Nursing Students' Perceptions of Satisfaction and Self-Confidence with High Fidelity Simulation

Thursday, 2 August 2012: 3:15 PM

Geraldine M. Berkvam, MSN, FNP, PHN
Department of Nursing and Health Sciences, California State University, East Bay, Hayward, CA

Learning Objective 1: The learner will be able to quantify nursing studentsí satisfaction in learning when high fidelity clinical simulation is used as a teaching strategy.

Learning Objective 2: The learner will be able to quantify nursing studentsí self-confidence in learning when high fidelity clinical simulation is used as a teaching strategy.

Purpose: Research has been conducted about the various features of simulation which contribute to successful learning experiences of students. However, there is little research about students’ perceptions of their satisfaction and self-confidence in learning when simulation is used as a teaching strategy. This study was designed to determine if high fidelity clinical simulation provided nursing students with learning experiences which promoted satisfaction and self-confidence in their preparation for clinical practice. The theoretical framework for the design of this study was Alfred Bandura's Social Cognitive Learning Theory.

Methods: A questionnaire was administered to nursing students after completion of medical-surgical clinical simulation sessions which measured satisfaction and self-confidence in learning. The data were analyzed using descriptive statistics and the Pearson r to determine the students’ degree of satisfaction and self-confidence while learning.

Results: The findings of the study showed nursing students were satisfied and self-confident with the learning they received during high fidelity clinical simulation sessions. The findings also showed a positive correlation (Pearson r) between satisfaction and self-confidence. The mean was 4.24 (SD = 0.45) and 4.10 (SD = 0.35). The median (4.0) was the same for both subset scales. The Pearson r correlation was 0.85 (95% CI 0.64 to 0.94, p < 0.001).

Conclusion: High fidelity clinical simulation is an effective teaching strategy to prepare nursing students for the clinical practice setting. Students are generally satisfied and self-confident with their learning after completing clinical simulation sessions. However, further research is needed with quantitative and qualitative longitudinal studies with different student populations to determine if students’ perceptions of satisfaction and self-confidence with learning change over time and after practicing in the real clinical setting.