The Effect of High-Fidelity Simulation Teaching Program on Student Nurses’ Knowledge, Skill, and Self-efficacy regarding Nursing Care for Pregnant Woman with Complication

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ดวงกมล หน่อแก้ว
มนชยา ก้างยาง
พรรณวดี บูรณารมย์
จงลักษณ์ ทวีแก้ว
นวพล แก่นบุปผา
ไวยพร พรมวงค์


Pregnancy with complications is considered abnormal and harmful to pregnant women and fetuses. Therefore, the nurses’ knowledge and skills in taking care of these patients are important. This quasi-experimental research using two group pre-posttest design aimed to compare knowledge, skills and self-efficacy of student nurses participating in a High-Fidelity Simulation Teaching Program in Nursing Care for Complications in Pregnant Woman. The sample consisted of 80 fourth year nursing students of the 46 batch studying in academic year 2018. The sample was randomly allocated to experimental group and control group 40 each. The experimental group participated in the High-Fidelity Simulation Teaching Program. The program consisted of a case study, high-fidelity simulation practice using a high-fidelity manikin in the situation of pregnancy induced hypertension, uterine rupture, fetal distress syndrome, umbilical cord prolapse and reflection. The control group underwent self-study. The research instruments consisted of Knowledge, Skills, Self-efficacy and Satisfaction questionnaires. The content validity of the instruments were tested; the CVI was .85-1.00. The results revealed that posttest mean scores of knowledge was not statistically significantly different between the experimental group and

control group (t=1.663, p>.05). Posttest mean scores of skills of the experimental group was statistically significantly higher than the control group (Z=-4.911, p<.01). Posttest mean scores of self-efficacy of the experimental group was statistically significantly higher than the control group (t= 2.746, p<.01). The experimental group had high level of satisfaction in the High-Fidelity simulation training program ( =4.48, SD±.43). Nursing institutes should implement this simulation program for teaching and training to enhance the knowledge, skills and self-efficacy of student nurses.


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หน่อแก้ว ด, ก้างยาง ม, บูรณารมย์ พ, ทวีแก้ว จ, แก่นบุปผา น, พรมวงค์ ไ. The Effect of High-Fidelity Simulation Teaching Program on Student Nurses’ Knowledge, Skill, and Self-efficacy regarding Nursing Care for Pregnant Woman with Complication. NJPH (วารสาร พ.ส.) [Internet]. 2019 Dec. 20 [cited 2023 Feb. 6];29(3):53-65. Available from:


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