Efficacy of high fidelity pediatric simulation on nursing students' self-awareness and empathy in a Middle Eastern...

The importance of nurses' self-awareness and empathy and the effect of high-fidelity simulation in cultivating self-awareness and empathy among students is yet to be explored.

This study determined the efficacy of high-fidelity simulation on self-awareness and empathy among undergraduate nursing students. A quasi-experimental approach with a one-group pre-posttest design was employed. Self-awareness was assessed using Self-Consciousness Revised Scale (22 items), while empathy was measured with the Kiersmae Chen Empathy Scale (15 items).

Data from 67 participants were analyzed. Analysis revealed no significant difference in students' self-awareness (t = -0.01, p > 0.05) or empathy (t = -1.92, p > 0.05) pre- and post-high-fidelity simulation. However, there was a notable improvement in cognitive empathy scores. To compare High-fidelity simulation and self-awareness, a one-way ANCOVA was conducted, controlling for gender, GPA, and previous exposure to simulation. The results indicated a non-significant relationship (F (1) = 3.59, p > 0.05). Likewise, High-fidelity simulation and empathy was compared using one-way ANCOVA while controlling for gender, GPA, and previous simulation exposure. The results revealed a non-significant relationship (F(1) = 1.64, p > 0.05).

Though the study findings did not demonstrate significant effects, the observed enhancement in cognitive empathy post-simulation suggests a potential benefit. It is plausible that the intervention dosage was insufficient to induce substantial changes in these skills. Therefore, it is recommended to replicate the study with a larger sample and multiple simulation sessions.