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Learning outcomes and cost-utility analysis of hybrid patient and mannequin-based simulation
Juana Perpiñá-Galvañ1, Silvia Satorra-Rodríguez2, Ana Isabel Gutiérrez-García3
1Nursing Department, University of Alicante, Alicante, Spain; Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Introduction:
There is no clear evidence on the relationship between nursing student learning outcomes and the type of simulator used or its cost-effectiveness.
Objectives:
Compare nursing student learning outcomes using either the hybrid patient or mannequin and the cost-utility of both simulators.
Method:
A randomised experimental study with an experimental group (hybrid patient = 99) and a control group (mannequin = 97). A training intervention was carried out for polytrauma patients.
Results:
Statistically significant differences were found between the simulator used and the performance results for tourniquet (hybrid 5.37 ± 1.33, mannequin 4.95 ± 1.09; p = .008) and spinal board (hybrid 6.18 ± 2.02, mannequin 6.97 ± 20.2; p = .001) application. The cost-utility ratio was estimated to be 3.29 for the hybrid patient and 1.92 for the mannequin.
Conclusion:
The use of a hybrid patient or mannequin has not been shown to be a determinant of performance outcomes or student perceptions in training interventions in polytrauma patient care. However, as the cost per participant with a mannequin is almost twice as high, the hybrid patient has a better cost-utility ratio.
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