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Standardized Patient Versus Virtual Patient Simulations in Tracheostomy Care: Effects on Nursing Students' Knowledge,
Gul Sahin Karaduman1, Tulay Basak, Senem Duman
1University of Health Sciences Turkey, Gulhane Faculty of Nursing, Ankara, Turkey.
Standardized patient simulation for tracheostomy care training significantly improved nursing students' knowledge, retention, clinical reasoning, and competency compared to virtual simulation. Standardized patients demonstrated superior outcomes in knowledge retention and skill development.
Area of Science:
- Medical Education
- Nursing Simulation
- Tracheostomy Care
Background:
- Tracheostomy care is a critical nursing skill requiring extensive training.
- Simulation-based education (SBE) provides a safe environment for skill acquisition.
- Limited evidence compares virtual reality (VR) and standardized patient (SP) simulations for tracheostomy care.
Purpose of the Study:
- To compare the efficacy of VR versus SP simulation in enhancing nursing students' knowledge, knowledge retention, clinical reasoning, and competency in tracheostomy care.
Main Methods:
- A randomized controlled trial involving 68 senior nursing students.
- Participants were assigned to either VR or SP simulation groups.
- Knowledge, clinical reasoning, and competency were assessed using validated scales pre- and post-simulation, with knowledge retention measured at 4 weeks.
Main Results:
- Both VR and SP simulations significantly improved student outcomes (P<.05).
- The SP group showed significantly higher post-test and 4-week knowledge retention scores (P<.05).
- SP simulation led to greater improvements in clinical reasoning subscales and overall competency scores compared to VR.
Conclusions:
- Both VR and SP simulations are effective SBE strategies for tracheostomy care.
- SP simulation appears more efficacious for enhancing knowledge retention, clinical reasoning, and nursing competency in tracheostomy care.
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