Main Article Content
Nursing education is essential to improve the quality of nursing learning.The mixed-method study approach consisting of a quantitative and qualitative design,was used to assess the satisfaction with learning outcomes and self-confidence in caring for pediatric patients with heart failure by using high fidelity simulation-based learning.Purposive sampling was used to recruit the participants, who were the third-year students
of Ramathibodi School of Nursing and currently experienced high fidelity simulationbased learning. In the quantitative design, 55 nursing students participated in the study.A questionnaire was used to collect data on satisfaction with and self-confidence in nursing care after attending the high fidelity simulation. The quantitative data were analyzed with descriptive statistics. For the qualitative design, from the 55 students, 30 participants were specifically selected. The qualitative data collected from focus group interviews were then analyzed by content analysis. The results demonstrated that nursing students who experienced high fidelity simulation-based learning had a high to the highest level of satisfaction with and self-confidence in caring for pediatric patients with heart failure. Also, from the focus group, the students were satisfied with the high fidelity simulation and excited to learn about nursing care for pediatric patients with complex
symptoms. They had practiced in applying theoretical knowledge and experience in nursing care for pediatric patients. Therefore, high fidelity simulation-based learning should be considered to develop the teaching and learning strategies for nursing students.
Keywords: High fidelity simulation, Pediatric nursing, Satisfaction, Self-confidence,
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
Keating SB. Curriculum development and evaluation in nursing 3rd ed., New York: Springer Publishing; 2014.
Jeffries PR. Getting in S.T.A.P. with simulation:simulations take educator preparation. Nurs Educ Perspect.
Hick FD, Coke L, Li S. The effect of high-fidelity simulation on nursing students’ knowledge and
performance: a pilot study. National Council of State Boards of Nursing. 2009;40:1-27.
Gaba T. The future vision of simulation in health care.Quality & Safety in Health Care. 2004;13(Suppl.1):i2-i10.
National Council of State Boards of Nursing. Clinical instruction in prelicensure nursing programs. 2005. (cited
May 11). Available from: http://www.ncsbn.org/Final_ Clinical_Instr_Pre_Nsg_ programs.pdf
Suwannakeeree W, Jullmusi O, Tangkawanich T.Simulation-based learning management for nursing
students. Journal of Nursing Science Chulalongkorn University. 2016;28(2):1-14. (in Thai)
Nickerson M, Pollard M. Mrs. Chase and her descendants:a historical view of simulation. Creat Nurs. 2010;16
Cordeau MA. Teaching holistic nursing using clinical simulation: a pedagogical essay. J Nurs Educ Pract.
Liaw SY, Scherpbier A, Rethans J, Klainin-Yobas P.Assessment for simulation learning outcomes: a comparison
of knowledge and self-reported confidence with observed clinical performance. Nurs Educ Today. 2012;32:
Yuan HB, Williams BA, Man CH. Nursing students’clinical judgement in high-fidelity simulation based
learning: a quasi-experimental. J Nurs Educ Pract.2014;4(5):7-15.
Kolb DA. Experiential learning: experience as the source of learning and development. Englewood Cliffs, NJ:
Prentice Hall; 1984.
Kolb AY, Kolb DA. Learning styles and learning spaces:enhancing experience learning in higher education. Acad Manage Learn Educ. 2005;4(2):193-213.
Jeffries PR. A framework for designing, implementing,and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005;26(2):96-102.
Jeffries PR. Rogers KJ. Theoretical framework for simulation design. In: Jeffries PR, editor. Simulation in
nursing education: from conceptualization to evaluation.New York: National League for Nursing; 2007. p.21-33.
Sinthuchai S, Ubolwan K. Fidelity simulation based learning: implementation to learning and teaching
management. Journal of The Royal Thai Army Nurses.2017;18(1):29-38 (in Thai)
Sinthuchai S, Ubolwan K, Boonsin S. Effect of highfidelity simulation based learning on knowledge,
satisfaction, and self-confidence among the fourth year nursing students in comprehensive nursing care practicum.Ramathibodi Nursing Journal. 2017;23(1):113-27.(in Thai)
Brannen J. Mixed method research: a discussion paper.2005. (cited 2019 August 9). Available from:https://
Christensen LB, Johnson RB, Turner LA. Research methods, design, and analysis 11th ed. Boston: Pearson
Creswell JW. Research design: qualitative, quantitative,and mixed methods approaches 3rd ed. California: SAGE;2009.
Creswell JW. A concise introduction to mixed methods research. Thousand Oaks, California: SAGE; 2016.
Catherine M, Gretchen BR. Designing qualitative research 6th ed. Los Angeles: SAGE; 2016.
Krueger RA. Focus groups: a practical guide for applied research. Newbury Park, California: SAGE; 1988.
Suwannakeeree W, Jullmusi O, Inkaew T, TangkawanichT,Rueangram S. Satisfaction and self-confidence in critical care nursing of nursing students learning with simulationbased learning. Journal of Nursing and Health Sciences.2017;11(3):167-77. (in Thai)
Stayt LC, Merriman C, Ricketts B, Morton S, Simpson T.Recognizing and managing a deteriorating patient:
a randomized controlled trial investigating the effectiveness of clinical simulation in improving clinical performance in undergraduate nursing students. J Adv Nurs. 2015;71(11):2563-74.
Duangbubpha S, Jianvitayakij S. Evaluation of implementing clinical simulation teaching techniques in
clinical practicum among nursing students. Ramathibodi Nursing Journal. 2019;25(2):208-26. (in Thai)
Shinnick MA, Woo M, Evangelista LS. Predictors of knowledge gains using simulation in the education of pre
licensure nursing students. J Prof Nurs. 2012;28(1):41-7.
Waxman KT. The development of evidence-based clinical simulation scenarios: guidelines for nurse educators. J Nurs Educ. 2010;49(1):29-35.
Neill M, Wotton K. High-fidelity simulation debriefing in nursing education: a literature review. Clinical Simulation in Nursing. 2011;7(5):e161-e168.
Norkaeo D. Simulation based learning for nursing education. Journal of Boromarajonani College of Nursing.
;31(3):112-22. (in Thai)
Pasquale SJ. Education and learning theory. In: Levine AI, DeMaria JR, Schwartz AD, Sim AJ, editors. The
comprehensive textbook of healthcare simulation. NewYork, Springer Publishing; 2013.p.51-5.