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Perceived effectiveness of computer-based simulation learning in health management students: A cross-sectional study
Ren-Ping Gu1, Jie Xia1, Fang Zhao1
1School of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai, China.
Digital Health
|July 13, 2026
Summary
Computer-based simulations are effective for health management education. Student confidence and prior experience significantly boost perceived learning outcomes in these simulations.
Area of Science:
- Health Professions Education
- Medical Simulation
- Health Management Training
Background:
- Computer-based simulation, following the prebriefing-simulation-debriefing model, is increasingly used in health management education.
- Evaluating the impact of these simulations on student learning outcomes is crucial.
Purpose of the Study:
- To assess the perceived effectiveness of computer-based simulations on the learning outcomes of final-year undergraduate health management students.
Main Methods:
- A cross-sectional study involving 124 undergraduate health management students in Eastern China.
- Data collected using the Simulation Effectiveness Tool-Modified questionnaire.
- Analysis included descriptive statistics and multiple regression, adhering to STROBE guidelines.
Main Results:
- The majority of students perceived computer-based simulations as highly effective, correlating with positive learning outcomes.
- Key factors enhancing perceived effectiveness included higher self-efficacy (β = 0.486, p < 0.001) and prior simulation experience (β = -0.173, p = 0.016).
- Gains in knowledge-skills-attitudes also positively influenced perceived effectiveness (β = 0.188, p = 0.029).
Conclusions:
- Computer-based simulation, within the prebriefing-simulation-debriefing framework, shows significant promise for health management education.
- Fostering learner self-efficacy and preparedness is vital for maximizing the educational benefits of simulation.
- Structured implementation of simulation enhances systematic learning and perceived effectiveness.