The Effects of High Fidelity Simulation on Nursing Students’ Perceptions and Self-Efficacy of Obstetric Skills

Academic Article


  • Abstract Introduction: Simulation fills the gap between theory and practice as a method of student-centered learning and performance assessment. Simulation-based learning is a commonly used teaching tool that provides opportunities for students to learn and apply theoretical principles of nursing care in a safe environment. Purpose: The purpose of this study was to evaluate the nursing students’ perception of obstetric high fidelity simulation and its effects on their knowledge, skills, and critical thinking. Method: A descriptive, and correlational study design was utilized. Convenience sampling was conducted among junior level baccalaureate nursing students who were enrolled in a maternal child health nursing course at a large public university. The simulation experiences included nine different scenarios that highlighted critical obstetric concepts. Three instruments were used to gather data: (a) a demographic survey, (b) the Simulation Evaluation Form, and (c) the Simulation Design Scale. Student feedback also was assessed through qualitative open-ended questions. There were three simulation sessions. One hundredtwenty students participated in the simulation training as observers with the following response rates for each session: I (80.5 %), II (75.9 %), III (66.6 %). The response rate for the simulation participants was 100 % (36/36) for all sessions. The collected data was analyzed using the Statistical Package for Social Sciences software and the level of significance was set at 0.05. Results: The majority of the participants were female (79.7 %) and the mean age was 23.6 years. The findings indicated that simulation activities improved students’ perception of learning. There was a positivie correlation between the amount of simulation a student had experienced and the perception of simulation. The qualitative analysis of open ended questions revealed five themes: satisfaction, skills/knowledge, confidence/critical thinking, cooperation/communication, and fidelity Conclusion: The findings of the study indicated that respondents felt positive about high fidelity simulation experience. Further research is needed to identify components of simulation effectiveness with a larger sample size.
  • Keywords

  • Simulation, Nursing students, Perception, Obstetric skills
  • Author List

  • Gul P; Knight CC; Gaioso VP; Watts PI; Dailey KD; Britt SE; Catron KS; Zengul FD
  • Volume

  • 1
  • Issue

  • 2