Effectiveness of highand medium-fidelity simulation in nursing education: randomized controlled trial.

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2026-04-03 eCollection Date: 2026-01-01 DOI:10.1590/0034-7167-2025-0134

Franciane Silva Luiz, Isabel Cristina Gonçalves Leite, Luana Vieira Toledo, Kelli Borges Dos Santos, André Luiz Silva Alvim, Roberta Teixeira Prado, Angélica da Conceição Oliveira Coelho, Fábio da Costa Carbogim

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Abstract

Objectives: to compare the effectiveness of highand medium-fidelity clinical simulation on nursing students' knowledge and clinical skills for pressure injury assessment and treatment.

Methods: assessor-blinded randomized controlled trial. Thirty-two nursing students were assigned to an experimental group (n=17) or a control group (n=15). The intervention comprised a theoretical component and a simulation-high fidelity for the experimental group and medium fidelity for the control group. Data were collected with a sociodemographic questionnaire, a theoretical test, a skills checklist, and a Debriefing Assessment Scale. Statistical analysis included the chi-square test, the Mann-Whitney U test, ANOVA, and effect size, at a 5% significance level (α=0.05).

Results: both groups showed significant improvement in theoretical knowledge (p<0.05). The groups did not differ significantly in skills (p=0.853). The debriefing experience was positive and similar in both groups.

Conclusions: simulation improved knowledge and skills, with no differences by simulation fidelity level.

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高保真度与中等保真度模拟在护理教育中的有效性：随机对照试验。

目的：比较高保真度与中等保真度临床模拟对护生压力损伤评估与治疗知识和临床技能的影响。方法：评价盲随机对照试验。将32名护生分为实验组（n=17）和对照组（n=15）。干预包括理论部分和模拟部分——实验组为高保真度，对照组为中等保真度。通过社会人口调查问卷、理论测试、技能检查表和汇报评估量表收集数据。统计学分析采用卡方检验、Mann-Whitney U检验、方差分析和效应量，显著性水平为5% （α=0.05）。结果：两组在理论知识方面均有显著提高(p)。结论：模拟提高了知识和技能，但模拟逼真程度无差异。

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

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.