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Status unknownNCT05111327Updated Mar 8, 2022

Skills Learning and Self-confidence in Learning in High-fidelity Simulation

An interventional study of Structured guideline in Problem-solving, Clinical Reasoning and Satisfaction, sponsored by Tung Wah College. Status unknown at 1 site in Hong Kong. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-03-08.

Sponsored by Tung Wah College · Not applicable, Interventional, and Other

The sponsor has not verified this record recently (last verified Feb 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

High-fidelity simulation (HFS) has become a favorable innovative teaching-learning method to facilitate students' learning in professional development in nursing. During the simulation, a variety of skills can be improved through HFS. This mixed randomized-control and qualitative study aims to examine the effects of the structured HFS guideline on PS, CR and Student Satisfaction and Self-Confidence in Learning in undergraduate nursing students and understand their learning experience in HFS.

Read the detailed description

Nurses are facing new challenges of immediate clinical management for safer and higher quality of patient care in the current practice (Levette - Jones et al. 2018). Students are required to have independent learning and higher-intellectual skills, including problem-solving (PS) and clinical reasoning (CR), for pursuing better clinical judgements and decision-making and the most cost-effective practice (Levette - Jones et al. 2018). High-fidelity simulation (HFS) is one of the innovative and effective methods that allow students to apply integrated knowledge and skills in a designed simulated case scenario to develop higher-intellectual skills (Linn et al., 2012) and self-confidence. To allow students to achieve their HFS with enhancement of skill development and self-confidence in learning, a structured guideline is useful. This structured guideline can help course coordinators to maintain consistence in simulation teaching. Therefore, this study aims to understand students' skill development and self- confidence in learning through the HFS.

02

Conditions studied

  • Problem-solving
  • Clinical Reasoning
  • Satisfaction

Keywords

  • Problem-solving, clinical reasoning, student satisfaction
  • clinical reasoning
  • student satisfaction
  • high-fidelity simulation
  • nursing education
03

In context

Lead sponsor

Tung Wah College is the lead sponsor of 16 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: Students who

  • are undergraduate nursing students
  • aged 18 or above

Exclusion Criteria: Students who

  • are enrolled in the courses with high-fidelity simulation
  • Have had clinical placement
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Intervention

    Students in the interventional groups will receive structured simulation guideline

    Other: Structured guideline

  • No intervention
    Control

    Students in the control groups will receive standard treatment.

Interventions

  • OtherStructured guideline

    Students in the intervention group will receive more learning materials before study. The structured guideline will be used to facilitate students' learning in simulation by the facilitator.

06

What researchers measure

Primary outcomes

  1. Problem-solving skills

    Problem-solving Inventory (PSI) It consists of 32 items with a six-point Likert scale. The PSI includes three subscales: Problem-Solving Confidence (PSC) (11 items), Approach-Avoidance Style (AAS) (16 items) and Personal Control (PC) (5 items). PSC is to assess self-perceived confidence, belief and self-assurance effectively in solving problems. AAS is to measure an individual's tendency of response to approach or avoid problems. PC is to assess elements of self-control on emotions and behavior.

    Time frame: 6 months

  2. Nurses' Clinical Reasoning

    Nurses' Clinical Reasoning Scale (NCRS) includes 15 items with a Likert five-point scale to assess students' CR competence. Higher scores indicate higher clinical reasoning competence.

    Time frame: 6 months

  3. Student Satisfaction and Self-Confidence in Learning

    The Student Satisfaction and Self-Confidence in Learning consists of 13 items with 5-likert scales to measure students' perception of their satisfaction and self-confidence in learning. Five items are related to students' satisfaction in simulation-based learning activities and the remaining eight items concerns self-confidence in learning.

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Florence MF Wong
    Kowloon, 000, Hong Kong
    • Florence MF Wong, DN, MN, RN · Contact · florencewong@twc.edu.hk · 34686838
    • Florence MF Wong, DN, MN, RN · Principal investigator
    Recruiting
08

References and documents

Publications

  • Cadorin L, Rei A, Dante A, Bulfone T, Viera G, Palese A. Enhancing self-directed learning among Italian nursing students: A pre- and post-intervention study. Nurse Educ Today. 2015 Jun;35(6):746-53. doi: 10.1016/j.nedt.2015.02.004. Epub 2015 Feb 18. PubMed 25735910 ↗
  • Heppner, P.P. & Petersen, C.H. The development and implications of a personal problem solving inventory. Journal of Counseling Psychology. 1982; 29: 66-75.
  • Linn A, Khaw C, Kildea H, Tonkin A. Clinical reasoning - a guide to improving teaching and practice. Aust Fam Physician. 2012 Jan-Feb;41(1-2):18-20. PubMed 22276278 ↗
  • Liou SR, Liu HC, Tsai HM, Tsai YH, Lin YC, Chang CH, Cheng CY. The development and psychometric testing of a theory-based instrument to evaluate nurses' perception of clinical reasoning competence. J Adv Nurs. 2016 Mar;72(3):707-17. doi: 10.1111/jan.12831. Epub 2015 Oct 12. PubMed 26455724 ↗
  • Levett-Jones, T. (2nd Ed.). Clinical reasoning: Learning to think like a nurse. 2018. Pearson.
  • National League for Nursing. Description of available tools. 2016. Retrieved from http://www.nln.org/professional-development-programs/research/tools-andinstruments/descriptions-of-available-instruments

Individual participant data

Plan to share: Yes — There is no plan to share IPD due to confidential data.

Supporting information: Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05111327
Lead sponsor
Tung Wah College
Responsible party
WONG Mei Fung Florence (Principal Investigator, Tung Wah College) — Principal investigator
First posted
Nov 8, 2021
Start date
Nov 1, 2021
Primary completion
Jun 30, 2022 (estimated)
Completion
Mar 31, 2023 (estimated)
Last update
Mar 8, 2022

Study contacts

David Wong, PhD
Contact
florencewong@twc.edu.hk
(852) 31906722
Florence MF Wong, Doctoral
principal investigator · Tung Wah College

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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