Journal Article

Examining the effect of simulation based learning on self-efficacy and performance of first-year nursing students

Karabacak, Ukke, Ugur, Esra, Uslu, Yasemin, Unver, Vesile, Ocaktan, Nermin, Ates, Elif, Kocatepe, Vildan

2019

Overview

Self-efficacy is an individual's belief in oneself and in one's own judgment and ability to be successful in a task. Strong self-efficacy allows for the achievement of success, well-being, personal development and the diversification of skills. An individual's perception of his/her self-efficacy plays a key role in adopting behaviors and initiating and sustaining change. The first aim of this study is to evaluate the effects of simulation-based learning on the self-efficacy and performance of first-year nursing students. The second aim is to examine students' pre- and post-scenario proficiency in their self-assessment of competence in regard to scenario objectives to compare the students' self-assessment and their instructor's assessment in terms of performance evaluations. This semi-experimental study was conducted with sixty-five first-year nursing students. A standardized patient method was used as a simulation technique. Students' self-efficacy and their perceptions of their own competence in completing skills were measured using the General Self-Efficacy Scale and the Proficiency Assessment Form, respectively. Students’ actual performance was evaluated via an Objective Structured Clinical Assessment and performance evaluation checklists. The mean self-efficacy score of students was 52.68 (±10.19) before the scenario and 49.59 (±12.90) post-scenario (p = .001). With regard to their scenario objectives, a decrease was observed in students’ proficiency in their post-scenario self-assessment of competence. This decrease was only statistically significant in the “Establishing a safe patient unit” objective (t = 2.27; p = .03). We observed that self-efficacy scores declined in the post-simulation scenario. Using standardized patients in simulation training allows novice nursing students to meet a real patient and to recognize their own true self-efficacy. •Simulation-based training provides opportunity for participants to evaluate their self-self-efficacy.•Watching video recordings after simulation allows students to assess their own performance.•Simulation-based training allows for students to experience what they can experience when they meet a real patient.

• Publisher: Elsevier Ltd,Elsevier Limited
• Subject: Academic achievement / Clinical assessment / Clinical competence / Competence / Diversification / Evaluation / First-year nursing student / Forms / Learning / Learning Strategies / Nurses / Nursing / Nursing care / Nursing education / Nursing skills / Nursing Students / Objectives / Patients / Performance evaluation / Personal development / Self evaluation / Self-efficacy / Simulation / Simulation-based learning / Skills / Standardized patient / Standardized patients / Students / Teaching Methods / University students / Well being