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Enhancing nursing students' clinical competency using a multi-patient simulation learning model: A randomized

John Tai Chun Fung¹, Siu Ling Chan¹, Chun Kit Chan¹

¹School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.

Nurse Education Today

|June 30, 2024

Summary

This summary is machine-generated.

Multi-patient simulation (MPS) significantly improved nursing students' clinical competency compared to single high-fidelity simulation (single HFS). MPS offers superior educational outcomes for enhancing nursing skills and patient care readiness.

Keywords:

Clinical competence High-fidelity simulation Multi-patient simulation Nursing education Prioritization competency Randomized controlled trial

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Area of Science:

Nursing Education
Healthcare Simulation
Clinical Competency Assessment

Background:

Clinical competency is crucial for safe, high-quality patient care.
Multi-patient simulation (MPS) is an emerging educational strategy for nursing, demonstrating suitability for real-world scenarios.
MPS offers a potential solution for ongoing professional development in nursing.

Purpose of the Study:

To compare the effectiveness of MPS versus single high-fidelity simulation (single HFS) in enhancing nursing students' clinical competency.
To evaluate the impact of different simulation modalities on the development of practical nursing skills.

Main Methods:

A randomized controlled study design was employed with 60 undergraduate nursing students.
Participants were assigned to either MPS (intervention) or single HFS (control) groups, with a crossover design after a 30-day washout period.
Clinical competency was measured using the Creighton Competency Evaluation Instrument (CCEI), Clinical Competence Questionnaire (CCQ), and Simulation Effectiveness Tool - Modified Questionnaire (SET-M).

Main Results:

The MPS group demonstrated significantly greater improvements in CCQ and CCEI scores compared to the single HFS group.
Statistical analysis showed significant differences favoring the MPS intervention (P < 0.001 for both measures).
85% of participants reported increased confidence in patient handover following simulation-based training.

Conclusions:

Both MPS and single HFS are effective in enhancing nursing students' clinical competency.
MPS provides superior educational outcomes compared to traditional single HFS for nursing education.
Simulation-based learning, particularly MPS, is vital for developing confident and competent healthcare professionals.