Journal Article

Effect of nursing simulation teaching information system based on HIS in comprehensive training course for senior nursing undergraduates: a randomized controlled trial

Feng, Rixuan, Luo, Chenling, Chen, Yingshi, Zheng, Wei, Liu, Huan, Zhao, Yang, Liu, Mina, Yang, Yang

2025

Overview

Background Advancements in information technology, have made hospital information systems (HIS) essential tools for clinical nursing. The integration of HIS into undergraduate nursing education is a growing expectation within healthcare institutions. To meet this demand, nursing educators have promoted the incorporation of HIS into curricula to foster educational innovation. In response, our research team developed the Nursing Simulation Teaching Information System (NSTIS) to facilitate nursing operations related to HIS. We designed a comprehensive training course for senior students to prepare them for clinical rotations, with case simulations as a central component. This study aimed to assess the effectiveness of NSTIS in the training course and refine both the system and teaching scheme based on student feedback. Methods A total of 114 nursing students were assigned to either the experimental ( n  = 55) or the control group ( n  = 59), with only 114 students completing the intervention. Both groups worked on the same simulation case. The experimental group used the NSTIS to obtain complete medical records, whereas the control group used traditional Microsoft Word documents and printed materials. With informed consent from the participants, data were collected using a self-designed classroom teaching effect questionnaire and a case workshop scoring form. Results The experimental group scored higher than the control group on the total scores of the self-designed teaching effect questionnaire, with significant differences observed in specific items related to teaching objective achievement and learning outcomes. Qualitative data indicated that the experimental group reported acquiring skills in HIS operation. Both groups recommended adjustments to the teaching structure to enrich the case study resources, while the control group expressed a desire for measures to enhance their learning motivation. Conclusion Integrating NSTIS into a comprehensive training course can help enhance the effectiveness of case simulations. Further improvements to the NSTIS and teaching strategies are necessary for effective teaching. Future research should explore whether the application of the NSTIS in comprehensive training courses can improve students’ abilities and investigate how to integrate the NSTIS into other courses. Trial registration Not applicable.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adult / Clinical Teaching (Health Professions) / Control Groups / Curricula / Curriculum / Data Analysis / Education / Education, Nursing, Baccalaureate - methods / Educational aspects / Educational Assessment / Educational Measurement / Educational research / Educational Resources / Educational Strategies / Educational Technology / Electronic Equipment / Electronic health records / Experimental Groups / Female / Health Education / Hospital information systems / Hospitals / Humans / Influence of Technology / Information systems / Integrated Curriculum / Internal Medicine / Laboratories / Learner Engagement / Likert Scales / Male / Medical Education / Medical Evaluation / Medical records / Methods / Nurses / Nursing comprehensive training course / Nursing Education / Nursing Students / Patient safety / Professional Training / Qualitative research / Questionnaires / Randomized Controlled Trials / Records (Forms) / Researchers / Sample Size / Scenario simulation / Simulation / Simulation methods / Simulation Training - methods / Software / Student Participation / Students, Nursing / Teaching effect / Teaching Methods / Testing / Theory of Medicine/Bioethics / Training / Undergraduate Students / Young Adult