Effects of a simulation-based nursing process educational program: A mixed-methods study

Area of Science:

• Nursing Education
• Medical Simulation
• Healthcare Communication

Background:

• The nursing process is fundamental to patient-centered care, relying on effective communication.
• Applying theoretical nursing knowledge to practice, including patient engagement and process steps, can be challenging for students.
• Simulation-based learning offers an immersive environment to bridge this gap, enhancing both the nursing process understanding and communication abilities.

Purpose of the Study:

• To evaluate the impact of a simulation-based educational program on nursing students.
• To assess improvements in students' confidence in communication skills.
• To determine the effect on students' foundational understanding of the nursing process.

Main Methods:

• A mixed-methods randomized controlled trial was conducted with two Fundamentals of Nursing classes.
• The experimental group (n=58) utilized a simulation program (online animation and standardized patient), while the control group (n=49) used case studies.
• Data collected via surveys, assignment/examination scores, and reflection logs were analyzed using SPSS and qualitative content analysis.

Main Results:

• Both groups demonstrated significant improvements in communication confidence (p < .001).
• The experimental group achieved higher assignment scores (p < .001), indicating better application of knowledge.
• High program usage and satisfaction surveys confirmed positive reception; themes included enhanced communication, problem-solving, and confidence.

Conclusions:

• The simulation-based program effectively boosted nursing students' self-confidence in communication, including non-verbal skills.
• It also strengthened their foundational understanding and ability to execute the nursing process.
• Interactive simulation is recommended for improving the practical application of abstract nursing concepts.