Abstract
Background; Simulation is the imitation of the operation of a real-world process or system over time. The aim of this study was to evaluate the impact of using simulation-based learning on nursing students’ performance, self-efficacy, satisfaction and confidence during pediatric injection administration. Materials and Method: the subjects consisted of 150 pediatric nursing students in the third year, Faculty of Nursing, Tanta University, who were divided into two groups. Four tools were used to collect data: A structured Questionnaire Schedule, Learner Satisfaction and Self Confidence in Learning Scale, Self-efficacy Scale, and Pediatric Injection Observational Checklist. The results revealed that there was statistically significant difference in students’ knowledge and performance after simulation-based learning (SBL). The majority of students’ answers were correct after SBL. All students were satisfied with SBL, most of them were confident and had increased self-efficacy after SBL. The study concluded that there was a significant improvement in pediatric nursing students’ performance regarding intravenous, intramuscular, and subcutaneous pediatric injection administration after SBL. The level of student’s satisfaction, confidence, and self-efficacy was very high after SBL. This study concluded that students found SBL an effective instructional technique. Recommendations: Medical and nursing education programs should adopt simulation in undergraduate education, and should support the introduction of simulation-based learning as an important step in curriculum development.
Highlights
Nursing is a practice and active learning profession
It was difficult to collect students after two and eight weeks to assess the retention of knowledge and evaluate their clinical performance in pediatric injection administration
In relation to the level of total satisfaction of pediatric nursing students with simulationbased and traditional teaching methods, the current study showed that all students in the study group were satisfied with simulationbased learning, while most of them were unsatisfied with traditional teaching method
Summary
Nursing is a practice and active learning profession. Caring for patients has been the preferred method of achieving competency in nursing practice. When nursing students have confidence in their own abilities, theyare able to shift focus to the needs of their patients. Shifting from their own needs to those of a patient is essential to being a safe and competent practitioner [3]. Simulation is designed to encourage active participation in the learning process allowing students to gain knowledge and develop psychomotor skills in a safe environment. Intermediate-fidelity simulation uses manikins that offer breath sounds, heart sounds and bowel sounds, and allow for initiation of IV therapy but lack the complexity and realism of patient scenarios [4]
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