Abstract
BackgroundIn multi-level health care environments, the complexity of nursing decisions is increasing, which places greater demands on nurses’ decision-making ability. Compared with traditional teaching methods, simulation has gradually been introduced into nursing decision-making training curricula because of the advantages of simulation-based learning (SBL). MethodsMeta-analysis. ResultsThis meta-analysis included 11 studies. SBL showed statistically significant improvements in nursing decision-making ability (SMD = 0.89, 95% CI = [0.39, 1.38], p < .001), knowledge (SMD = 0.46, 95% CI = [0.14, 0.79], p = .006), critical thinking (SMD = 0.50, 95% CI = [0.15, 0.84], p = .005), and skills (SMD = 0.34, 95% CI = [0.10, 0.58], p = .005). Subgroup analyses revealed that SBL was more helpful for nursing students than for registered nurses. The effects of a computer-based simulation were similar to those of a people-based simulation. Interventions conducted for “2-8 weeks” and immediate measurement were found to be more effective. ConclusionsSBL is an effective method for improving nurses’ decision-making ability, knowledge, critical thinking and skills.
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