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Effectiveness of a Haemorrhage-Control Task Simulator for Training Nursing Students: A Quasi-Experimental
Daniel Bertini-Pérez1, Luis Martin-Ibañez2, Pablo Gómez Chica1
1Faculty of Health Sciences, Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria 04120, Spain.
Journal of Nursing Management
|April 14, 2025
Summary
A low-cost simulator significantly improved nursing students' bleeding control skills and knowledge. While performance slightly declined after three months, it remained above initial levels, highlighting the simulator's value for broader training.
Area of Science:
- Medical Education
- Emergency Medicine
- Nursing Education
Background:
- Hemorrhage control is a critical skill for healthcare professionals.
- Effective training methods are needed to improve student proficiency in managing severe bleeding.
- High-fidelity simulation offers a promising avenue for practical skills acquisition.
Purpose of the Study:
- To evaluate the effectiveness of a low-cost hemorrhage control task simulator within a high-fidelity simulation scenario.
- To assess the impact on nursing students' knowledge, practical skills, and self-efficacy in hemorrhage control.
- To determine the retention of these skills over a three-month period.
Main Methods:
- A quasiexperimental before-after study design was employed.
- 103 final-year nursing students participated in the intervention.
- Knowledge, self-efficacy, time to control bleeding, and blood loss volume were assessed pre- and post-intervention, and at three months.
Main Results:
- Significant improvements were observed in knowledge scores (p < 0.001).
- Students demonstrated enhanced self-efficacy and improved hemorrhage control metrics (time and volume loss, p < 0.001).
- Improvements were sustained at the three-month follow-up, though slightly diminished.
Conclusions:
- The hemorrhage control task simulator effectively enhanced nursing students' skills, knowledge, and self-efficacy.
- The simulator is a valuable tool for nursing education, supporting a train-the-trainer approach for wider dissemination.
- Continued use of this simulator can improve bleeding control proficiency among healthcare professionals and laypersons.

