Advanced Life SupportNCT06425965
Effect of Hybrid Simulation Method on Advanced Life Support Application of Nursing Students
A study testing Advanced life support training with high fidelity simulator, Advanced life support training with web-based simulation and Advanced life support training with hybrid simulation in people with Advanced Life Support and Simulation Training, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial summary
The use of simulation in nursing education is an effective way to provide professional skills and enrich learning experiences while protecting patient safety. When the literature is examined, it is seen that simulation is frequently used in advanced life support training. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Advanced Life Support, Simulation Training, Nursing Education
- What is being tested?
- Advanced life support training with high fidelity simulator, Advanced life support training with web-based simulation and Advanced life support training with hybrid simulation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 73 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Dec 2024to 1 Aug 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- To complete first aid, internal medicine nursing, surgical nursing courses,
- Volunteering to participate in the research.
- Having experienced the simulation application before
Who cannot join
- Fail the specified courses (taking FF)
- Not having taken first aid course/training before
- Not having experienced the simulation application before.
- Disqualification criteria:
- Being absent for more than 20% of the theoretical part of the planned advanced life support training
- Not participating in the laboratory applications of the planned advanced life support training
- Not having completed the planned web-based simulation application
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing
Istanbul, Avcılar, 34320
About this study
The use of simulation in nursing education is an effective way to provide professional skills and enrich learning experiences while protecting patient safety. When the literature is examined, it is seen that simulation is frequently used in advanced life support training. The aim of the study is to examine the effects of advanced life support training in adults, which will be carried out with high-reality simulator/model simulation, web-based simulation and hybrid simulation methods, on the knowledge and skills of nursing students. It has been determined that training provided with hybrid simulation contributes to the professional development of students by creating individualized and interactive learning environments, and that students can more easily transfer the knowledge they have acquired in the educational environment to clinical practice. As a hybrid simulation method in the study; It is planned to use a combination of high-reality simulator/model, which has been proven to be effective in the development of psychomotor skills, and the web-based simulation method, which is effective in creating permanent learning by allowing students to repeat more. It is anticipated that the web-based simulation method will be effective in providing permanent learning as it gives learners the opportunity to repeat during/after the training. Based on these assumptions, it is planned to develop an adult advanced life support training program consisting of theory and practice, in which the development of students' professional skills is supported through hybrid simulation applications, and the students are provided with the opportunity to repeat. Since the study tests 3 different interventions, it is anticipated that it will lay the groundwork for subsequent studies and provide comprehensive information about simulation-based education practices.
- Conditions
- Advanced Life Support, Simulation Training, Nursing Education, Nursing Students, High Fidelity Simulation Training, Web-based Intervention
- Being tested
- Advanced life support training with high fidelity simulator, Advanced life support training with web-based simulation, Advanced life support training with hybrid simulation
- Keywords
- simulation, Advanced life support, Nursing education, Nursing student, Web-based simulation, High fadility
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Advanced life support training with high fidelity simulatorOther
The training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out with a high reality simulator in line with the information, scenario implementation and debriefing sessions, respectively.
Advanced life support training with web-based simulationOther
The training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out by web-based simulation method. Students participate in the web-based simulation application developed by the researcher.
Advanced life support training with hybrid simulationOther
The training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out with the hybrid simulation method in which high reality simulator and web-based simulation method are applied together. Students first apply the web-based simulation developed by the researcher. Then they perform the practice on the high reality simulator.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group 1 | Experimental | The first group will receive advanced life support training with a high fidelity simulator. Receives: Other: Advanced life support training with high fidelity simulator |
| Intervention Group 2 | Experimental | The second group will receive advanced life support training with web-based simulation method. Receives: Other: Advanced life support training with web-based simulation |
| Intervention Group 3 | Experimental | The third group will receive advanced life support training with a hybrid simulation method using both high reality simulator and web-based simulation. Receives: Other: Advanced life support training with hybrid simulation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Advanced Life Support Knowledge Test
It was developed by the researchers in line with the literature to determine the level of knowledge of the participants about advanced life support practice.
Measured: before training, immediately after training, 4 month after training
Advanced Life Support Skill Checklist
It was developed by the researcher based on the European Resuscitation Council 2021 Advanced Life Support Algorithm.
Measured: before training, immediately after training, 4 month after training
Secondary outcomes (3)
Student Satisfaction and Self-confidence in Learning Scale
The scale was developed by Jeffries and Rizzolo in 2006. The Turkish validity and reliability study of the scale was conducted by Ünver et al. in 2015. The scale aims to determine students' satisfaction and self-confidence towards learning in simulation environment. The scale consists of two sub-dimensions, "Satisfaction with Current Learning" and "Confidence in Learning", and a total of 12 items. The scale is a 5-point Likert scale (1: Strongly disagree, 2: Disagree, 3: Undecided, 4: Agree, 5: Strongly Agree) and each item is scored as 1 being the lowest and 5 being the highest. The higher the total score obtained from the scale, the higher the student satisfaction and self-confidence in learning.
Measured: immediately after training
Simulation Design Scale
The scale was developed by Jeffries and Rizzolo in 2006 and the Turkish validity and reliability study was conducted by Ünver et al. in 2015. The scale consists of 20 items and 2 sections. The first part measures simulation design elements, and the second part measures how important the simulation application is for students. An increase in the total score obtained in the first part of the scale indicates that the best simulation design elements are applied in the simulation application; an increase in the total score obtained from the second part indicates that the importance given by the student to the simulation experience is high.
Measured: immediately after training
Semi-structured Interview Form
In this study, a semi-structured interview form developed by the researchers in line with the literature was used to determine the opinions of the students participating in the Advanced Life Support in Adults Training Program about the training program. The form consists of questions aimed at determining the theoretical content of the training program, the effectiveness of teaching methods (web-based simulation, simulation with high reality simulator, hybrid simulation), the effects of the training on learning retention, and suggestions for improving the training program.
Measured: immediately after training
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 May 2024
- Study start1 Dec 2024
- Primary completion15 Jul 2025
- Study completion1 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Life SupportStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 73 participants (actual)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yagmur Sen, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06425965
- Sponsor's protocol ID
- 641752
- Status last verified
- Mar 2026
- First submitted
- 17 May 2024
- Last updated
- 27 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Hybrid Simulation Method on Advanced Life Support Application of Nursing Students
- ClinicalTrials.gov ID
- NCT06425965
- Acronym / sponsor ID
- 641752
- Conditions
- Advanced Life Support, Simulation Training, Nursing Education, Nursing Students, High Fidelity Simulation Training, Web-based Intervention
- Keywords
- simulation, Advanced life support, Nursing education, Nursing student, Web-based simulation, High fadility
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 73 participants (actual)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 1 Dec 2024 (actual)
- Primary completion
- 15 Jul 2025 (actual)
- Study completion
- 1 Aug 2025 (actual)
- First posted
- 23 May 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The use of simulation in nursing education is an effective way to provide professional skills and enrich learning experiences while protecting patient safety. When the literature is examined, it is seen that simulation is frequently used in advanced life support training. The aim of the study is to examine the effects of advanced life support training in adults, which will be carried out with high-reality simulator/model simulation, web-based simulation and hybrid simulation methods, on the knowledge and skills of nursing students. It has been determined that training provided with hybrid simulation contributes to the professional development of students by creating individualized and interactive learning environments, and that students can more easily transfer the knowledge they have acquired in the educational environment to clinical practice. As a hybrid simulation method in the study; It is planned to use a combination of high-reality simulator/model, which has been proven to be effective in the development of psychomotor skills, and the web-based simulation method, which is effective in creating permanent learning by allowing students to repeat more. It is anticipated that the web-based simulation method will be effective in providing permanent learning as it gives learners the opportunity to repeat during/after the training. Based on these assumptions, it is planned to develop an adult advanced life support training program consisting of theory and practice, in which the development of students' professional skills is supported through hybrid simulation applications, and the students are provided with the opportunity to repeat. Since the study tests 3 different interventions, it is anticipated that it will lay the groundwork for subsequent studies and provide comprehensive information about simulation-based education practices.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Intervention Group 1 | Experimental | Other: Advanced life support training with high fidelity simulatorThe first group will receive advanced life support training with a high fidelity simulator. |
| Intervention Group 2 | Experimental | Other: Advanced life support training with web-based simulationThe second group will receive advanced life support training with web-based simulation method. |
| Intervention Group 3 | Experimental | Other: Advanced life support training with hybrid simulationThe third group will receive advanced life support training with a hybrid simulation method using both high reality simulator and web-based simulation. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- To complete first aid, internal medicine nursing, surgical nursing courses,
- Volunteering to participate in the research.
- Having experienced the simulation application before
Key exclusion criteria (7 listed)
- Fail the specified courses (taking FF)
- Not having taken first aid course/training before
- Not having experienced the simulation application before.
- Being absent for more than 20% of the theoretical part of the planned advanced life support training
- Not participating in the laboratory applications of the planned advanced life support training
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Advanced life support training with high fidelity simulatorThe training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out with a high reality simulator in line with the information, scenario implementation and debriefing sessions, respectively. | Other | Intervention Group 1 |
| Advanced life support training with web-based simulationThe training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out by web-based simulation method. Students participate in the web-based simulation application developed by the researcher. | Other | Intervention Group 2 |
| Advanced life support training with hybrid simulationThe training consists of theoretical and practical training. The length of the training is 15 hours in total, 12 hours of theoretical and 3 hours of laboratory practice. Theoretical courses start with introductions and sharing the content of the training and aim to provide the basic professional knowledge and skills required for advanced life support practice (diagnosis of cardiac arrest, ensuring airway patency, monitoring, cardiac rhythm diagnosis, drugs used during advanced life support, advanced life support algorithm). The laboratory practices of the training is carried out with the hybrid simulation method in which high reality simulator and web-based simulation method are applied together. Students first apply the web-based simulation developed by the researcher. Then they perform the practice on the high reality simulator. | Other | Intervention Group 3 |
Primary outcome
Advanced Life Support Knowledge Test
Time frame: before training, immediately after training, 4 month after training
It was developed by the researchers in line with the literature to determine the level of knowledge of the participants about advanced life support practice.
Advanced Life Support Skill Checklist
Time frame: before training, immediately after training, 4 month after training
It was developed by the researcher based on the European Resuscitation Council 2021 Advanced Life Support Algorithm.
3 secondary outcomes
Student Satisfaction and Self-confidence in Learning Scale
Time frame: immediately after training
Simulation Design Scale
Time frame: immediately after training
Semi-structured Interview Form
Time frame: immediately after training
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Advanced life support training with high fidelity simulator, Advanced life support training with web-based simulation and Advanced life support training with hybrid simulation in people with Advanced Life Support and Simulation Training, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Advanced Life Support Knowledge Test (time frame: before training, immediately after training, 4 month after training). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2026.