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Effects of Standardized Patient Simulation and Mobile Applications on Nursing Students’ Clinical Competence, Self-Efficacy, and Cultural Competence: A Quasi-Experimental Study

Author

Listed:
  • Duc Nu Minh Ton

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Trang Thi Kieu Duong

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam
    Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Da Nang 550000, Vietnam)

  • Hang Thi Tran

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Thanh Thi Thanh Nguyen

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Hai Ba Mai

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Phuong Thi Anh Nguyen

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Binh Duy Ho

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

  • Trang Thi Thuy Ho

    (Faculty of Nursing, Hue University of Medicine and Pharmacy, Hue University, Hue 49000, Vietnam)

Abstract

Background: Simulation-based education has emerged as an effective approach in nursing education worldwide. We aimed to evaluate the effectiveness of a surgical nursing education program based on a simulation using standardized patients and mobile applications among nursing students. Methods: A mixed-methods design with a quasi-experimental longitudinal approach and focus group interviews was employed. The data were collected from 130 third-year nursing students at three different time points who were equally divided into experimental and control groups. This study measured the level of clinical surgical nursing competence, self-efficacy in clinical performance, cultural competence, and satisfaction with simulation experience. Four focus group interviews were conducted using open-ended questions to explore the participants’ perspectives on the course’s efficacy and satisfaction. Results: There were statistically significant differences in clinical surgical nursing competence (F = 8.68, p < 0.001), self-efficacy in clinical performance (F = 13.56, p < 0.001), and cultural competence (F = 10.35, p < 0.001) across time between the intervention and control groups. Student satisfaction with the simulation-based training was high, particularly regarding debriefing and reflection, with an overall mean satisfaction level of 4.25 (0.40). Students’ perspectives regarding integrated hybrid training are categorized into three themes: educational achievement, dynamic learning experiences, and satisfaction and suggestion. Conclusion: Simulation-based learning provides a dynamic and immersive educational experience that enables undergraduate nursing students to develop and refine essential clinical skills while also fostering confidence and cultural competence.

Suggested Citation

  • Duc Nu Minh Ton & Trang Thi Kieu Duong & Hang Thi Tran & Thanh Thi Thanh Nguyen & Hai Ba Mai & Phuong Thi Anh Nguyen & Binh Duy Ho & Trang Thi Thuy Ho, 2024. "Effects of Standardized Patient Simulation and Mobile Applications on Nursing Students’ Clinical Competence, Self-Efficacy, and Cultural Competence: A Quasi-Experimental Study," IJERPH, MDPI, vol. 21(4), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:4:p:515-:d:1380533
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    References listed on IDEAS

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    1. Isolde M. Busch & Francesca Moretti & Giulia Travaini & Albert W. Wu & Michela Rimondini, 2019. "Humanization of Care: Key Elements Identified by Patients, Caregivers, and Healthcare Providers. A Systematic Review," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 12(5), pages 461-474, October.
    2. Iván Suazo & María del Carmen Pérez-Fuentes & María del Mar Molero Jurado & África Martos Martínez & María del Mar Simón Márquez & Ana Belén Barragán Martín & Maria Sisto & José Jesús Gázquez Linares, 2020. "Moral Sensitivity, Empathy and Prosocial Behavior: Implications for Humanization of Nursing Care," IJERPH, MDPI, vol. 17(23), pages 1-14, November.
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