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Student survey of simulation standards for continuous improvement (S4CI): Establishing reliability and validity
Qi Zhi1, Joanne R Loos1, Leslie D Detor1
1School of Nursing and Dental Hygiene, University of Hawai'i at Mānoa, 2528 McCarthy Mall, Webster Hall, Honolulu, HI 96822, USA.
Nurse Education in Practice
|February 8, 2025
Summary
A new tool, the Student Survey of Simulation Standards for Continuous Improvement (S4CI), accurately measures student simulation experiences based on International Nursing Association for Clinical and Simulation Learning (INACSL) Standards. This validated instrument aids in evaluating and enhancing nursing education simulations.
Area of Science:
- Nursing Education
- Healthcare Simulation
- Educational Measurement
Background:
- The 2021 International Nursing Association for Clinical and Simulation Learning (INACSL) Standards necessitate integration and measurement within nursing curricula.
- Updated guidelines aim to enhance student skill acquisition, clinical reasoning, and patient care competency in safe simulation environments.
Purpose of the Study:
- To develop and describe the Student Survey of Simulation Standards for Continuous Improvement (S4CI) tool.
- To accurately measure student simulation experiences aligned with 2021 INACSL Standards.
- To address the specific needs of the University of Hawai'i Translational Health Science Simulation Center.
Main Methods:
- A cross-sectional survey design was employed, collecting data from nursing and Interprofessional Education students.
- Existing tools were reviewed and adapted, with expert consultation and validation through student surveys post-simulation.
- Confirmatory factor analysis and reliability tests were conducted to ensure tool validity and internal consistency.
Main Results:
- Survey data from 1182 respondents demonstrated reproducible factor results with strong correlations.
- Reliability tests indicated high coefficient alpha values across all measures, confirming internal consistency.
Conclusions:
- The S4CI is a valid and standardized tool for faculty to evaluate learning and optimize educational simulations.
- The tool provides valuable feedback for improving nursing and interprofessional simulation activities.
- Study limitations include a single-center focus and sample size, impacting generalizability.
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