Nair Manju Avinash, Muthu Priyalatha, Abuijlan Israa A M
RAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
SAGE Open Nurs. 2024 May 6;10:23779608241249357. doi: 10.1177/23779608241249357. eCollection 2024 Jan-Dec.
Clinical competence is a pre-requisite for every student nurse to showcase their proficiency in providing quality nursing care. Effective clinical experience during the study period plays a pivotal role in developing clinical competence among nursing students. Hence, the purpose of the study was to find the effectiveness of high fidelity simulation (HFS) on clinical competence among nursing students.
The objectives of the study were to determine the impact of HFS on level of clinical competence among nursing students, to find the association between selected demographic characteristics of nursing students with their level of clinical competence and also, to find the association between academic performances of nursing students with their level of competence.
The current study employed a quasi-experimental study design. Sixty-five nursing students from second year Bachelor of Science in Nursing (BSN) program were selected using consecutive sampling technique. The data was collected using demographic data form, objective structured clinical examination (OSCE) grade performa, and academic score sheet. SPSS version 24 was used to analyze data.
The study revealed a significant impact of HFS on clinical competence of nursing students. Majority (52.3%) of the nursing students obtained high level clinical competence following the HFS. The findings showed a significant association between gender and medium of instruction with the level of clinical competence of nursing students. Further, there was a significant correlation between academic performance and level of clinical competence of the nursing students.
HFS served as a useful pedagogical approach in fulfilling the clinical learning outcomes. It further facilitated readiness of nursing students in second year BSN in terms of developing competence and confidence for clinical placement at the hospital for the third year of their study. However, further research is required to determine if HFS can be used in developing clinical reasoning skills in nursing students.
临床能力是每名护生展示其提供优质护理服务能力的先决条件。学习期间有效的临床经验在培养护生临床能力方面起着关键作用。因此，本研究的目的是探讨高仿真模拟（HFS）对护生临床能力的有效性。
本研究的目的是确定HFS对护生临床能力水平的影响，找出护生选定的人口统计学特征与其临床能力水平之间的关联，以及找出护生学业成绩与其能力水平之间的关联。
本研究采用准实验研究设计。采用连续抽样技术从护理学理学学士（BSN）二年级课程中选取了65名护生。使用人口统计学数据表、客观结构化临床考试（OSCE）成绩表和学业成绩单收集数据。使用SPSS 24版分析数据。
研究表明HFS对护生的临床能力有显著影响。大多数（52.3%）护生在接受HFS后获得了高水平的临床能力。研究结果表明，性别和教学语言与护生的临床能力水平之间存在显著关联。此外，护生的学业成绩与临床能力水平之间存在显著相关性。
HFS是实现临床学习成果的一种有用的教学方法。它进一步促进了BSN二年级护生在能力培养和信心提升方面的准备，以便在其学习的第三年到医院进行临床实习。然而，需要进一步研究以确定HFS是否可用于培养护生的临床推理能力。
