Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study

Abstract Background During the COVID-19 pandemic, simulation-based learning (SBL) serves as an alternative teaching strategy for nursing students facing restricted access to antenatal clinical practicum. However, the factors predicting nursing students’ satisfaction, self-confidence, and their learn...

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Main Authors: Kornkanok Kuesakul, Sasitara Nuampa, Rudee Pungbangkadee, Lucie Ramjan, Ameporn Ratinthorn
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-01824-0
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author Kornkanok Kuesakul
Sasitara Nuampa
Rudee Pungbangkadee
Lucie Ramjan
Ameporn Ratinthorn
author_facet Kornkanok Kuesakul
Sasitara Nuampa
Rudee Pungbangkadee
Lucie Ramjan
Ameporn Ratinthorn
author_sort Kornkanok Kuesakul
collection DOAJ
description Abstract Background During the COVID-19 pandemic, simulation-based learning (SBL) serves as an alternative teaching strategy for nursing students facing restricted access to antenatal clinical practicum. However, the factors predicting nursing students’ satisfaction, self-confidence, and their learning experiences remain unclear. Objective To identify factors predict satisfaction and self-confidence and explore the learning experiences of antenatal SBL. Methods A Mixed methods research of the cross-sectional study design and descriptive qualitative research was conducted. A total of 100 third year nursing students who finished the Maternity-Newborn Nursing and Midwifery Practice course using antenatal simulation-based learning were invited to complete the online questionnaires. A total of seven questionnaires were administered, including a demographic questionnaire, the Attitude Scale toward Simulation-Based Education (SBE), the Professional Identity Scale for Nursing Students, the Perceived Stress Scale, the Evaluation of Teaching Competencies Scale, the Simulation Design Scale: Student Version, and the Student Satisfaction and Self-Confidence in Learning. The 20 nursing students who completed survey were asked to participate a qualitative focus group discussion. Multiple regression analysis was performed to investigate predictors, while qualitative data were analyzed using content analysis. Results The quantitative results showed high levels of satisfaction (mean = 20.55, SD = 3.17) and self-confidence (mean = 32.44, SD = 4.76) after completing the antenatal SBL. In regression analysis, attitude toward SBE (Beta = 0.473, t = 5.376, p < 0.001) and attitude toward antenatal care simulation design (Beta = 0.338, t = 2.611, p < 0.011) were significantly associated with a high level of satisfaction with antenatal SBL, which accounted for 44.0% of the variance explained in satisfaction. Only attitude toward SBE was significantly associated with a high level of self-confidence in antenatal SBL (Beta = 0.331, t = 3.773, p < 0.001), which accounted for 45.0% of the variance explained in self-confidence. The qualitative results generated four themes: (1) positive attitude toward antenatal simulation; (2) turning reassurance into confidence; (3) I am really happy to learn; and (4) being a good nurse motivates and stresses me. Conclusions Antenatal SBL is an effective teaching strategy that can support nursing students to build clinical confidence. Creating a positive learning environment allows students to have a positive attitude and experience with simulations.
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spelling doaj.art-2949519a7f6f4cbe9a0b9645e52b084f2024-03-10T12:09:20ZengBMCBMC Nursing1472-69552024-03-0123111010.1186/s12912-024-01824-0Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method studyKornkanok Kuesakul0Sasitara Nuampa1Rudee Pungbangkadee2Lucie Ramjan3Ameporn Ratinthorn4Department of Obstetrics and Gynecological Nursing, Faculty of Nursing, Mahidol UniversityDepartment of Obstetrics and Gynecological Nursing, Faculty of Nursing, Mahidol UniversityDepartment of Obstetrics and Gynecological Nursing, Faculty of Nursing, Mahidol UniversitySchool of Nursing and Midwifery, Western Sydney UniversityDepartment of Obstetrics and Gynecological Nursing, Faculty of Nursing, Mahidol UniversityAbstract Background During the COVID-19 pandemic, simulation-based learning (SBL) serves as an alternative teaching strategy for nursing students facing restricted access to antenatal clinical practicum. However, the factors predicting nursing students’ satisfaction, self-confidence, and their learning experiences remain unclear. Objective To identify factors predict satisfaction and self-confidence and explore the learning experiences of antenatal SBL. Methods A Mixed methods research of the cross-sectional study design and descriptive qualitative research was conducted. A total of 100 third year nursing students who finished the Maternity-Newborn Nursing and Midwifery Practice course using antenatal simulation-based learning were invited to complete the online questionnaires. A total of seven questionnaires were administered, including a demographic questionnaire, the Attitude Scale toward Simulation-Based Education (SBE), the Professional Identity Scale for Nursing Students, the Perceived Stress Scale, the Evaluation of Teaching Competencies Scale, the Simulation Design Scale: Student Version, and the Student Satisfaction and Self-Confidence in Learning. The 20 nursing students who completed survey were asked to participate a qualitative focus group discussion. Multiple regression analysis was performed to investigate predictors, while qualitative data were analyzed using content analysis. Results The quantitative results showed high levels of satisfaction (mean = 20.55, SD = 3.17) and self-confidence (mean = 32.44, SD = 4.76) after completing the antenatal SBL. In regression analysis, attitude toward SBE (Beta = 0.473, t = 5.376, p < 0.001) and attitude toward antenatal care simulation design (Beta = 0.338, t = 2.611, p < 0.011) were significantly associated with a high level of satisfaction with antenatal SBL, which accounted for 44.0% of the variance explained in satisfaction. Only attitude toward SBE was significantly associated with a high level of self-confidence in antenatal SBL (Beta = 0.331, t = 3.773, p < 0.001), which accounted for 45.0% of the variance explained in self-confidence. The qualitative results generated four themes: (1) positive attitude toward antenatal simulation; (2) turning reassurance into confidence; (3) I am really happy to learn; and (4) being a good nurse motivates and stresses me. Conclusions Antenatal SBL is an effective teaching strategy that can support nursing students to build clinical confidence. Creating a positive learning environment allows students to have a positive attitude and experience with simulations.https://doi.org/10.1186/s12912-024-01824-0SimulationAntenatal careSatisfactionSelf-confidenceNursing student
spellingShingle Kornkanok Kuesakul
Sasitara Nuampa
Rudee Pungbangkadee
Lucie Ramjan
Ameporn Ratinthorn
Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
BMC Nursing
Simulation
Antenatal care
Satisfaction
Self-confidence
Nursing student
title Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
title_full Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
title_fullStr Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
title_full_unstemmed Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
title_short Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: a mixed-method study
title_sort evaluation of antenatal simulation based learning on satisfaction and self confidence levels among thai undergraduate nursing students during the covid 19 pandemic a mixed method study
topic Simulation
Antenatal care
Satisfaction
Self-confidence
Nursing student
url https://doi.org/10.1186/s12912-024-01824-0
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