title: Effectiveness of simulation-based learning on student nurses' self-efficacy and performance while learning fundamental nursing skills.
abstract: It was noted worldwide while learning fundamental skills and facing skills assessments, nursing students seemed to experience low confidence and high anxiety levels. Could simulation-based learning help to enhance students' self-efficacy and performance? Its effectiveness is mostly unidentified. This study was conducted to provide a shared experience to give nurse educators confidence and an insight into how simulation-based teaching can fit into nursing skills learning. A pilot study was completed with 50 second-year undergraduate nursing students, and the main study included 98 students where a pretest-posttest design was adopted. Data were gathered through four questionnaires and a performance assessment under scrutinized controls such as previous experiences, lecturers' teaching skills, duration of teaching, procedure of skills performance assessment and the inter-rater reliability. The results showed that simulation-based learning significantly improved students' self-efficacy regarding skills learning and the skills performance that nurse educators wish students to acquire. However, technology anxiety, examiners' critical attitudes towards students' performance and their unpredicted verbal and non-verbal expressions, have been found as possible confounding factors. The simulation-based learning proved to have a powerful positive effect on students' achievement outcomes. Nursing skills learning is one area that can benefit greatly from this kind of teaching and learning method.
authors.forename: Hsin-Hsin
authors.initials: HH
authors.lastname: Lin
mesh_terms: D000367:Age Factors; D001007:Anxiety / Q000523:psychology; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004521:Educational Measurement; D006801:Humans; D007858:Learning; D010865:Pilot Projects; D015203:Reproducibility of Results; D020377:Self Efficacy; D012737:Sex Factors; D000066908:Simulation Training / Q000458:organization & administration*; D013338:Students, Nursing / Q000523:psychology*; D013663:Teaching / Q000592:standards
keywords: Self-efficacy; fundamental nursing skills; simulation-based learning