The Effects of a Self-Efficacy Enhancement Program Using Simulation Scenarios on Knowledge, Skills, and Self-Efficacy in Advanced Cardiovascular Life Support Among Nursing Students

Abstract

This quasi-experimental research with a pretest-posttest control group design aimed to examine the effects of a self-efficacy enhancement program using simulation scenarios on knowledge, skills, and self-efficacy in advanced resuscitation among nursing students at Boromarajonani College of Nursing, Chiang Mai. The sample consisted of 120 third-year nursing students, selected through simple random sampling and divided equally into an experimental group and a control group (60 participants each). The intervention tool was a self-efficacy enhancement program using simulation scenarios, which included patient simulations, mannequins, task trainers, and demonstration videos. Data collection instruments included an advanced resuscitation knowledge test, an advanced resuscitation skills assessment, and a self-efficacy assessment in advanced resuscitation. Descriptive statistics were used to analyze general data, and Independent t-test was employed to compare knowledge, skills, and self-efficacy in advanced resuscitation between the experimental and control groups.

The research findings revealed that after participating in the self-efficacy enhancement program using simulation scenarios, the experimental group had significantly higher mean scores in knowledge, skills, and self-efficacy compared to the control group (p-value < 0.001). These results highlight the importance of simulation-based training in medical education to enhance students' competencies in managing critically ill and emergency patients. Enhancing students’ self-efficacy through simulation scenarios can increase their confidence and proficiency in real clinical practice.