales were used to assess the implementation of the practices.<br>|
| Experimental: hybrid simulation<br>These students participated in the same breastfeeding management scenario with a standardized patient (n=11). | Other: hybrid simulation<br>* The hybrid simulation involved a student and a standardized patient. The patient wore a wearable breast model and held a model baby. Prior to the start of the scenario, a pre-briefing session was provided. The student's performance during the simulation was recorded with video. Each simulation lasted around 30 minutes. Following the simulation, a debriefing session was held with the student, and feedback was provided. Scales were used to assess the implementation of the practices.<br>|
| Experimental: telesimulation<br>These students participated in the same breastfeeding management scenario with a standardized patient via Microsoft Teams video conferencing. (n=11) | Other: telesimulation<br>* The telesimulation involved a student and a standardized patient. The patient wore a wearable breast model and held a model baby. Students and patients communicated via video conferencing. Prior to the start of the scenario, a pre-briefing session was provided. The student's performance during the simulation was recorded with video. Each simulation lasted around 30 minutes. Following the simulation, a debriefing session was held with the student, and feedback was provided. Scales were used to assess the implementation of the practices.<br>|
| No Intervention: control<br>The students in this group were the control group, and no intervention was made. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| breastfeeding management knowledge | The researchers developed a measurement tool to assess information. The tool uses a scoring system where correct statements receive one point and incorrect statements receive zero points. The total score ranges from 0 to 47 points. | change from before implemention and 5th week of after practice | 
| breastfeeding management skills | The researchers developed a checklist to assess skills. The tool uses a scoring system where correct practice receives one point and incorrect statements receive zero points. The checklist consists of seven sections. The number of items in each section ranges from 4 to 14. | through simulation practices completion, an average of 5 weeks and through clinical practices completion, an average of 5 weeks | 
| Evaluation of Breastfeeding Education | The researchers developed a measurement tool to assess breastfeeding education. The form items are evaluated as feeling adequate or inadequate (1 or 0 points). The total score ranges from 0 to 27 points. | change from before implemention and 5th week of after practice | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| students' self-confidence and satisfaction | It is a scale published by the National League for Nurses (NLN) to measure students' attitudes and beliefs about simulation.The highest score that can be obtained from the scale is 65 and the lowest score is 13. | through simulation practices completion, an average of 5 weeks | 
| self-evaluation | The self-report scale assesses the impact of simulation lab practices on nursing students' professional knowledge, skills, and attitudes.The lowest score that can be obtained from the scale is 0 and the highest score is 92. | through simulation practices completion, an average of 5 weeks | 
| education methods satisfaction | It evaluates the degree of contentment of the student with the teaching methodology implemented.In evaluating the satisfaction with training methods, students are scored from 20 to 80. | through simulation practices completion, an average of 5 weeks and through clinical practices completion, an average of 5 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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breastfeeding, nursing students, Nursing Research, Educational