Impact of the evaluators' presence in simulated scenarios focused on Advanced Life Support: a randomized clinical trial
DOI:
https://doi.org/10.12957/reuerj.2025.85488Keywords:
Education, Nursing, Heart Arrest, Advanced Cardiac Life Support, Simulation Training, Patient SimulationAbstract
Objective: to examine how direct and indirect evaluators' presence affects Nursing students’ performance in simulated clinical scenarios focused on Advanced Life Support. Method: a randomized clinical trial involving 68 Brazilian Nursing students: 35 allocatged to the Experimental Group and 33 to the Control Group. The Experimental Group participated in simulation activities without visible evaluators' presence, while the Control Group was observed by a visible evaluator. Data analysis included Student's t-test, ANOVA, Mann-Whitney and Shapiro-Wilk tests. The research protocol was approved by the Ethics Committee. Results: the mean performance scores reached 4.63 (±1.61) in the Experimental Group and 4.37 (±1.31) in the Control Group, with no statistically significant difference (p=0.477). Significant improvement was found in theoretical knowledge (p<0.001). Conclusion: whether visible or not, the evaluators' presence did not influence Nursing students’ practical performance in the simulation. Theoretical knowledge increased across the pre-test, immediate post-test, and delayed post-test.
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