title: Third-year undergraduate nursing students' perceptions of high-fidelity simulation.
abstract: High-fidelity simulation, with the potential to enhance cognitive, associative, and autonomous skills, can help students develop clinical reasoning. This study examined third-year students' (N = 300) perceptions about the implementation of high-fidelity simulation into an existing clinical course. Data were collected using an evaluation form completed by students after the simulation. Students perceived high-fidelity simulation as enjoyable, with an appropriate degree of challenge yet possessing congruency with concepts studied in the course. Students' transient feelings of confusion were interpreted as a natural component of the problem solving process as they analyzed, clustered, and interpreted cues to respond to rapid changes in the simulated patient's clinical condition. Debriefing was viewed as an important component and assisted in clarifying students' knowledge and rationale for practice. Further research is required on the relationship between the degree of confusion and its impact on learning and whether high-fidelity simulation increases the ability to reason in the clinical setting.
authors.affiliation: Flinders University, Adelaide, South Australia, Australia. karen.wotton@flinders.edu.au
authors.forename: Karen
authors.initials: K
authors.lastname: Wotton
authors.forename: Jordana
authors.initials: J
authors.lastname: Davis
authors.forename: Didy
authors.initials: D
authors.lastname: Button
authors.forename: Moira
authors.initials: M
authors.lastname: Kelton
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002983:Clinical Competence; D003194:Computer-Assisted Instruction / Q000379:methods*; D003463:Cues; D004508:Education, Nursing, Baccalaureate / Q000379:methods*; D006801:Humans; D008348:Manikins; D024802:Nurse's Role / Q000523:psychology; D009730:Nursing Assessment; D015402:Nursing Education Research; D015404:Nursing Methodology Research; D009937:Organizational Objectives; D011340:Problem Solving; D015397:Program Evaluation; D011597:Psychomotor Performance; D036301:Qualitative Research; D013338:Students, Nursing / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires