The Effects of Manikin-Based and Standardized-Patient Simulation on Clinical Outcomes: A Randomized Prospective Study

Abstract

BACKGROUND/AIMS: Simulation-based learning improves performance in the clinical learning environment. The aim of this study was to determine the effects of manikin-based and standardized-patient (SP) simulation modalities on clinical outcomes applied in stoma care in nursing students. MATERIAL AND METHODS: A prospective randomized study was conducted consisting of two phases. In the first phase, simulation modalities on the knowledge and skill levels of 64 nursing students were investigated. In the second phase, the skill levels were observed in a clinical learning environment. Data were collected by using the Stoma Skill Form, Stoma Knowledge Form and Simulation-based Learning Evaluation Scale. RESULTS: The students’ knowledge levels were significantly higher after the SP modality than after the manikin-based modality (p=0.012). However, no significant differences were observed between the skill levels of the groups except in regards to communication, which was higher after the SP modality. CONCLUSION: The findings of this study indicate that both of the simulation modalities helped the students gain competencies and prepare for clinical environments, and both led to equal skill levels in such environments.