Impact of Simulation and Clinical Experience on Self-efficacy in Nursing Students

Abstract

This study compared the effect of simulation and clinical experience timing on self-confidence/self-efficacy for the nursing process. Using a randomized, double-crossover design, self-efficacy was measured 3 times. Although self-efficacy was significantly higher at time 1 for students who had clinical experience, there was no difference between the groups at the end of the course (time 2). Thus, simulation increased self-confidence/self-efficacy equivalently if placed either before or after clinical experience.

The Development and Effectiveness of a Clinical Training Violence Prevention Program for Nursing Students

“…The slight improvement in communication self-efficacy after the program is likely due to the therapeutic and non-therapeutic communication training and role-playing exercises. Education utilizing simulated patients that help students feel more self-confident as well as continuous, regular communication training seems to be necessary to improve communication self-efficacy [30,64].…”

Locating “gold standard” evidence for simulation as a substitute for clinical practice in prelicensure health professional education: A systematic review

“…There were no superiority trials among the six included RCTs; however, two studies were identified as noninferiority studies Level 1, Level 3. There were no statistically significant differences in knowledge (p = 0.478), clinical competency (p = 0.688), critical thinking and readiness for practice (NCLEX) (p = 0.737) for students undertaking traditional placements versus students substituting 25% and 50% of clinical Two of the RCTs appeared to be sufficiently powered: Hayden et al (2014) and Watson et al (2012), two were potentially underpowered based on information given (Blackstock et al, 2013;Schlairet & Pollock, 2010) and two RCTs were samples of convenience (Kimhi et al, 2016;Soccio, 2017). Three of these studies used validated tools for their primary outcome.…”

Conhecimentos, satisfação e autoconfiança em profissionais de saúde: simulação com manequim versus paciente-ator

“…Além disso, estudos como este mostra que estudantes após vivenciarem simulação realística apresentam melhora da autoconfiança (Ferreira et al, 2018;Nascimento & Magro, 2018;Smith & Roehrs, 2009). Diferentes estudos referem que os participantes apresentaram níveis elevados de autoconfiança (Smith & Roehrs, 2009;Kimhi, Reishtein, Cohen, Hurvitz, & Avraham, 2016 enfermagem mesmo entre aqueles que já experienciaram situações clínicas reais (Kimhi et al, 2016). Os resultados apresentados na Tabela 2, a qual apresenta as respostas atribuídas às duas dimensões da ESEAA, demonstram que não houve diferença estatisticamente significativa no cenário, demostrando que é possível utilizar paciente-ator com baixo custo, garantindo uma simulação de alta fidelidade.…”