High Fidelity Simulation-based Learning Approach in Maternal and Infant Care
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: high fidelity simulation-based training, conventional training.
- Who it may be relevant to
- Registry conditions: High Fidelity Simulation Training. Basic parameters: 18 years — 30 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hong Kong
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Exploring Nursing Students' Experience and Attitudes Towards High Fidelity Simulation-based Learning Approach in Maternal and Infant Care: A Mixed Method Study
Overview
Study type: clinical trial - randomized control trial Primary purpose: to explore the effectiveness of high-fidelity simulation (HFS) interventions, specifically scenario-based training with pre-briefing and de-briefing on (1) knowledge and self-efficacy (2) problem solving abilities, (3) the learning experience among nursing students in baby care and breastfeeding, as compared to traditional training. Primary outcome: breastfeeding self-efficacy scores and knowledge in the intervention compared to the control group Secondary outcome: Simulation Design Scale and Education Practices Questionnaire
Detailed description
Background and Rationale of Study:
Nursing students commonly reported feeling unprepared in maternity and infant care clinical setting or lack competencies. Additionally, nurses are concerned about the clinical reasoning skills of new graduates, which may lead to poor quality of infants or maternal outcomes. Despite this importance, it is difficult to provide more clinical opportunities especially during COVID pandemics. High-fidelity simulation-based learning (HFS) can help to bridge the gap between theory and practice, with manikin citing the similarities to practice in a 'real' situation. By incorporating different scenarios, prebriefing and debriefing into the HFS, students can enhance their learning experience. However, there is a lack of studies specifically examining the use of HFS in baby care and breastfeeding among nursing students. The impact of HFS on learning outcomes, including knowledge and skills, problem solving abilities, and learning experience are unclear.
Interventions
- Behavioral high fidelity simulation-based training
The intervention is a two-hour high-fidelity simulation training session focusing on newborn assessment, care practices, skin-to-skin contact, and breastfeeding. It uses SimBaby mannequins and breastfeeding models to mimic the hospital environment. Scenarios are tailored to nursing students' learning levels and reviewed by experienced midwives. The training includes: Prebriefing: Introduction of learning objectives, scenario background, simulation familiarization, confidentiality discussions, - Behavioral conventional training
Conventional training includes lecture, tutorial and basic lab with low-fidelity mannequins.
Primary outcome measures
- Self efficacy on basic breastfeeding knowledge and skills with a self-rated breastfeeding ability tool [Time frame: 5min]
- Level of knowledge and skill in caring for newborn baby and breastfeeding [Time frame: 4min]
Secondary outcome measures (2)
- Simulation Design Scale (SDS) [Time frame: 3min]
- Education Practices Questionnaire (EPS) [Time frame: 3min]
Eligibility criteria
Inclusion criteria
- undergraduate nursing students
- newly enrolled obstetric course
- can provide consent for simulation confidentiality
- do not have previous clinical experience or training in obstetrical units
Exclusion criteria
- Nil
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Other
Study locations
Hong Kong · 1 center
- Hong Kong Metropolitan University — Hong Kong
Publications
- Akalin A, Sahin S. The impact of high-fidelity simulation on knowledge, critical thinking, and clinical decision-making for the management of pre-eclampsia. Int J Gynaecol Obstet. 2020 Sep;150(3):354-360. doi: 10.1002/ijgo.13243. Epub 2020 Jun 21. PMID 32469084
- Anderson OS, Weirauch K, Roper R, Phillips J, McCabe C, Chuisano SA, Sadovnikova A. The Efficacy of Hybrid Telesimulation with Standardized Patients in Teaching Medical Students Clinical Lactation Skills: A Pilot Study. Breastfeed Med. 2021 Apr;16(4):332-337. doi: 10.1089/bfm.2020.0253. Epub 2021 Jan 25. PMID 33493401
- Alshehri FD, Jones S, Harrison D. The effectiveness of high-fidelity simulation on undergraduate nursing students' clinical reasoning-related skills: A systematic review. Nurse Educ Today. 2023 Feb;121:105679. doi: 10.1016/j.nedt.2022.105679. Epub 2022 Dec 5. PMID 36542870
- Au ML, Tong LK, Li YY, Ng WI, Wang SC. Impact of scenario validity and group size on learning outcomes in high-fidelity simulation: A systematics review and meta-analysis. Nurse Educ Today. 2023 Feb;121:105705. doi: 10.1016/j.nedt.2022.105705. Epub 2022 Dec 30. PMID 36599250
- Blackman I, Sweet L, Byrne J. Using Rasch analysis to identify midwifery students' learning about providing breastfeeding support. Women Birth. 2015 Sep;28(3):228-35. doi: 10.1016/j.wombi.2015.02.001. Epub 2015 Mar 6. PMID 25754763
- Cheng A, Grant V, Dieckmann P, Arora S, Robinson T, Eppich W. Faculty Development for Simulation Programs: Five Issues for the Future of Debriefing Training. Simul Healthc. 2015 Aug;10(4):217-22. doi: 10.1097/SIH.0000000000000090. PMID 26098492
- Cobbett S, Snelgrove-Clarke E. Virtual versus face-to-face clinical simulation in relation to student knowledge, anxiety, and self-confidence in maternal-newborn nursing: A randomized controlled trial. Nurse Educ Today. 2016 Oct;45:179-84. doi: 10.1016/j.nedt.2016.08.004. Epub 2016 Aug 9. PMID 27537670
- Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003 Nov-Dec;32(6):734-44. doi: 10.1177/0884217503258459. PMID 14649593
Identifiers
NCT: NCT06722248 · HFSBLBF1224