The Effect of Clinical Simulation on Nursing Students' Self-confidence to Provide Quality and Safety of Patient Care
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Abstract
This quasi-experimental study used one group pretest-posttest design. The Quality and Safety Education for Nurses—QSEN principles were used as a conceptual framework to study. The purposes were to 1) explore nursing students’ quality and safe nursing care practice while participating in clinical simulations, 2) compare nursing students' scores of self-confidence in quality and safe nursing care practice before and after participating in a clinical simulation, and 3) describe nursing students’ perceived learning promotion through clinical simulations. A purposive sample of 54 thirdyear nursing students who practiced in an adult and elderly nursing practicum course was recruited.Three simulation scenarios were set up. The instruments for collecting data included the Personal Data Questionnaire, the Nursing Practice Assessment Form, the Self-confidence in Practicing Quality and Safe Nursing Care, and the Learning Promotion by Clinical Simulations Assessment Form. Data were analyzed using descriptive statistics and paired t-test. The results are as follows. Firstly, nursing students practiced nursing care of patients in all three simulation scenarios correctly at 100 % on the topic of teamwork and cooperation; they practiced nursing care of patients correctly at 50-66.67 % on the evidence-based practice and quality improvement topic. Secondly, the mean self-confidence score for practicing quality and safe nursing care of the nursing students after the simulation period was significantly higher than that before the simulation period. Lastly, teaching with simulations promoted nursing students’ learning at a high level. The top three teaching activities that promoted learning with high average scores included reflection, participation in the simulation, and being an observer. In conclusion, this study reflects the effect of clinical simulation teaching on nursing students' confidence in performing quality and safe nursing care. Therefore, teachers could use clinical simulations-based learning to provide nursing students with patient care experiences and promote awareness of quality and safe patient care prior to clinical practice.
Keywords: Clinical simulation, Self-confidence, Nursing students, Patient Care, Quality, Safety
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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