Satisfaction and Self-Confidence in Critical Care Nursing of Nursing Students Learning with Simulation-Based Learning


  • Wongduan Suwannakeeree
  • Orapin Jullmusi
  • Thayuta Inkaew
  • Thitiarpha Tangkawanich
  • Sujin Rueangram


Simulation-based learning, Satisfaction, Self-confidence in critical care nursing, Nursing Students


The purposes of this descriptive research were 1) to study nursing student satisfaction in simulationbased learning and 2) to compare self-confidence in critical care nursing of nursing students before and after learning with simulation-based learning. Eighty-six third year student nurses were recruited in this study. The research instruments included the nursing student satisfaction and self-confidence in simulationbased learning scales. These instruments were validated by experts, the content validity index (CVI) of the measuring instruments were .93 and .95, respectively. Cronbach’s Alpha Coefficient of reliability were .91 and .96, respectively. Data were analyzed using descriptive statistics, paired t-test, and Wilcoxon signedranks test. The results revealed that: 1. The students’ satisfaction with simulation-based learning was at a high level, with average score of 4.28 (S.D. = .48). 2. Mean post-test self-confidence score of the participants ( = 4.36, S.D. = .50) was significantly higher than the pre-test score ( = 2.95, S.D. = .53), p < .001. The results from this research indicated that the students were satisfied with the simulation-based learning method. Therefore, the simulation-based learning should be conducted to enhance students’ self-confidence in critical care nursing, which can lead to the improvement of their nursing skills.


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กลุ่มสาขาการพยาบาลผู้ใหญ่. (2557). คู่มือฝึกภาคปฏิบัติ
รายวิชาปฏิบัติการพยาบาลผู้ใหญ่ 2 หลักสูตร
พยาบาลศาสตรบัณฑิต. พิษณุโลก: คณะ
พยาบาลศาสตร  มหาวิทยาลัยนเรศวร.
ทิศนา แขมมณี. (2557). ศาสตร์การสอน องค์ความรู้
กรุงเทพฯ: สำนักพิมพแ์ หง่ จุฬาลงกรณม์ หาวิทยาลัย.
ผกามาศ พีธรากร และจินตนา ทองเพชร. (2551).
โดยใช้สถานการณ์จำลอง วิชาการดูแลรักษา
ผูบ้ าดเจ็บฉุกเฉิน นักศึกษาหลักสูตรประกาศนียบัตร
เวชกิจฉุกเฉิน วิทยาลัยพยาบาลพระจอมเกล้า
จังหวัดเพชรบุรี.รายงานการวิจัย. เพชรบุรี
พลพันธ์ บุญมาก และสุหัทยา บุญมาก. (2013). Medical
simulation the way to improve patient care.
Srinagarind Med. 28 (suppl): 80-85.
ภาควิชาการพยาบาลเด็ก ผู้ใหญ่และผู้สูงอายุ. (2015). การ
(Stimulation-Based Learning: SBL). การจัดการความรู้
วิทยาลัยพยาบาลบรมราชชนนีสงขลา. สืบค้นเมื่อ
14 กันยายน 2558,จาก
Bandura, A. (1986). Social foundations of thought and
action: A social cognitive theory. New Jersey:
Bandura, A. (2004). Health promotion by social
cognitive means.Health Education and Behavior,
31(2): 143-164.
Cant, R. P., & Cooper, S. J. (2009). Simulation-based
learning in nurse education: systematic review.
Journal of Advanced Nursing, 66(1): 3-15.
Cato, M. L. (2013). Nursing student anxiety in simulation
setting: A mixed methods study. Dissertations
and Theses. Portland State University.
Chiang, V. C. L., & Chan, S. S. C. (2014). An evaluation
of advanced simulation in nursing: A mixedmethod
study. Collegian, 21: 257-265.
Hick, F. D., Coke, L., & Li, S. (2009). The effect of
high-fidelity simulation on nursing students’
knowledge and performance: A pilot study.
National Council of State Boards of Nursing,
40: 1-27.
Jeffries, P. R. (2005). A framework for designing
implementing and evaluating simulations used
as teaching strategies in nursing. Nursing
Education Perspectives, 26(2): 96-103.
Jeffries, P. R. (2007). Simulation in nursing education
from conceptualization to evaluation. New York:
National League for Nursing.
Jeffries, P. R. (2008). Getting in S.T.A.P. with
simulation: Simulations take educator
preparation. Nursing Education Perspectives,
29(2): 70-73.
Levett-Jones, T., McCoy, M., Lapkin, S., Noble, D.,
Hoffman, K., Dempsey, J.,…, & Roche, J.
(2011). The development and psychometric
testing of the satisfaction with simulation
experience scale. Nurse Education Today. Doi:
O’Donnell, J. M., Decker, S., Howard, V., Levett-Jones,
T., & Miller, C. W. (2014). NLN/Jeffries
simulation framework state of the science
project: simulation learning outcomes. Clinical
Simulation in Nursing, 10(7): 373-382.
Smith, S. J., &Roehrs, C. J. (2009). High-fidelity
simulation: Factors correlated with nursing
student satisfaction and self-confidence. Nursing
Education Perspectives, 30(2): 74-78.
Todd, M., Manz, J. A., Hawkins, K. S., Parsons, M. E.,
& Hercinger, M. (2008).The development of a
quantitative evaluation tool for simulations
in nursing education. International Journal
of Nursing Education Scholarship, 5(1):
Retrieved September 14, 2015 from http://www.
White, K. A. (2014). Development and validation of
a tool to measure self-confidence and anxiety
in nursing students during clinical decision
making. Journal of Nursing Education, 53(1):




How to Cite

Suwannakeeree, W., Jullmusi, O., Inkaew, T., Tangkawanich, T., & Rueangram, S. (2018). Satisfaction and Self-Confidence in Critical Care Nursing of Nursing Students Learning with Simulation-Based Learning. NU Journal of Nursing and Health Sciences, 11(3), 167–177. Retrieved from