Effectiveness of Scenario-Based Online Simulation in Chest Trauma in Nurses

Summary

Methods This randomized controlled trial evaluated teaching strategies for chest trauma education. The course was promoted via posters and conducted over two days, with two sessions per day. Sessions were randomly assigned to the control or experimental group via a lottery system before the course. This process was repeated on day two. A total of 67 participants per group were recruited, ensuring 50% random allocation. Control Group Participants received traditional classroom instruction with case discussions. Pretest: Collected demographic data and assessed baseline knowledge using the Chest Trauma Knowledge Scale (CTKS) and Nursing Clinical Decision-Making Scale (NCDMS). First posttest (1-week follow-up): Measured CTKS, NCDMS, and Learning Engagement Scale (LES). Second posttest (3-month follow-up): Assessed CTKS and Confidence in Nursing Clinical Reasoning Scale (CNCRS). Experimental Group Participants received traditional instruction plus "CARE! I-DECIDE" online simulation. Pretest: Same as the control group. First posttest (1-week follow-up): Measured CTKS, NCDMS, and LES. Second posttest (3-month follow-up): Assessed CTKS and CNCRS. Assessments were completed via Google Forms or paper-based questionnaires. This study compared traditional teaching with blended learning using online simulation, evaluating immediate and delayed outcomes.

Conditions

• Nursing Education

Interventions

OTHER

Scenario-Based Online Simulation Training Program

Classroom-Based Teaching and Online Simulation-Assisted Instruction Classroom-Based Instruction: Participants were provided with a QR code to access the Moodle platform and download the electronic course materials. The classroom instruction covered the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. "Care I Decide!" Online Simulation-Assisted Teaching: A detailed explanation of the operational process for the "Care I Decide!" online simulation-assisted teaching materials was provided. The session integrated classroom knowledge with the "Care I Decide!" online simulation. It presented clinical scenarios involving changes in vital signs and symptoms of chest trauma patients, guiding participants through clinical decision-making processes.

OTHER

Classroom-Based Teaching

Classroom-Based Teaching Delivery of Course Materials: Participants were provided with a QR code to access the Moodle platform, where they could download the electronic course handouts. Classroom Instruction Content: The classroom teaching session included the following topics: Mechanisms of trauma and prehospital assessment. Principles of major trauma activation and evaluation. Types of chest trauma and associated clinical signs. Principles of chest trauma care and recognition of changes in patient conditions. Chest Trauma Case Sharing Case Presentation and Reflection: Clinical cases involving chest trauma were presented to participants. They were guided to describe the case details, reflect on the management process, and receive constructive feedback. Discussion and Problem Solving: During the discussion, questions and uncertainties raised by participants were addressed to enhance understanding and clarify key concepts.

Sponsors & Collaborators

• tygh backup

  lead OTHER_GOV

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

20 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-01-19

Primary Completion

2024-05-18

Completion

2024-05-18

Countries

• Taiwan

Study Locations