Effect of high-fidelity simulation on Nursing student anxiety: randomized clinical trial





Anxiety; Students, nursing; Simulation training.


This article aimed to compare the effect of high-fidelity clinical simulation with traditional teaching in a skills laboratory and with first clinical experience in health institutions on the student´s anxiety levels. The randomized clinical trial conducted with undergraduate nursing students betwen 2015 and 2016 was used. The participants were randomly allocated to control group: submitted to theoretical class and laboratory skill class; and experimental group: submitted to theoretical class, laboratory skill class and high fidelity clinical simulation. Anxiety was assessed before and after laboratory practices and the first clinical experience. As results, 54 participants were included (25 - control; 27 - experimental). During the simulation, the experimental group showed high anxiety. Before the first clinical experience, the groups did not differ, however, after, the control group showed a significant increase in anxiety (p = 0.0372), while the experimental group showed a significant reduction (p = 0.0247). It is concluded that the simulation increases anxiety levels, but seems to contribute to its reduction on first real clinical experience in health institutions. REBEC:RBR-352v3G.

Author Biographies

Radamés Boostel, Universidade Federal do Paraná

Programa de Pós Graduação em Enfermagem da Universidade Federal do Paraná.

Carina Bortolato-Major, Universidade Estadual do Norte do Paraná

Docente do Departamento de Enfermagem da Universidade Estadual do Norte do Paraná.

Stela Adami Vayego, Universidade Federal do Paraná

Departamento de Estatística da Universidade Federal do Paraná

Maria de Fátima Mantovani, Universidade Federal do Paraná

Programa de Pós Graduação em Enfermagem da Universidade Federal do Paraná.

Jorge Vinícius Cestari Felix, Universidade Federal do Paraná

Programa de Pós Graduação em Enfermagem da Universidade Federal do Paraná


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How to Cite

BOOSTEL, R.; PEDROLO, E.; BORTOLATO-MAJOR, C.; VAYEGO, S. A.; MANTOVANI, M. de F.; FELIX, J. V. C. Effect of high-fidelity simulation on Nursing student anxiety: randomized clinical trial. Research, Society and Development, [S. l.], v. 10, n. 3, p. e0410312875, 2021. DOI: 10.33448/rsd-v10i3.12875. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12875. Acesso em: 13 apr. 2021.



Health Sciences