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OUTCOMES of Clinical Simulation for Novice Nursing Students: Communication, Confidence, Clinical Judgment



The use of clinical simulation in nursing education provides many opportunities for students to learn and apply theoretical principles of nursing care in a safe environment. The purpose of this study was to evaluate simulated clinical experiences as a teaching/learning method to increase the self-efficacy of nursing students during their initial clinical course in a prelicensure program. An integrated, quasiexperimental, repeated measures design was used. A sample of 112 students completed surveys, indicating their confidence in various skills necessary for postpartum and newborn nursing, both before and after the simulation experience. Results indicated that students experienced a significant increase in overall self-efficacy (p < .01). Students also experienced an increase in confidence in assessing vital signs (p < .01), breasts (p < .01), the fundus (p < .001), and lochia (p < .001), and in providing patient education (p < .001). Three themes that emerged in the qualitative results were communication, confidence, and clinical judgment.

About the AuthorsThe authors are affiliated with Grand Valley State University, Kirkhof College of Nursing, Grand Rapids, Michigan. Deborah Bambini, PhD, WHNP-BC, CNE, and Joy Washburn, EdD, WHNP-BC, are assistant professors. Ronald Perkins, BSN, RN, is the simulation team leader/coordinator of the Learning Lab. The authors are grateful to graduate assistants Tyler Armstrong, BA, and Julie Ondersma, BSN, RN, for their work with the data analysis. For more information, contact Dr. Bambini

Copyright 2009 by National League for Nursing, Inc.
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