Evaluation of Anxiety and Self-Confidence Among Baccalaureate Nursing Students Post Pandemic Simulation Exercise

Abstract

BackgroundSimulation-based exercises enhance self-confidence, skills, and knowledge acquisition in nursing education. This study explored clinical decision making (CDM) skills based on students’ anxiety and self-confidence. MethodsThis mixed-methods study used a 27-item self-administered questionnaire which assessed participants’ overall self-confidence and anxiety ratings on CDM pre- and post-simulation, as well as other three dimensions: “Using resources to gather information and listening fully,” “Using information to see the big picture,” and “Knowing and acting.” ResultsParticipants’ self-confidence increased and their anxiety levels decreased following the simulation exercise, both overall and in terms of the threeassessed subscales. All pre- and post-simulation differences were statistically significant and featured moderate effect sizes. ConclusionsThe results demonstrate the value of incorporating simulation as an effective teaching strategy to decrease anxiety and improve self-confidence in preparing future healthcare professionals to respond appropriately during a pandemic.