The Impact of Simulation-Based Learning on Nursing Decision-Making Ability: A Meta-Analysis

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-07-08 DOI:10.1016/j.ecns.2024.101576

Wei ZHAO, Meng-meng XU, Qi TIAN, Yu-jie HAN, Zi-qi WANG, Wei ZHANG PhD

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Abstract

Background

In multi-level health care environments, the complexity of nursing decisions is increasing, which places greater demands on nurses’ decision-making ability. Compared with traditional teaching methods, simulation has gradually been introduced into nursing decision-making training curricula because of the advantages of simulation-based learning (SBL).

Methods

Meta-analysis.

Results

This meta-analysis included 11 studies. SBL showed statistically significant improvements in nursing decision-making ability (SMD = 0.89, 95% CI = [0.39, 1.38], p < .001), knowledge (SMD = 0.46, 95% CI = [0.14, 0.79], p = .006), critical thinking (SMD = 0.50, 95% CI = [0.15, 0.84], p = .005), and skills (SMD = 0.34, 95% CI = [0.10, 0.58], p = .005). Subgroup analyses revealed that SBL was more helpful for nursing students than for registered nurses. The effects of a computer-based simulation were similar to those of a people-based simulation. Interventions conducted for “2-8 weeks” and immediate measurement were found to be more effective.

Conclusions

SBL is an effective method for improving nurses’ decision-making ability, knowledge, critical thinking and skills.

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模拟学习对护理决策能力的影响：元分析

背景在多层次的医疗环境中，护理决策的复杂性不断增加，对护士的决策能力提出了更高的要求。与传统的教学方法相比，基于模拟的学习（SBL）因其优势逐渐被引入到护理决策培训课程中。SBL在护理决策能力（SMD = 0.89，95% CI = [0.39，1.38]，p <.001）、知识（SMD = 0.46，95% CI = [0.14，0.79]，p = .006）、批判性思维（SMD = 0.50，95% CI = [0.15，0.84]，p = .005）和技能（SMD = 0.34，95% CI = [0.10，0.58]，p = .005）方面均有统计学意义的改善。分组分析显示，SBL 对护理专业学生的帮助大于注册护士。基于计算机的模拟与基于人的模拟效果相似。结论SBL是提高护士决策能力、知识、批判性思维和技能的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.