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Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing
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Comparative study between high-fidelity simulation and medium-fidelity simulation in decision-making of nursing

Hugo Miguel Santos Duarte1,2, Joana Antunes Castanheira3, Ana Sofia Ferreira Pereira1,4

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Summary

Clinical simulation training significantly improved nursing students' decision-making skills in basic life support. This innovative approach enhances knowledge and practical application, supporting evidence-based care.

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Area of Science:

  • Medical Education
  • Nursing Simulation
  • Emergency Medicine

Background:

  • Effective decision-making is crucial for nursing students in basic life support scenarios.
  • Traditional training methods may not fully prepare students for complex clinical situations.
  • Clinical simulation offers a controlled environment to practice and refine critical skills.

Purpose of the Study:

  • To compare the decision-making abilities of nursing students before and after basic life support (BLS) theoretical training.
  • To evaluate the impact of high-fidelity and medium-fidelity simulation on student decision-making.
  • To assess nursing students' knowledge and decision-making at three distinct time points: pre-simulation, post-simulation, and post-clinical teaching.

Main Methods:

  • An experimental, pre- and post-test study design was employed.
  • Participants underwent theoretical BLS training followed by clinical simulation practices.
  • Quantitative, descriptive, and inferential analyses were used to evaluate knowledge and decision-making.

Main Results:

  • Fifty-one nursing students participated, with a mean age of 20.25 years; 92.2% were female.
  • Statistically significant differences were observed in problem definition and objective development within the experimental group (F=6.47; p=0.039).
  • Students demonstrated adequate knowledge and effective decision-making processes during BLS simulation scenarios.

Conclusions:

  • Clinical simulation effectively promotes enhanced decision-making skills among nursing students.
  • Students possess adequate knowledge regarding basic life support principles.
  • The integration of clinical simulation, particularly high-fidelity, is a valuable pedagogical tool for BLS training in nursing education.