The Effects of Simulation Base Learning Model on Knowledge, Clinical Judgement, and Self-confidence in Nursing Care during Intrapartum Care of Nursing students
Keywords:
Simulation Base Learning, Knowledge, Clinical Judgement, Self-confidence, Nursing studentsAbstract
A quasi-experimental study was conducted to investigate the effects of the Simulation-Based Learning (SBL) on knowledge, clinical judgment, and self-confidence in nursing care during intrapartum care among nursing students. The sample included fourth-year nursing students enrolled in the Maternal-Newborn Nursing and Midwifery Practicum I Course. Participants were chosen by simple random sampling, resulting in 32 nursing students in the experimental group and 32 nursing students in the control group, totaling 64 nursing students. The experimental group received instruction through two simulation scenarios, while the control group received traditional teaching. The research instruments consisted of a knowledge test, a clinical judgment questionnaire, and a self-confidence in nursing practice questionnaire. Cronbach’s alpha coefficients for these instruments were 0.944, 0.939, and 0.942, respectively. Data were analyzed using descriptive statistics, paired t-test, and independent t-test.
The results demonstrated that, after the intervention, the experimental group that received SBL exhibited significantly higher mean scores in knowledge, clinical judgement, and self-confidence in nursing practice compared to the control group (t = -1.91, p < .01; t = -1.06, p < .01; and t = -1.39, p < .01, respectively). Furthermore, these scores were significantly higher than those recorded before the experiment (t = -5.73, p < .01; t = -4.14, p < .01; and t = -2.98, p < .01, respectively). These findings support integrating SBL methods in nursing education to enhance students’ knowledge, clinical judgement, and self-confidence in their nursing practice.
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References
Trilling B, & Fadel C. 21st century skills: Learning for life in our times. San Francisco (CA): Jossey-Bass; 2009.
Faculty of Nursing, Ubon Ratchathani University. Bachelor of Nursing Science Program: Revised curriculum B.E. 2562 (2019). Ubon Ratchathani: Faculty of Nursing, Ubon Ratchathani University; 2019. (in Thai).
Saraketrin A, Rongmuang D, & Chantra R. Nursing education in the 21st century: Competencies and roles of nurse educators. Journal of The Royal Thai Army Nurses. 2019;20(1):12–20. (in Thai).
Suwancharoen J, Sornkasarin A, & Malai C. Instructional model promoting 21st-century skills for undergraduate nursing students. Nursing Journal. 2017;44(4):177–88. (in Thai).
Jeffries PR, editor. Simulation in nursing education: From conceptualization to evaluation. 2nd ed. New York: National League for Nursing; 2012.
Jamjang S, Atthamatakul W, Nilliaum R, & Wongyara N. Effects of virtual simulation-based learning on nursing students’ problem-solving abilities and confidence in caring for patients with health problems. Journal of Prachomklao College of Nursing, Phetchaburi Province. 2021;4(3):178–94. (in Thai).
Yeepaloh M, Rueangroengkulrit P, Thongchan J, Suwan K, & Chaliewsak K. Effects of Simulation Based Learning to Enhance Critical Thinking of Nursing Students, Boromarajonani College of Nursing Yala. Journal of Nursing and Public Health Research. 2017;18(3):128–34.(in Thai).
Chubkhuntod P, Thasanor-Eltor P, Kaewkhuntorn N, & Pochana R. Effects of simulation based learning model on knowledge, self-efficacy and abilities of applying. Journal of Health Science. 2020;29(6):1062-72. (in Thai).
Kolb AY, & Kolb DA. Learning styles and learning spaces: Enhancing experiential learning in higher education. Acad Manag Learn Educ. 2005;4(2):193–212.
Faul F, Erdfelder E, Lang AG, & Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175–91.
Lee BO, Liang HF, Chu TP, & Hung CC. Effects of simulation-based learning on nursing student competences and clinical performance. Journal of Nursing Education and Practice. 2019;41. doi:10.1016/j.nepr.2019.102646.
Thangkratok P, Phlacheeva N, Thongtham A, Dechakul M, Kaewprasong A, & Matsong C. Effectiveness of fidelity simulation-based learning in primary medical care practicum course among nursing students. Thai Journal of Nursing. 2022;71(2):64–71. (in Thai)
Konthiang K, Samerchuea W, Niramon P, & Chaichana J. The effects of repeated practice in high fidelity patient simulation on self confidence and clinical judgment among nursing students. APHEIT Journal of Nursing and Health. 2023;5(2):1–16. (in Thai)
Jeong KI, & Choi JY. Effect of debriefing based on the clinical judgment model on simulationbased learning outcomes of end-of-life care for nursing students: A non-randomized controlled trial. Journal of Korean Academy of Nursing. 2017;47(6):842–53.
Seesanea S, Kunoy J, Karuncharoenphanit S, & Rupngam S. Effects of simulation-based earning on knowledge, clinical judgment, and nursing skills in caring for critical patients with acute myocardial infarction: a case study. Journal of Nursing and Health Research. 2022;23(1):123–33. (in Thai)
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