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Effectiveness of Simulation With Nursing Students in the Care of Patients With Sepsis

Not Applicable
Conditions
Learning Process in Nursing Graduation
Stress
Interventions
Other: High-Fidelity Simulation
Other: Low-Fidelity Simulation
Registration Number
NCT04512183
Lead Sponsor
University of Brasilia
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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
High-Fidelity SimulationHigh-Fidelity SimulationFirst, students will go through an inverted class on sepsis. Then, they will be submitted to high-fidelity simulation scenarios to care for patients with sespe. After the scenario, the students' physiological parameters (blood pressure, heart rate, body temperature, respiratory rate and oxygen saturation) will be measured. After the scenario, students will go through a reflective debriefing session.
Low-Fidelity SimulationLow-Fidelity SimulationFirst, students will go through an inverted class on sepsis. Then, they will be submitted to low-fidelity simulation scenarios to care for patients with sespe. After the scenario, the students' physiological parameters (blood pressure, heart rate, body temperature, respiratory rate and oxygen saturation) will be measured. After the scenario, students will go through a feedback session.
Primary Outcome Measures
NameTimeMethod
Cognitive Performance (Retention)Applied thirty days after the intervention

Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

Cognitive Performance (Baseline)Applied before the intervention

Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

Cognitive Performance (Post-test)Applied immediately after the intervention

Students' knowledge about nursing care in sepsis measured using a structured questionnaire with six multiple-choice questions

Secondary Outcome Measures
NameTimeMethod
Student stress (Post-test)Immediately after the intervention

Assessment of students' stress intensity with pedagogical activities through the application of the Kezkak Stress Scale. This scale has 31 items of the Likert type of 4 points, being: 1 - Nothing stressful; 2 - A little stressful; 3 - Very stressful; 4 - Extremely stressful. The value 1 means less stress and 4 more stress.

Student stress (Baseline)Before the intervention

Assessment of students' stress intensity with pedagogical activities through the application of the Kezkak Stress Scale. This scale has 31 items of the Likert type of 4 points, being: 1 - Nothing stressful; 2 - A little stressful; 3 - Very stressful; 4 - Extremely stressful. The value 1 means less stress and 4 more stress.

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