Learning outcomes and cost-utility analysis of hybrid patient and mannequin-based simulation

Juana Perpiñá-Galvañ; Silvia Satorra-Rodríguez; Ana Isabel Gutiérrez-García; Noelia García-Aracil; Lourdes José-Alcaide; Néstor Montoro-Pérez; Rocío Juliá-Sanchís

doi:10.1016/j.nedt.2023.106003

Learning outcomes and cost-utility analysis of hybrid patient and mannequin-based simulation

Nurse Educ Today. 2023 Oct 24:132:106003. doi: 10.1016/j.nedt.2023.106003. Online ahead of print.

Authors

Juana Perpiñá-Galvañ¹, Silvia Satorra-Rodríguez², Ana Isabel Gutiérrez-García³, Noelia García-Aracil⁴, Lourdes José-Alcaide⁵, Néstor Montoro-Pérez⁶, Rocío Juliá-Sanchís⁷

Affiliations

¹ Nursing Department, University of Alicante, Alicante, Spain; Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain. Electronic address: juana.perpina@ua.es.
² Departamento de Interior, Generalitat de Catalunya, Barcelona, Spain.
³ Nursing Department, University of Alicante, Alicante, Spain. Electronic address: anabel.gutierrez@ua.es.
⁴ Nursing Department, University of Alicante, Alicante, Spain. Electronic address: noelia.garcia@ua.es.
⁵ Nursing Department, University of Alicante, Alicante, Spain. Electronic address: lourdes.jose@ua.es.
⁶ Nursing Department, University of Alicante, Alicante, Spain. Electronic address: nestor.montoro@ua.es.
⁷ Nursing Department, University of Alicante, Alicante, Spain; Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain. Electronic address: rjulia@ua.es.

PMID: 39492242
DOI: 10.1016/j.nedt.2023.106003

Abstract

Introduction: There is no clear evidence on the relationship between nursing student learning outcomes and the type of simulator used or its cost-effectiveness.

Objectives: Compare nursing student learning outcomes using either the hybrid patient or mannequin and the cost-utility of both simulators.

Method: A randomised experimental study with an experimental group (hybrid patient = 99) and a control group (mannequin = 97). A training intervention was carried out for polytrauma patients.

Results: Statistically significant differences were found between the simulator used and the performance results for tourniquet (hybrid 5.37 ± 1.33, mannequin 4.95 ± 1.09; p = .008) and spinal board (hybrid 6.18 ± 2.02, mannequin 6.97 ± 20.2; p = .001) application. The cost-utility ratio was estimated to be 3.29 for the hybrid patient and 1.92 for the mannequin.

Conclusion: The use of a hybrid patient or mannequin has not been shown to be a determinant of performance outcomes or student perceptions in training interventions in polytrauma patient care. However, as the cost per participant with a mannequin is almost twice as high, the hybrid patient has a better cost-utility ratio.

Keywords: Hybrid patient; Mannequin; Nursing students, simulation training/ economics*.