Labrague Leodoro J, McEnroe-Petitte Denise M, Bowling Ann M, Nwafor Chidozie E, Tsaras Konstantinos
Department of Fundamentals and Administration, College of Nursing, Sultan Qaboos University, Muscat, Oman.
College of Nursing, Kent State University, Tuscarawas, Ohio.
Nurs Forum. 2019 Jul;54(3):358-368. doi: 10.1111/nuf.12337. Epub 2019 Mar 10.
As a complementary teaching pedagogy, high-fidelity simulation remains as an effective form of simulation modality. Empirical evidence has additionally shown high-fidelity simulation (HFS) to be an effective contributor to students' learning outcomes.
This paper critically appraised existing scientific articles that covered the influence of utilizing HFS on the effects of nursing students' anxiety and self-confidence during undergraduate nursing education.
This was a systematic review of scientific articles conducted from 2007 to 2017 on the topic of the influence of using HFS on students' self-confidence and anxiety. The literature of six electronic databases (Proquest, SCOPUS, MEDLINE, PubMed Central, CINAHL, and PsychINFO) was reviewed.
Following the literature search, 35 articles were selected. This review provides updated evidence on the efficacy of HFS in reducing anxiety and enhancing self-confidence among nursing students when performing nursing duties or managing patients. Moreover, this review highlights the need for more research that examines the impact of HFS on students' anxiety.
As this form of simulation is found to be effective in the enhancement of nursing student self-confidence and the reduction of their anxiety when caring for patients and/or employing nursing skills, the inclusion of simulation-based activities in all clinical nursing courses is vital.
作为一种补充教学方法，高保真模拟仍是一种有效的模拟方式。实证证据还表明，高保真模拟（HFS）能有效促进学生的学习成果。
本文对现有科学文章进行批判性评价，这些文章涵盖了在本科护理教育中利用高保真模拟对护生焦虑和自信心的影响。
这是一项对2007年至2017年关于使用高保真模拟对学生自信心和焦虑影响这一主题的科学文章的系统综述。对六个电子数据库（Proquest、SCOPUS、MEDLINE、PubMed Central、CINAHL和PsychINFO）的文献进行了综述。
在文献检索后，选择了35篇文章。本综述提供了关于高保真模拟在减少护生在执行护理职责或管理患者时的焦虑以及增强自信心方面功效的最新证据。此外，本综述强调需要更多研究来考察高保真模拟对学生焦虑的影响。
由于发现这种模拟形式在增强护生照顾患者和/或运用护理技能时的自信心以及减少其焦虑方面是有效的，因此在所有临床护理课程中纳入基于模拟的活动至关重要。
