Improving performance and self-efficacy of novice nurses using hybrid simulation-based mastery learning.

Area of Science:

• Nursing Education
• Medical Simulation
• Clinical Competency

Background:

• Acute chest pain is a common patient presentation in hospitals.
• Many second-year nurses report challenges in managing acute chest pain patients.
• Existing educational methods may not adequately prepare novice nurses for this critical skill.

Purpose of the Study:

• To evaluate the effectiveness of a simulation-based mastery learning program.
• To enhance self-efficacy and clinical performance in nurses caring for acute chest pain patients.
• To assess the long-term retention of learned skills and confidence.

Main Methods:

• A single-cohort study involving 37 second-year nurses.
• Utilized a multi-stage hybrid mastery learning approach combining e-learning and simulation.
• Performance and self-efficacy were measured pre-, post-, and 5 months post-intervention.

Main Results:

• Significant improvements in clinical performance were observed post-intervention and at 5-month follow-up (P < .0001).
• Self-efficacy scores also showed significant increases post-intervention and at 5-month follow-up (P < .0001).
• A positive correlation was found between self-efficacy and performance at 5 months.

Conclusions:

• The simulation-based mastery learning intervention effectively improved novice nurses' skills and confidence in managing acute chest pain.
• Improvements in performance and self-efficacy were retained for at least 5 months.
• This educational model is applicable for developing specific clinical skills and enhancing perceived competence in acute care settings.