Testing a diabetes keotacidosis simulation in critical care nursing: A randomized control trial

Melba Sheila d'Souza, Leodoro Jabien Labrague, Subrahmanya Nairy Karkada, Kader Parahoo, Ramesh Venkatesaperumal

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)
104 Downloads (Pure)

Abstract

Background: Integrating high fidelity simulation while teaching diabetes ketoacidosis would ensure a controlled therapeutic milieu for nursing students to practice. Purpose: To evaluate the effectiveness of simulation teaching intervention for diabetes ketoacidosis in critical care nursing for undergraduate students’ in a public university. Methods: A simple, two-arm (parallel) randomized controlled trial was conducted in a national public university. A total of 164 nursing students were recruited and randomly assigned to two groups. The simulation group (N = 82) participated in the diabetes ketoacidosis high-fidelity simulation teaching intervention compared to the control group (N = 82) who were exposed to patient assignments on a clinical day on an acute medical unit. The primary outcomes were assessed using the Student Satisfaction and Self Confidence in Learning, Simulation Design Scale, Educational Practice Questionnaire, Critical Thinking Skills Tool and California Critical Thinking Skill Test from 2015 to 2016. Results: The students in the randomized control trial have had significantly higher scores on Student Satisfaction, and Self Confidence in Learning, Simulation Design, Educational Practice, Critical thinking skills and Critical Thinking Skill post-test mean scores. Younger age groups who had higher satisfaction had better self-confidence and a positive perception of the simulation design and education practice, which reflected better learning outcomes in the simulation group compared to the control group. Conclusions: This study supports the use of high-fidelity simulation scenarios as a teaching-learning strategy that is useful for students to assess, plan, intervene and evaluate in emergencies like diabetes ketoacidosis.

Original languageEnglish
Pages (from-to)998-1005
Number of pages8
JournalClinical Epidemiology and Global Health
Volume8
Issue number4
Early online date19 Mar 2020
DOIs
Publication statusPublished (in print/issue) - 31 Dec 2020

Bibliographical note

Funding Information:
This study was supported by Internal Grant, Sultan Qaboos University [IG/SQU/CN/AHCC/15/7/21]. The study was registered in the International Standard Randomized Controlled Trial Number: ISRCTN12640591 https://doi.org/10.1186/ISRCTN12640591.
The sponsors played no role in the design, execution, analysis, data interpretation, writing reports or decision to submit the paper for publication.

Publisher Copyright:
© 2020 INDIACLEN

Keywords

  • Critical thinking
  • Diabetes ketoacidosis
  • High-fidelity simulation
  • Nursing
  • Satisfaction
  • Self-confidence

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