Developing clinical leadership through high-fidelity obstetric simulation: A multimethods study in Thai nursing students

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-04-22 DOI:10.1016/j.ecns.2025.101720

Piyanut Xuto RN, PhD , Piyaporn Prasitwattanaseree RN, PhD , Tareewan Chaiboonruang RN, PhD , Lawitra Khiaokham RN, MNS , Karnjana Nimarangkul RN, MNS , Daniel Bressington RN, PhD , Chiharu Miyata PhD

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引用次数: 0

Abstract

Background

Effective clinical leadership is essential for healthcare, particularly in high-stakes environments like obstetrics. Simulation-Based Learning (SBL) offers a controlled, replicable setting for students to engage in leadership roles. This study evaluates the effectiveness of SBL in enhancing clinical leadership skills among nursing students and explores how they apply leadership competencies within high-fidelity obstetric scenarios.

Methods

A multimethod study was conducted with 23 fourth-year undergraduate nursing students attending two leadership simulation scenarios. Quantitative data comprised a validated clinical leadership skills assessment tool, with pre- and postintervention scores analyzed using paired t-tests. Focus group discussions provided qualitative insights into students' learning experiences.

Results

The SBL yielded statistically significant improvements in cognitive competency, interpersonal competency and intrinsic competency (all p < .001). Thematic analysis identified “Building Leadership Resilience through Obstetric Nursing SBL” as the core theme and four accompanying themes.

Conclusion

The SBL intervention seems an effective method for enhancing clinical leadership among nursing students in obstetrics. Thematic analysis identified that leadership resilience is fostered through decision-making under pressure, team trust and delegation, and emotional composure.

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通过高保真产科模拟发展临床领导：泰国护理学生的多方法研究

有效的临床领导对医疗保健至关重要，特别是在产科等高风险环境中。基于模拟的学习（SBL）为学生参与领导角色提供了一个可控的、可复制的环境。本研究评估了SBL在提高护理学生临床领导技能方面的有效性，并探讨了他们如何在高保真产科场景中应用领导能力。方法采用多方法对23名护理本科四年级学生参加两种领导力模拟情景进行研究。定量数据包括一个经过验证的临床领导技能评估工具，使用配对t检验分析干预前和干预后的得分。焦点小组讨论为学生的学习经历提供了定性的见解。结果SBL在认知能力、人际能力和内在能力方面均有显著性改善(p <；措施)。专题分析确定“通过产科护理建立领导韧性”为核心主题和四个配套主题。结论SBL干预是提高产科护生临床领导能力的有效方法。专题分析发现，领导力弹性是通过压力下的决策、团队信任和授权以及情绪镇定来培养的。

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.