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

Authors

DOI:

https://doi.org/10.33448/rsd-v10i3.12875

Keywords:

Anxiety; Students, nursing; Simulation training.

Abstract

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

References

Al-Ghareeb, A. Z. & Cooper, S. J. (2016). Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Educ Today, 36, 281-286.

Al-Ghareeb, A. Z., Cooper, S. J. & Mckenna, L. G. (2017). Anxiety and clinical performance in simulated setting in undergraduate health professionals education: an integrative review. Clin Simul Nurs, 13(10), 478-491.

Arslan, F. T., Türkmen, A. S., Çelen, R, Özkan, S., Altıparmak, D., & Şahin, A. (2018) Comparing traditional and simulation-based experiences in pediatrics with undergraduate nursing students in Turkey. Clin Simul Nurs, 16, 62-9.

Biaggio, A. M. B. & Natalício, L. (1979). Manual para o inventário de ansiedade Traço-Estado (IDATE). CEPA.

Cant, R. P. & Cooper, S. J. (2017). Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Educ Today, 49, 63-71.

Dearmon, V., Graves, R. J., Hayden, S., Mulekar, M. S., Lawrence, S. M., Jones, L. et al. (2013). Effectiveness of simulation-based orientation of baccalaureate nursing students preparing for their first clinical experience. J Nurs Educ, 52(1), 29-38.

Doğru, B. V. & Aydin, L. Z. (2020). The effects of training with simulation on knowledge, skill and anxiety levels of the nursing students in terms of cardiac auscultation: a randomized controlled study. Nurse Educ Today, 84, 104216.

Harder, N. (2018). Dealing with the fidelity of simulation-based learning. Clin Simul Nurs, 25, 20-21.

International Nursing Association for Clinical Simulation and Learning [INACSL] Standards Committee INACSL Standards Committee. INACSL standards of best practice: simulationSM simulation design. Clin Simul Nurs, 12(S), 5-12.

Jeffries, P. R. (2012). Simulation in nursing education: from conceptualization to evaluation. National League of Nursing.

Kaddoura, M., Vandyke, O., Smallwood, C., & Gonzalez, K. M. (2016). Perceived benefits and challenges of repeated exposure to high fidelity simulation experiences of first degree accelerated bachelor nursing students. Nurse Educ Today, 36, 298-303.

Ko, E. & Choi, Y. (2020). Debriefing model for psychological safety in nursing simulations: a qualitative study. Int J Environ Res Public Health, 17(8), 2826.

Ko, E. J. & Kim, E. J. (2019). Effects of simulation-based education before clinical experience on knowledge, clinical practice anxiety, and clinical performance ability in nursing students. J Korean Acad Soc Nurs Educ, 25(3), 289-99.

Labrague, L. J., McEnroe-Petitte, D. M., Bowling, A. M., Nwafor, C. E. & Tsaras, K. (2019). High‐fidelity simulation and nursing students’ anxiety and self‐confidence: a systematic review. Nurs forum, 54(3), 358-368.

Li, N., Li, B., Dou, J. & Wang, X. (2015). The anxiety and influence factor of the nurse students in different levels before the nclex-rn. Iran J Public Health, 44(4), 588-589.

Nielsen, B. & Harder, N. (2013). Causes of student anxiety during simulation: what the literature says. Clin Simul Nurs, 9, 2507-2512.

Spielberger, C. D. (1966). Theory and research on anxiety. In: Spielberger, C.D. (org). Anxiety and behavior (pp.3-20). Academic Press.

Stunden, A., Halcomb, E. & Jefferies, D. (2015). Tools to reduce first year nursing students' anxiety levels prior to undergoing objective structured clinical assessment (OSCA) and how this impacts on the student's experience of their first clinical placement. Nurse Educ Today, 35(9), 987-991.

Woda, A., Hansen, J., Paquette, M. & Topp, R. (2017). The impact of simulation sequencing on perceived clinical decision making. Nurse Educ Pract, 26, 33-38.

Yockey, J. & Henry, M. (2019). Simulation anxiety across the curriculum. Clin Simul Nurs, 29, 29-37.

Published

02/03/2021

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.

Issue

Section

Health Sciences