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Effectiveness of highand medium-fidelity simulation in nursing education: randomized controlled trial
Franciane Silva Luiz1, Isabel Cristina Gonçalves Leite1, Luana Vieira Toledo2
1Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.
Revista Brasileira De Enfermagem
|April 15, 2026
Summary
High- and medium-fidelity clinical simulation equally improved nursing students' knowledge and skills for pressure injury care. Both simulation types enhanced theoretical knowledge and practical skills effectively.
Area of Science:
- Nursing Education
- Medical Simulation
- Patient Safety
Background:
- Effective training is crucial for nursing students in pressure injury assessment and management.
- Clinical simulation offers a safe environment for skill development.
Purpose of the Study:
- To compare the effectiveness of high-fidelity versus medium-fidelity clinical simulation.
- To assess the impact on nursing students' knowledge and skills in pressure injury care.
Main Methods:
- Assessor-blinded randomized controlled trial with 32 nursing students.
- Intervention included theoretical component and either high- or medium-fidelity simulation.
- Data collected via tests, skills checklists, and debriefing assessment.
Main Results:
- Both groups demonstrated significant improvement in theoretical knowledge (p<0.05).
- No significant difference was observed in clinical skills between the high- and medium-fidelity groups (p=0.853).
- Debriefing experience was positive and comparable across both simulation types.
Conclusions:
- Clinical simulation effectively enhances nursing students' knowledge and skills for pressure injury assessment and treatment.
- Simulation fidelity level (high vs. medium) did not significantly impact learning outcomes.
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