Simulation of Physical Illness

Early recognition of physical abuse in children is essential for ensuring child safety and preventing further harm. However, distinguishing abuse-related injuries from accidental findings can be challenging, especially for nursing students who have limited clinical experience. Simulation-based educational methods may provide safe and effective environments for developing these skills. This study aims to evaluate the effectiveness of moulage-based simulation training in improving nursing students' ability to recognize signs of physical abuse in children. The study will use a randomized controlled design in which students will be assigned to either a moulage-based simulation group or a control group receiving standard theoretical education. After a lecture on child physical abuse within the Child Health and Pediatric Nursing course, students will participate in laboratory practice sessions. The intervention group will assess a pediatric mannequin prepared with simulated abuse findings using moulage techniques. Students' knowledge and recognition of physical abuse indicators will be evaluated before and after the intervention. The study seeks to determine whether moulage-based education improves nursing students' recognition of physical abuse findings and supports the development of clinical assessment skills.

The current pandemic has revealed in-person simulation training and evaluation is vulnerable to disruption, and alternatives are needed which allow remote evaluation. The recently developed Microsoft Hololens headset device allows interactable holograms to be inserted into a user's workspace (mixed reality) - permitting the augmentation of existing clinical and training spaces with holographic (i.e. virtual) patients via the prototype HoloSIM software. This study is the first known research initiative aiming to demonstrate the feasibility and effectiveness of mixed reality for acute medicine training and assessment at a distance. Space, time, personnel, pandemic, and cost constraints limit opportunities for high-fidelity simulation exercises for post-graduate trainees at Sunnybrook. By developing and demonstrating the effectiveness of this new training modality, increased simulation exercises will lead to a higher quality education experience, better functioning teams, and better patient outcomes.

The goal of this clinical trial is to investigate the effect of simulation-based training in the cardiac rehabilitation course on the confidence and satisfaction of physiotherapy and rehabilitation students. The main questions it aims to answer are: Does simulation-based training in blood pressure and electrocardiography in cardiac rehabilitation have an effect on the confidence levels of physiotherapy students? Does simulation-based training in blood pressure and electrocardiography in cardiac rehabilitation have an effect on the satisfaction levels of physiotherapy students? Does simulation-based training in blood pressure and electrocardiography in cardiac rehabilitation have an effect on the theoretical knowledge levels of physiotherapy students? This study is planned to be conducted with 39 individuals who are enrolled in the course and taking it for the first time. The study will be conducted at the Acıbadem University CASE Laboratory using surveys administered before and after simulation training on blood pressure and electrocardiography (ECG). The sociodemographic characteristics of the participants will be recorded using an information form. The level of experience, theoretical knowledge, and competency in blood pressure and ECG measurement will be assessed with a 'Pre-Test' prepared for this purpose. The same parameters, along with satisfaction with the simulation training, will be assessed with a 'Post-Test' using a self-assessment survey method after the training. The prepared surveys, detailed below, will be completed separately for blood pressure and ECG training.