Simulation Practices and Medical Error Tendencies in Nursing Students
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: Standardized patient, İn-situ simulation.
- Who it may be relevant to
- Registry conditions: Patient Safety. Basic parameters: No limits · 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
- Turkey (Türkiye)
- 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
The Effect of In-Situ Simulation and Standardized Patient Practice on Medical Error Tendencies and Attitudes of Senior Nursing Students
Overview
As the professional group that has the most frequent contact with patients, nurses are critical to the sustainability of safe care. Literature demonstrates that nursing practice is prone to error due to heavy workloads, time pressures, complex clinical tasks, inadequate rest, inappropriate working conditions, and the physiological strain of demanding shifts. When these conditions strain both physical and cognitive resources, the risk of errors during treatment administration increases. Medical errors remain one of the most devastating realities of healthcare. Data from the World Health Organization reveals the significant morbidity and mortality caused by errors on a global scale. Numerous studies have demonstrated that student nurses have a significant rate of errors, and those with limited clinical experience are particularly at risk in fundamental areas such as medication administration, asepsis, and patient identification. Increasing patient numbers, short stays, rapid turnover, and the intense pace of clinics negatively impact student nurses' ability to provide safe care, prompting both educators and students to seek stronger pedagogical solutions. This is where simulation-based training comes into play. Simulation is emerging as a contemporary teaching approach that enables students to develop their clinical skills, communication, decision-making, and self-efficacy in a risk-free, safe, and structured environment. It is increasingly being used because it supports knowledge and skill transfer, reduces fear and anxiety, strengthens self-confidence, and provides the opportunity to experience errors. In-situ simulation and standardized patient practice offer strong potential for reducing students' error proneness by providing an experience closest to real-world clinical situations. However, the lack of a study in the literature examining the effects of these two methods, particularly on the medical error proneness and attitudes of final-year nursing students, is a significant gap. This study aims to strengthen a critical area of nursing education. The aim is to evaluate the impact of in-situ simulation and standardized patient practice on final-year nursing students' medical error proneness and attitudes toward medical errors and to reveal how they transform students' competencies in providing safe care.
Interventions
- Other Standardized patient
Group 1 receives training in a simulation laboratory environment using standard patient interventions. - Other İn-situ simulation
Group 2 receives training in a real hospital setting through on-site simulations and standardized patient interventions.
Primary outcome measures
- Medical error tendency scale scores of final-year nursing students [Time frame: From registration to week 8 of intervention]
Secondary outcome measures (1)
- Medical error attitude scale scores of final year nursing students [Time frame: From registration to week 8 of intervention]
Eligibility criteria
Inclusion Criteria: Students were included in the study if they were:
- A senior nursing student at Aydın Adnan Menderes University Faculty of Nursing
- Volunteering to participate in the study
- Not absent at any time during the study period
- Working/not working as a nurse
Exclusion criteria
- Graduated from a health vocational high school
- Admitted through the Foreign Student Exam (YÖS)
- Graduated from a health-related associate's degree program and then enrolled in the nursing department through the Vertical Transfer Exam (DGS)
- Students who did not wish to participate in the study were excluded from the study.
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
Turkey (Türkiye) · 1 center
- Adnan Menderes University — Aydin
Identifiers
NCT: NCT07349355 · 2024/024