Clinical trial NCT04512183: Effectiveness of Simulation With Nursing Students in the Care of Patients With Sepsis
Official title: Effectiveness of Simulation in the Cognitive, Physiological and Emotional Sphere of Nursing Students in Caring for Patients With Signs of Sepsis: Crossover Clinical Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Learning Process in Nursing Graduation
Stress
Keywords: Simulation
Stress, Psychological
Nursing, Education
Simulation Training
Learning
Lead sponsor: University of Brasilia
Sponsor class: OTHER
First posted: 2020-08-13
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: OTHER

Brief summary: Simulation is an active teaching strategy capable of reproducing real situations and allowing practical experiences, in which the student is the protagonist of his own knowledge. Scientific evidence highlights, that exposure to the unknown or new can generate stress to the individual, but when dosed, to a certain extent it can increase the level of knowledge. Not infrequently, the lack of stress control can trigger physiological and subjective changes resulting from the increase in its level, such as situations that include the implementation of simulation scenarios in pedagogical teaching models.

Detailed description: Objective:

To evaluate the effect of simulation (high and low fidelity) on the cognitive, physiological and emotional sphere of nursing students in caring for patients with signs of sepsis.

Hypothesis of the study:

Null hypothesis: Students undergoing high-fidelity simulation will show similar levels of stress, cognitive performance and retention of knowledge in relation to those who will perform low-fidelity simulation in patients with signs of sepsis.

Alternative hypothesis: The cognitive performance and stress will be higher in students who experience high fidelity simulation when compared to students who experience low fidelity simulation.

Eligibility criteria: Inclusion Criteria:

* Students approved in the discipline related to nursing care for adult and elderly patients;
* Aged over 18 years.

Exclusion Criteria:

* Who have experience in the health field (firefighters and nursing technicians, among others);
* Members of the Health Simulation League;
* Those who do not complete all stages of the research.

Primary outcomes:
measure: Cognitive Performance (Baseline)
timeFrame: Applied before the intervention
measure: Cognitive Performance (Post-test)
timeFrame: Applied immediately after the intervention
measure: Cognitive Performance (Retention)
timeFrame: Applied thirty days after the intervention
Secondary outcomes:
measure: Student stress (Baseline)
timeFrame: Before the intervention
measure: Student stress (Post-test)
timeFrame: Immediately after the intervention
Other outcomes:
Locations:
Study officials:
affiliation: University of Brasilia
name: Marcia CS Magro, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Boostel R, Felix JVC, Bortolato-Major C, Pedrolo E, Vayego SA, Mantovani MF. Stress of nursing students in clinical simulation: a randomized clinical trial. Rev Bras Enferm. 2018 May;71(3):967-974. doi: 10.1590/0034-7167-2017-0187. English, Portuguese.
citation: Kaneko RMU, Lopes MHBM. Realistic health care simulation scenario: what is relevant for its design? Rev Esc Enferm USP. 2019 May 30;53:e03453. doi: 10.1590/S1980-220X2018015703453. English, Portuguese.
citation: Bingham AL, Sen S, Finn LA, Cawley MJ. Retention of advanced cardiac life support knowledge and skills following high-fidelity mannequin simulation training. Am J Pharm Educ. 2015 Feb 17;79(1):12. doi: 10.5688/ajpe79112.
citation: Machado FR, Assuncao MS, Cavalcanti AB, Japiassu AM, Azevedo LC, Oliveira MC. Getting a consensus: advantages and disadvantages of Sepsis 3 in the context of middle-income settings. Rev Bras Ter Intensiva. 2016 Oct-Dec;28(4):361-365. doi: 10.5935/0103-507X.20160068. No abstract available.
citation: Englert NC, McDermott D. Back to Fundamentals: Using High- and Low-Fidelity Simulation to Provide Reinforcement of Preventative Measures for Sepsis. Crit Care Nurs Q. 2016 Jan-Mar;39(1):14-23. doi: 10.1097/CNQ.0000000000000097.