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Related Experiment Video

Updated: Jun 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Learning Autonomy and Group Cohesion in Clinical Simulation: A Quasi-Experimental Comparison of Two Training

José Manuel García-Álvarez1, Alfonso García-Sánchez2, José Luis Díaz-Agea3

  • 1Health Sciences PhD Program, Catholic University of Murcia (UCAM), Campus de los Jerónimos nº 135, 30107 Murcia, Spain.

Nursing Reports (Pavia, Italy)
|June 25, 2026
PubMed
Summary

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Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...

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Clinical simulation enhances nursing team cohesion. The MAES© self-directed learning model showed greater improvements in group cohesion compared to simulation-based learning (SBL). Further research is needed to confirm causality.

Area of Science:

  • Healthcare Education
  • Team Dynamics
  • Nursing Practice

Background:

  • Healthcare complexity necessitates highly cohesive teams.
  • Clinical simulation is a valuable tool for fostering team cohesion.
  • Various simulation learning methodologies exist for developing group cohesion.

Purpose of the Study:

  • To compare group cohesion outcomes between self-directed (MAES©) and non-self-directed (SBL) clinical simulation learning models.
  • To evaluate the effectiveness of different simulation approaches on nursing student teams' cohesion.

Main Methods:

  • A quasi-experimental pre-post study with a control group involving 311 nursing students.
  • Assessment of group cohesion using the Group Environment Questionnaire (GEQ) before and after simulation.
Keywords:
clinical simulation methodologiesgroup cohesionnursing educationquasi-experimental study

Related Experiment Videos

Last Updated: Jun 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

  • Analysis of covariance (ANCOVA) to compare between-group differences, adjusting for baseline values.

    • Main Results:

    • Both MAES© and SBL methodologies improved group cohesion.
    • Statistically significant differences favored the MAES© methodology across all dimensions.
    • Small-to-medium effect sizes (ηp² = 0.036-0.138) were observed for MAES©.

    Conclusions:

    • Both clinical simulation methodologies positively impact nursing student group cohesion.
    • The MAES© self-directed learning model demonstrated superior outcomes in enhancing group cohesion.
    • The non-randomized design suggests associations, necessitating further randomized controlled trials for causal evidence.