Bwanali Richard K, Msiska Gladys, Urstad Kristin H, Bø Bodil, Chimwaza Angela
School of Nursing, Kamuzu University of Health Sciences, Lilongwe, Malawi.
University of Stavanger, Stavanger, Norway.
BMC Nurs. 2025 Aug 19;24(1):1090. doi: 10.1186/s12912-025-03751-0.
Perioperative nurses need knowledge of surgical processes, medical and surgical conditions, anaesthesia, and the technological advancements that are necessary in managing patients. In Malawi, lack of access to specialised training and poor learning conditions in hospitals compromise the ability of student nurses to acquire the required knowledge and competencies, highlighting a need for innovations in the teaching and learning of perioperative nursing. Studies have demonstrated that simulation offers many advantages as a teaching strategy. Therefore, this study aimed at assessing the effect of simulation-based perioperative nursing education among undergraduate student nurses.
This study utilised a test‒retest randomised controlled trial to assess the effect of simulation-based education on the acquisition of self-competence and knowledge. The study utilised an adapted Malawian student version of the Perceived Perioperative Competence Scale-Revised (PPCS-R) for self-competence and a knowledge test to assess the gain in knowledge. The World Health Organisation’s Surgical Safety Checklist (WHO SSCL) was implemented in a simulated hernia repair scenario with a total of 52 student nurses.
The findings of this study showed that the simulation of the WHO SSCL significantly improved self-competence and knowledge acquisition.
These findings suggest that student nurses can improve their self-competence and acquire new knowledge by participating in the simulation of the WHO SSCL. Additionally, using the WHO SSCL-based simulation could enhance knowledge and promote the use the checklist.
The online version contains supplementary material available at 10.1186/s12912-025-03751-0.
围手术期护士需要掌握手术流程、内科和外科病症、麻醉以及管理患者所需的技术进步等方面的知识。在马拉维，学生护士难以获得专业培训，且医院学习条件不佳，这削弱了他们获取所需知识和技能的能力，凸显了围手术期护理教学创新的必要性。研究表明，模拟作为一种教学策略具有诸多优势。因此，本研究旨在评估基于模拟的围手术期护理教育对本科学生护士的效果。
本研究采用重测随机对照试验来评估基于模拟的教育对自我能力和知识获取的影响。研究使用了改编后的马拉维学生版《围手术期自我感知能力量表修订版》（PPCS-R）来评估自我能力，并通过知识测试来评估知识的增长。在总共52名学生护士参与的模拟疝气修补场景中实施了世界卫生组织的《手术安全核对表》（WHO SSCL）。
本研究结果表明，模拟WHO SSCL显著提高了自我能力和知识获取。
这些发现表明，学生护士通过参与WHO SSCL模拟可以提高自我能力并获取新知识。此外，使用基于WHO SSCL的模拟可以增强知识并促进核对表的使用。
在线版本包含可在10.1186/s12912-025-03751-0获取的补充材料。
