Effects of high-fidelity simulation on self-efficacy in undergraduate nursing education regarding family systems care and early palliative care

Journal of nursing education and practice Pub Date : 2023-07-25 DOI:10.5430/jnep.v13n12p1

Sara Häusermann, Evelyn Huber, A. Meichtry, Fabian Gautschi, Irène Ris, D. Deufert

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Abstract

Objective: Family systems care and palliative care are main topics in nursing education and practice. Self-efficacy of undergraduate nursing students is strengthened by high-fidelity simulation. The aim of this study was to explore the effects of high-fidelity simulation on the self-efficacy of undergraduate nursing students regarding family systems care and early palliative care in an adult setting.Methods: A quasi-experimental study design with repeated measures was conducted. Self-Efficacy was measured using the Family Nursing Practice Scale (FNPS) and the Self-Efficacy-Subscale of the Bonner Palliativwissenstest (BPW) before the start of the theoretical family systems care and palliative care courses (t1), after completion of the courses (t2), immediately after high-fidelity simulation (t3) and 3 months after high-fidelity simulation (t4). A linear mixed model was performed to evaluate the difference of self-efficacy between the times of measurement.Results: A total of 46 undergraduate nursing students participated in the study. There were statistically significant differences regarding the FNPS between t1 and t3 (p = .0019) as well as t1 and t4 (p = .0198), and regarding the BPW between t1 and t3 (p ≤ .0001), t1 and t4 (p = .0012), as well as t2 and t3 (p = .0112). Between the other times of measurement, no statistically significant differences were found.Conclusions: High-fidelity simulation in combination with traditional learning methods can have a short- and long-term effect on undergraduate nursing students’ self-efficacy regarding family systems care and early palliative care in hospitalized adult patients.

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高保真度模拟对家庭系统护理和早期姑息治疗本科护理教育自我效能的影响

目的：家庭系统护理和姑息治疗是护理教育和实践的主要内容。通过高保真度模拟增强护理本科生的自我效能感。本研究的目的是探索高保真模拟对成年护理本科生在家庭系统护理和早期姑息治疗方面的自我效能感的影响。方法：采用重复测量的准实验研究设计。在理论家庭系统护理和姑息治疗课程开始前（t1）、课程结束后（t2）、高保真模拟后（t3）和高保真模拟后3个月（t4），使用家庭护理实践量表（FNPS）和Bonner Paliativwissenstest的自我效能子量表（BPW）测量自我效能。采用线性混合模型来评估自我效能感在测量时间之间的差异。结果：共有46名护理本科生参与了本研究。在t1和t3（p=.0019）以及t1和t4（p=.0198）之间的FNPS，以及在t1和t3（p≤.0001）、t1和t4（p=.001 12）以及t2和t3（p=.0112）之间的BPW方面，存在统计学上的显著差异。在其他测量时间之间，未发现统计学上的显着差异。结论：高保真模拟与传统学习方法相结合，可以对护理本科生在住院成年患者家庭系统护理和早期姑息治疗方面的自我效能感产生短期和长期影响。

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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Journal of nursing education and practice

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