Effectiveness of a Multimodal Intervention With Simulation for Learning Home Health Nursing Care of Patients With Multimorbidity and Heart Failure: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Learning
研究概览
简要总结
The goal of this clinical trial is to evaluate the efficacy of a multimodal intervention with high-fidelity simulations on home health nursing in improving the care of multipathological patients with heart failure in nursing students. The main questions it aims to answer are:
- Does using validated simulation scenarios on multipathological patients with heart failure improve care competencies in nursing students?
- Does knowledge of scientific evidence and healthcare protocols improve nursing students' performance in the simulator?
Researchers will compare a multimodal intervention with high-fidelity simulations on home health nursing to conventional intervention (theoretical teaching) to see if nursing students better learn competencies related to the care of patients with multimorbidity and heart failure during the home health nursing.
Participants will:
- Experience simulations on validated simulation scenarios on multipathological patients with heart failure (All participants).
- Reflect on the intervention performed on the simulator through individual and group debriefings (Experimental Group).
- Learn about the main scientific evidence and international and national protocols related to comorbidities and health failure (Experimental Group).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
To guarantee the objectivity and impartiality of the study, masking will be performed, which implies that the random assignment of the participants to the groups, the evaluation of the performance of the nursing students in the simulations in the pretest and posttest, and the subsequent statistical analysis of the data will be performed by researchers external to the study. Also, the evaluators of the simulations and the data analyst will not know the assignment of the participants to the Control and Experimental groups.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nursing students enrolled in the subject "Family and Community Nursing I".
排除标准
- •Lack of attendance since the beginning of the course.
- •Failure to follow the instructions of the instructors during the course of the study.
- •Voluntary withdrawal from the study during the study or declaring non-participation.
研究组 & 干预措施
Experimental Group
Students will receive simulation training, which will be evaluated through individual and group debriefing sessions. They will also have access to their recording simulations for autonomous learning. They will learn the protocols and current scientific evidence on the care of multipathologic patients with heart failure.
干预措施: Training in high-fidelity simulation and knowledge of care protocols in patients with multimorbidity and heart failure (Other)
Control Group
Students will receive only theoretical teaching about primary health care in nursing.
结局指标
主要结局
Learning
时间窗: From enrollment to the end of intervention at 4 weeks.
Learning will be analyzed through nursing students' performance during the simulations. Two independent observers with experience in tesching simulation will evaluate each simulation (pretest and posttest) through a validated checklist for each simulation scenario. The checklist evaluates the following aspects: (1) assessment of people and observation of the home (4 items), (2) nursing intervention (5 items), and (3) transversal competencies related to greeting, farewell, and communication skills (5 items). Each item will be evaluated by a dichotomous response (Yes/No) and a final overall evaluation (0-10 points). The observers' degree of agreement will be determined by Cohen's kappa.
Empathy
时间窗: From enrollment to the end of treatment at 4 weeks.
Empathy toward patients presenting with pluripathologies and heart failure is essential for providing professional care. The general measure of the students' empathy level was measured by the Spanish version of the Jefferson Scale of Empathy, student version (JSE-S), with a Cronbach's alpha coefficient of 0.90. The JSE-S is a 20-item instrument specifically developed to measure empathy in health profession education and patient care for administration to health profession students and practitioners. Items are answered on a 7-point Likert-type scale (1 = Strongly Disagree, 7 = Strongly Agree). Half of the items are positively worded and directly scored, and the other half are negatively worded (reverse scored). The total score are range from 20 to 140, where a higher score indicates greater empathy.
次要结局
- Self-confidence in learning(From enrollment to the end of treatment at 5 weeks)
- Quality of simulations(From enrollment to the end of treatment at 5 weeks)
- Satisfaction on simulations(From enrollment to the end of treatment at 5 weeks)
研究者
Antonio Jesús Marín Paz
Principal Investigator
University of Cadiz