Developing clinical competency in crisis event management: an integrated simulation problem-based learning activity.

Area of Science:

• Nursing Education
• Medical Simulation
• Clinical Skills Training

Background:

• Problem-based learning (PBL) is a common nursing curriculum.
• Effective crisis management training is crucial for nursing students.
• Traditional PBL may not fully prepare students for clinical emergencies.

Purpose of the Study:

• To assess the impact of simulation-based learning on nursing students' crisis management.
• To compare clinical performance between simulation-enhanced PBL and conventional PBL.

Main Methods:

• First-year nursing students were divided into two groups: simulation with problem-based discussion (SPBD) and problem-based discussion (PBD).
• Scenarios involved respiratory and cardiac distress.
• Clinical performance was evaluated using a checklist after simulated crisis events.

Main Results:

• Students in the SPBD group achieved significantly higher scores than the PBD group in both respiratory (20.08 vs 18.19) and cardiac (27.56 vs 23.07) crisis scenarios.
• The SPBD approach demonstrated superior outcomes in clinical crisis management.

Conclusions:

• Integrating simulation into PBL is an effective strategy for enhancing nursing students' ability to manage crisis situations.
• Simulation-based learning improves clinical assessment and management skills in nursing education.