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

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 () and Trang Thi Thuy Ho ()
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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
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

IJERPH, 2024, vol. 21, issue 4, 1-14

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.

Keywords: standardized patient simulation; mobile applications; nursing education; cultural competence; nursing clinical performance; self efficacy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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