{"title":"基于模印的模拟对护生身体暴力认知的影响:一项随机对照试验。","authors":"Suna Uysal Yalçın, Mehtap Akkoç, Tuğba Ozdemir, Yurdanur Dikmen, Merve Zehra Türkay, Nurhan Özpancar Şolpan","doi":"10.1186/s12912-025-03898-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students' recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills.</p><p><strong>Methods: </strong>A randomized controlled pretest-posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the \"Demographic Information Form\", \"ISKEBE Attitude Scale for Violence Against Women,\" \"Communication Skills Assessment Form\", \"Nurses' and Midwives' Recognition of Signs of Violence Against Women Form\", \"Modified Simulation Effectiveness Tool\", \"Student Satisfaction and Self-Efficacy Scale in Learning,\" and \"Moulage Evaluation Questionnaire.\" Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test.</p><p><strong>Results: </strong>The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE).</p><p><strong>Conclusion: </strong>Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs.</p><p><strong>Clinical registration: </strong>The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"1218"},"PeriodicalIF":3.9000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482659/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of moulage-based simulation on nursing students' recognition of physical violence: a randomised controlled trial.\",\"authors\":\"Suna Uysal Yalçın, Mehtap Akkoç, Tuğba Ozdemir, Yurdanur Dikmen, Merve Zehra Türkay, Nurhan Özpancar Şolpan\",\"doi\":\"10.1186/s12912-025-03898-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students' recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills.</p><p><strong>Methods: </strong>A randomized controlled pretest-posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the \\\"Demographic Information Form\\\", \\\"ISKEBE Attitude Scale for Violence Against Women,\\\" \\\"Communication Skills Assessment Form\\\", \\\"Nurses' and Midwives' Recognition of Signs of Violence Against Women Form\\\", \\\"Modified Simulation Effectiveness Tool\\\", \\\"Student Satisfaction and Self-Efficacy Scale in Learning,\\\" and \\\"Moulage Evaluation Questionnaire.\\\" Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test.</p><p><strong>Results: </strong>The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE).</p><p><strong>Conclusion: </strong>Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs.</p><p><strong>Clinical registration: </strong>The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).</p>\",\"PeriodicalId\":48580,\"journal\":{\"name\":\"BMC Nursing\",\"volume\":\"24 1\",\"pages\":\"1218\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482659/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12912-025-03898-w\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12912-025-03898-w","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:对妇女的暴力行为是一个全球性的公共卫生和人权问题,具有深远的身心后果。基于模拟的学习可以帮助护理专业的学生识别暴力的迹象。本研究考察了使用模印法在标准化患者身上创建的身体暴力指标是否能提高护理学生对暴力的认识及其相关的态度、知识、满意度、自我效能感和沟通技巧。方法:采用随机对照前测后测设计,将55名四年级护生分为模组(n = 28)和对照组(n = 27)。数据收集工具包括“人口统计信息表”、“ISKEBE对妇女暴力态度量表”、“沟通技巧评估表”、“护士和助产士对妇女暴力迹象的识别表”、“改进的模拟效果工具”、“学生学习满意度和自我效能量表”和“Moulage评价问卷”。数据分析包括计算频率、平均值、标准差、卡方检验、Mann-Whitney U检验和Wilcoxon Signed Ranks检验。结果:育龄组与对照组人口学资料相似。模印组对暴力指标的识别率(19.75±2.78)显著高于对照组(16.38±3.63);p结论:模印辅助模拟提高了对肢体暴力指标、满意度、自我效能感和沟通相关结果的识别率。建议在未来的教育项目中整合这些方法。临床注册:该研究已在ClinicalTrials.gov上注册。ID: NCT06982017(日期:2024-05-20)。
Impact of moulage-based simulation on nursing students' recognition of physical violence: a randomised controlled trial.
Background: Violence against women is a global public health and human rights issue with profound physical and psychological consequences. Simulation-based learning may help nursing students recognize signs of violence. This study examined whether physical violence indicators created on a standardized patient using moulage improve nursing students' recognition of violence and their related attitudes, knowledge, satisfaction, self-efficacy, and communication skills.
Methods: A randomized controlled pretest-posttest design was conducted with 55 fourth-year nursing students allocated to a moulage group (n = 28) and a control group (n = 27). The data collection tools included the "Demographic Information Form", "ISKEBE Attitude Scale for Violence Against Women," "Communication Skills Assessment Form", "Nurses' and Midwives' Recognition of Signs of Violence Against Women Form", "Modified Simulation Effectiveness Tool", "Student Satisfaction and Self-Efficacy Scale in Learning," and "Moulage Evaluation Questionnaire." Data analysis involved calculating frequency, mean, standard deviation, chi-square tests, the Mann-Whitney U test, and the Wilcoxon Signed Ranks Test.
Results: The demographic data of the moulage and control groups were similar. Recognition of violence indicators was significantly higher in the moulage group (19.75 ± 2.78) than in the control group (16.38 ± 3.63; p < 0.05). The communication skills of the students in the moulage group had an average score of 5.35 ± 0.48 for the effective communication subscale, while the average score for the therapeutic communication subscale was 4.55 ± 2.91. Additionally, the moulage group reported greater satisfaction with current learning (51.85 ± 6.66) and higher self-efficacy (29.21 ± 4.26, p = 0.006) than the control group. The mean Modified simulation effectiveness tool score was 68.42 ± 20.87, indicating a positive perception of learning effectiveness. No significant between-group difference was found for attitudes (ISKEBE).
Conclusion: Moulage-supported simulation enhanced recognition of physical violence indicators, satisfaction, self-efficacy, and communication-related outcomes. The integration of these methods is recommended in future educational programs.
Clinical registration: The study is registered on ClinicalTrials.gov. ID: NCT06982017 (date: 2024-05-20).
期刊介绍:
BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.