Comparison of Peer-Led Simulation Facilitation Methods on Nursing Students

Study Overview
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Brief Summary
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There are limited studies in the literature on the peer-led facilitator involved in each stage of the simulation in simulation-based experience in nursing education. The purpose of this research is to examine the effect of having a competent senior nursing undergraduate student with simulation knowledge and experience as a facilitator at every stage of the simulation, on the effectiveness of the simulation (Simulation Effectiveness Tool), and on the participants' satisfaction and self-confidence in learning. Method: This research is a prospective, randomized, crossover-designed experimental type of research. Structured Student Information Form, Modified Simulation Effectiveness Tool, Student Satisfaction, and Self-Confidence in Learning Scale will be used to collect data. The population of the research consists of all students enrolled in the first year of the Hamidiye Faculty of Nursing at the University of Health Sciences. Since voluntary participation in the research is based, students who want to participate will constitute the sample. Students will be divided into two groups of eight and will undergo two simulations for two consecutive days. Students in the first arm completed the simulation under the leadership of a peer facilitator on the first day, and under the leadership of an instructor facilitator on the second day; Students in the second arm will receive simulation training under the leadership of an instructor facilitator on the first day, and under the leadership of a peer facilitator on the second day.

Detailed Description
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The instructor who facilitates the simulation training has a Simulation Applications certificate. The peer facilitator is a 4th-grade student who has received 2-day simulation training and has at least 3 simulation experiences. Students will be divided into two groups of eight and will undergo two simulations for two consecutive days. Students in the first arm completed the simulation under the leadership of a peer facilitator on the first day, and under the leadership of an instructor facilitator on the second day; Students in the second arm will receive simulation training under the leadership of an instructor facilitator on the first day, and under the leadership of a peer facilitator on the second day. In this study, data will be collected through a 3-stage application process. Information Respiratory Activity and Diabetes Management topics, which are in the Health Assessment course curriculum, will be explained to first-year students in the spring semester of the 2023-2024 Academic Year at the Faculty of Nursing, where the study will be carried out, by the instructor in charge of the course on the days and hours specified in the course program. At the end of the course, explain to the students the purpose of the study, the method, and that the data will be used only for scientific purposes. Students who volunteer to participate in the study are explained to the students who volunteer to participate in the study, and their verbal and written consent is obtained by explaining the duration, flow, and expectations of the application. Informing students by deciding on the application day and time Providing orientation to students by giving them information about the simulation environment and management in the application laboratory on the application day. Simulation Training Sharing the patient's information for which a scenario text was created for the students before the application. Explaining what the goals are expected from students. Carrying out both simulation applications on separate days and in a way that students in both groups stay in the simulation environment for the same amount of time. Analysis Holding a peer evaluation meeting after the simulation, where the groups experience the simulation. Discuss students' thoughts about the process (their practices, decisions, and outcomes) regarding their simulation experience. Discussing expected and achieved goals. Following the analysis meeting, the Structured Student Information and Evaluation Form, Modified Simulation Effectiveness Tool, Student Satisfaction, and Self-Confidence in Learning Scale are administered to the students.

Official Title
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University of Health Sciences, Hamidiye Faculty of Nursing

Conditions
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Simulation of Physical Illness, Nurse's Role

Intervention / Treatment
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* Behavioral: Scenario-based simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being 18 years or older, Having taken the Health Assessment course, Experienced education with simulation for the first time, Being willing and able to participate in the study. Exclusion Criteria: Incomplete filling of Data Collection Forms, Not attending the simulation training on the day and time.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Other
Allocation: Randomized
Intervention Model: Crossover Assignment
Interventional Model Description: This research is a prospective, randomized, crossover-designed experimental type research.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: First Arm<br>Students in the first arm received simulation training under the leadership of a peer facilitator on the first day, and under the leadership of an instructor facilitator on the second day. | Behavioral: Scenario-based simulation<br>* Scenario-based simulation prepared for Respiratory Activity and Diabetes Management topics in the course curriculum<br>|
| Experimental: Second Arm<br>Students in the second arm received simulation training under the leadership of an instructor facilitator on the first day and under the leadership of a peer facilitator on the second day. | Behavioral: Scenario-based simulation<br>* Scenario-based simulation prepared for Respiratory Activity and Diabetes Management topics in the course curriculum<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Simulation Effectiveness | Output regarding students' perceptions of the effectiveness of learning in a simulation environment. It will be measured with the Modified Simulation Effectiveness Tool. The measurement tool has 19 items and four subscales. Sub-dimensions of the measuring tool; These are prebriefing, learning, confidence and debriefing. The preliminary information sub-dimension consists of two items, the learning sub-dimension consists of six items, the trust sub-dimension consists of six items, and the analysis sub-dimension consists of five items. | Through study completion, an average of 1 months | 
| Student Satisfaction and Self-Confidence in Learning | Outcome regarding students' attitudes and beliefs about simulation. It will be measured by the Student Satisfaction and Learning Self-Confidence Scale. The scale, which is widely used to measure students' attitudes and beliefs about simulation, was published by the National League for Nurses (NLN) (Franklin, Burns and Lee 2014). It consists of two subscales: satisfaction with learning and self-confidence and a total of 13 items. In the satisfaction with learning sub-dimension; Five items measuring satisfaction with the teaching method, variety of learning materials, facilitation, motivation and overall suitability of the simulation are included in the self-confidence subscale; There are eight sub-items in content adequacy: self-confidence, content necessity, skill development, available resources and information on how to get help to solve clinical problems in the simulation. | Through study completion, an average of 1 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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simulation, peer-led, facilitation