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Speaking Up Against Hierarchy: A Simulation Geared Towards Nursing Students.

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Summary

Interactive pre-simulation activities significantly improved nursing students' use of the two-challenge rule and boosted their satisfaction and self-confidence in learning compared to traditional case studies.

Keywords:
communication skillsconflict managementpre-simulation activityrandomized controlled trialrevised medical research council frameworksimulation education

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Area of Science:

  • Nursing Education
  • Simulation Science
  • Medical Education Research

Background:

  • Simulation science requires a shift in focus towards pre-simulation activities and their impact on learning outcomes.
  • Limited randomized controlled trials exist comparing pre-simulation approaches and their effect on learning.
  • Evaluating pre-simulation effectiveness is crucial for optimizing simulation-based education.

Purpose of the Study:

  • To compare the effectiveness of an interactive pre-simulation activity versus a traditional paper case study in undergraduate nursing education.
  • To assess the impact of pre-simulation methods on the utilization of the two-challenge rule.
  • To evaluate student satisfaction and self-confidence in learning (SSL) following different pre-simulation preparations.

Main Methods:

  • A randomized controlled trial involving 83 undergraduate nursing students.
  • Participants were assigned to either a control group (paper case study) or an intervention group (interactive pre-simulation activity).
  • Evaluation focused on the two-challenge rule and Satisfaction and Self Confidence in Learning (SSL) scores.

Main Results:

  • Students in the interactive pre-simulation group demonstrated significantly higher use of the two-challenge rule.
  • A significant difference was observed in the total SSL scores, with the intervention group reporting higher satisfaction and self-confidence.
  • Statistical analysis (Wilcoxon-Mann-Whitney test) confirmed significant differences in satisfaction (p <0.001) and self-confidence (p <0.001).

Conclusions:

  • Interactive pre-simulation activities enhance nursing students' application of critical safety protocols like the two-challenge rule.
  • Students engaging with interactive pre-simulation methods reported greater satisfaction and self-confidence in their learning experience.
  • The study underscores the importance of theoretical grounding and progressive frameworks in simulation design and research.