Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study

Abstract Background The beneficial effect of simulation experience on nursing students is well established in the literature. However, an accurate simulation modality to help professional nurses enhance their clinical competence and expertise remains unexplored. The current study evaluated and contr...

Full description

Bibliographic Details
Main Authors: Jefferson Garcia Guerrero, Dena Marwan Attallah, Nada Hassan Gomma, Samah Abdulwahed Ali
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-024-01727-0
_version_ 1797276634412220416
author Jefferson Garcia Guerrero
Dena Marwan Attallah
Nada Hassan Gomma
Samah Abdulwahed Ali
author_facet Jefferson Garcia Guerrero
Dena Marwan Attallah
Nada Hassan Gomma
Samah Abdulwahed Ali
author_sort Jefferson Garcia Guerrero
collection DOAJ
description Abstract Background The beneficial effect of simulation experience on nursing students is well established in the literature. However, an accurate simulation modality to help professional nurses enhance their clinical competence and expertise remains unexplored. The current study evaluated and contrasted the impact of two simulation modalities on nurses’ knowledge, abilities, self-efficacy, confidence, and satisfaction following a simulated clinical experience caring for chemotherapy patients. Methods A quasi-experimental research design was employed in this study. The participants were divided into group A, comprising nurses exposed to the high-fidelity simulation, and group B, comprising nurses exposed to the virtual simulation. Results The study found that nurses exposed to high-fidelity simulation and virtual simulation gained a high standard of knowledge and skills. The nurses’ post-test and post-objective structured clinical examination (OSCE) scores drastically increased after simulation exposure compared to their pre-test and pre-OSCE scores. For the group exposed to high-fidelity simulation, the mean differences were − 19.65 (pre- and post-test) and 23.85 (pre- and post-OSCE), while for the group exposed to virtual simulation, the mean differences were − 22.42 (pre- and post-test) and 20.63 (pre- and post-OSCE). All p-values indicated significant differences < 0.001. Moreover, both groups exhibited high self-efficacy, confidence, and satisfaction levels after the simulation experience. The outcomes of both simulation modalities regarding self-efficacy, confidence, and satisfaction levels indicate no significant difference, as supported by p-values of > 0.05. Conclusion High-fidelity simulation and virtual simulation training effectively and efficiently advance nurses’ professional competence. The nurses exposed to high-fidelity simulation and virtual simulation gained high levels of knowledge and skills. Additionally, it increased their sense of happiness, self-worth, and self-efficacy. The simulation approach will be a potent instrument for improving nurses’ competency and fully developing their sense of expertise. Therefore, developing policies adopting simulation as part of their professional development will ensure patient safety and improve health outcomes.
first_indexed 2024-03-07T15:32:02Z
format Article
id doaj.art-c6fb3e7d0ae4463490c845a23b7502fe
institution Directory Open Access Journal
issn 1472-6955
language English
last_indexed 2024-03-07T15:32:02Z
publishDate 2024-01-01
publisher BMC
record_format Article
series BMC Nursing
spelling doaj.art-c6fb3e7d0ae4463490c845a23b7502fe2024-03-05T16:24:37ZengBMCBMC Nursing1472-69552024-01-012311910.1186/s12912-024-01727-0Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental studyJefferson Garcia Guerrero0Dena Marwan Attallah1Nada Hassan Gomma2Samah Abdulwahed Ali3College of Nursing, King Khalid UniversityNursing Department - Nursing Program, Fakeeh College for Medical SciencesNursing Department - Nursing Program, Fakeeh College for Medical SciencesNursing Department - Nursing Program, Fakeeh College for Medical SciencesAbstract Background The beneficial effect of simulation experience on nursing students is well established in the literature. However, an accurate simulation modality to help professional nurses enhance their clinical competence and expertise remains unexplored. The current study evaluated and contrasted the impact of two simulation modalities on nurses’ knowledge, abilities, self-efficacy, confidence, and satisfaction following a simulated clinical experience caring for chemotherapy patients. Methods A quasi-experimental research design was employed in this study. The participants were divided into group A, comprising nurses exposed to the high-fidelity simulation, and group B, comprising nurses exposed to the virtual simulation. Results The study found that nurses exposed to high-fidelity simulation and virtual simulation gained a high standard of knowledge and skills. The nurses’ post-test and post-objective structured clinical examination (OSCE) scores drastically increased after simulation exposure compared to their pre-test and pre-OSCE scores. For the group exposed to high-fidelity simulation, the mean differences were − 19.65 (pre- and post-test) and 23.85 (pre- and post-OSCE), while for the group exposed to virtual simulation, the mean differences were − 22.42 (pre- and post-test) and 20.63 (pre- and post-OSCE). All p-values indicated significant differences < 0.001. Moreover, both groups exhibited high self-efficacy, confidence, and satisfaction levels after the simulation experience. The outcomes of both simulation modalities regarding self-efficacy, confidence, and satisfaction levels indicate no significant difference, as supported by p-values of > 0.05. Conclusion High-fidelity simulation and virtual simulation training effectively and efficiently advance nurses’ professional competence. The nurses exposed to high-fidelity simulation and virtual simulation gained high levels of knowledge and skills. Additionally, it increased their sense of happiness, self-worth, and self-efficacy. The simulation approach will be a potent instrument for improving nurses’ competency and fully developing their sense of expertise. Therefore, developing policies adopting simulation as part of their professional development will ensure patient safety and improve health outcomes.https://doi.org/10.1186/s12912-024-01727-0Simulation modalitiesHigh-fidelity simulationVirtual simulationSelf-efficacySatisfactionProfessional competence
spellingShingle Jefferson Garcia Guerrero
Dena Marwan Attallah
Nada Hassan Gomma
Samah Abdulwahed Ali
Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
BMC Nursing
Simulation modalities
High-fidelity simulation
Virtual simulation
Self-efficacy
Satisfaction
Professional competence
title Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
title_full Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
title_fullStr Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
title_full_unstemmed Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
title_short Improvements in practising nurses’ knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: a quasi-experimental study
title_sort improvements in practising nurses knowledge skills self efficacy confidence and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy a quasi experimental study
topic Simulation modalities
High-fidelity simulation
Virtual simulation
Self-efficacy
Satisfaction
Professional competence
url https://doi.org/10.1186/s12912-024-01727-0
work_keys_str_mv AT jeffersongarciaguerrero improvementsinpractisingnursesknowledgeskillsselfefficacyconfidenceandsatisfactionafterasimulatedclinicalexperienceofcaringforapatientundergoingchemotherapyaquasiexperimentalstudy
AT denamarwanattallah improvementsinpractisingnursesknowledgeskillsselfefficacyconfidenceandsatisfactionafterasimulatedclinicalexperienceofcaringforapatientundergoingchemotherapyaquasiexperimentalstudy
AT nadahassangomma improvementsinpractisingnursesknowledgeskillsselfefficacyconfidenceandsatisfactionafterasimulatedclinicalexperienceofcaringforapatientundergoingchemotherapyaquasiexperimentalstudy
AT samahabdulwahedali improvementsinpractisingnursesknowledgeskillsselfefficacyconfidenceandsatisfactionafterasimulatedclinicalexperienceofcaringforapatientundergoingchemotherapyaquasiexperimentalstudy