Juana Perpi����-Galva��: Nursing Department, University of Alicante, Alicante, Spain; Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain. Electronic address: juana.perpina@ua.es.
Silvia Satorra-Rodr��guez: Departamento de Interior, Generalitat de Catalunya, Barcelona, Spain.
Ana Isabel Guti��rrez-Garc��a: Nursing Department, University of Alicante, Alicante, Spain. Electronic address: anabel.gutierrez@ua.es.
Noelia Garc��a-Aracil: Nursing Department, University of Alicante, Alicante, Spain. Electronic address: noelia.garcia@ua.es.
Lourdes Jos��-Alcaide: Nursing Department, University of Alicante, Alicante, Spain. Electronic address: lourdes.jose@ua.es.
N��stor Montoro-P��rez: Nursing Department, University of Alicante, Alicante, Spain. Electronic address: nestor.montoro@ua.es.
Roc��o Juli��-Sanch��s: Nursing Department, University of Alicante, Alicante, Spain; Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain. Electronic address: rjulia@ua.es.
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.
