title: The effects of pediatric community simulation experience on the self-confidence and satisfaction of baccalaureate nursing students: A quasi-experimental study.
abstract: OBJECTIVE
  Simulation in nursing education is a means to transform student learning and respond to decreasing clinical site availability. This study proposed an innovative simulation experience where students completed community based clinical hours with simulation scenarios. The purpose of this study was to determine the effects of a pediatric community simulation experience on the self-confidence of nursing students. Bandura's (1977) Self-Efficacy Theory and Jeffries' (2005) Nursing Education Simulation Framework were used.
  
  
  METHODS
  This quasi-experimental study collected data using a pre-test and posttest tool. The setting was a private, liberal arts college in the Midwestern United States.
  
  
  METHODS
  Fifty-four baccalaureate nursing students in a convenience sample were the population of interest. The sample was predominantly female with very little exposure to simulation prior to this study.
  
  
  METHODS
  The participants completed a 16-item self-confidence instrument developed for this study which measured students' self-confidence in pediatric community nursing knowledge, skill, communication, and documentation.
  
  
  RESULTS
  The overall study showed statistically significant results (t=20.70, p<0.001) and statistically significant results within each of the eight 4-item sub-scales (p<0.001). Students also reported a high level of satisfaction with their simulation experience.
  
  
  CONCLUSIONS
  The data demonstrate that students who took the Pediatric Community Based Simulation course reported higher self-confidence after the course than before the course. Higher self-confidence scores for simulation participants have been shown to increase quality of care for patients.
authors.affiliation: Calvin College, Grand Rapids, MI 49546, United States. Electronic address: Jll23@calvin.edu.
authors.forename: Jaclynn
authors.initials: J
authors.lastname: Lubbers
authors.affiliation: Calvin College, Grand Rapids, MI 49546, United States. Electronic address: Clr24@calvin.edu.
authors.forename: Carol
authors.initials: C
authors.lastname: Rossman
mesh_terms: D003152:Community Health Nursing; D004508:Education, Nursing, Baccalaureate; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008348:Manikins; D010372:Pediatrics / Q000193:education*; D010549:Personal Satisfaction; D020377:Self Efficacy; D013338:Students, Nursing / Q000523:psychology*; D055815:Young Adult
keywords: Community nursing roles; Pediatric nursing; Self-confidence; Simulation