title: Satisfaction and gains perceived by nursing students with medium and high-fidelity simulation: A randomized controlled trial.
abstract: BACKGROUND
  The use of simulation to reproduce the experience of health care settings and its use as a strategy in the teaching of nurses has grown at an unprecedented rate. There is little scientific evidence to examine the differences in satisfaction and gains perceived by the students with the use of medium and high fidelity.
  
  
  OBJECTIVE
  To analyse and benchmark gains and satisfaction perceived by nursing students, according to their participation in medium- and high-fidelity simulated practice.
  
  
  METHODS
  Randomized control trial post-test only design with control group.
  
  
  METHODS
  Students of the 4th year of the Bachelor's Degree in Nursing who performed medium and high-fidelity simulated practice in a Simulation Centre environment.
  
  
  METHODS
  A satisfaction scale and a scale of perceived gains from the simulation were applied to the students who underwent simulated practice in a medium-fidelity environment (control group) and high-fidelity environment (experimental group). Statistical analysis was performed and a significance level of p<0.05 was established.
  
  
  RESULTS
  Of the 85 students who participated in the study, the majority were female (92.94%), with an average age of 21.89years (SD=2.81years). Satisfaction is statistically significant in the realism dimension and overall satisfaction. In the gains perceived with the simulation there is a statistically significant difference in the dimension recognition/decision.
  
  
  CONCLUSIONS
  Students are very satisfied with the realism of high-fidelity simulated practice and consider that this helps them more with recognition and decision compared with the medium-fidelity simulation.
authors.affiliation: Coimbra Nursing School, Portugal; Doctoral Student at the Institute of Biomedical Sciences Abel Salazar, University of Porto, Portugal. Electronic address: ruib@esenfc.pt.
authors.forename: Rui C N
authors.initials: RC
authors.lastname: Baptista
authors.affiliation: Coimbra Nursing School, Portugal. Electronic address: luispaiva@esenfc.pt.
authors.forename: Luís A R
authors.initials: LA
authors.lastname: Paiva
authors.affiliation: Coimbra Nursing School, Portugal. Electronic address: rgoncalves@esenfc.pt.
authors.forename: Rui F L
authors.initials: RF
authors.lastname: Gonçalves
authors.affiliation: Coimbra Nursing School, Portugal. Electronic address: lmoliveira@esenfc.pt.
authors.forename: Luís M N
authors.initials: LM
authors.lastname: Oliveira
authors.affiliation: Faculty of Psychology and Educational Sciences, University of Porto, Portugal. Electronic address: fpereira@fpce.up.pt.
authors.forename: Maria de Fátima C R
authors.initials: MF
authors.lastname: Pereira
authors.affiliation: Coimbra Nursing School, Portugal. Electronic address: jmartins@esenfc.pt.
authors.forename: José C A
authors.initials: JC
authors.lastname: Martins
mesh_terms: D000328:Adult; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D000070856:High Fidelity Simulation Training / Q000379:methods; D006801:Humans; D008297:Male; D010549:Personal Satisfaction; D000066908:Simulation Training / Q000379:methods*; D013338:Students, Nursing / Q000523:psychology*; D055815:Young Adult
keywords: High-fidelity; Medium-fidelity; Nursing; Perception; Satisfaction; Simulation