Abstract
BACKGROUND: With extensive use of simulation in nursing education, researchers around the world are evaluating learning outcomes from simulation. Numerous studies reported the use of knowledge tests and self-reported measures to evaluate simulation outcomes.
AIM: To determine whether self-reported confidence and knowledge measures are indicators of clinical performance observed in a simulation-based assessment.
METHOD: Thirty-one third year nursing students were randomized into intervention and control group. The intervention group received a six hour simulation-based programme in care of a patient with physiological deterioration. Pre and post-tests using knowledge test, confidence scale and simulation-based assessment were conducted immediately before and after the simulation program.
RESULTS: The intervention group had a significantly higher post-test mean score than the control group for knowledge and clinical performances. Both groups demonstrated a significant improvement on post-test scores from pre-test scores for self-confidence with no significant differences detected among the two groups. Correlation tests indicated no significant correlation between self-confidence and clinical performance, and between knowledge and clinical performance.
CONCLUSION: The study did not provide evidence to support the validity of the knowledge test and self-confidence measures for predicting clinical performance. Most importantly, it revealed potential danger of a simulation-based assessment that could lead toward overestimation of self-confidence.
Original language | English |
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Pages (from-to) | e35-9 |
Journal | Nurse Education Today |
Volume | 32 |
Issue number | 6 |
DOIs | |
Publication status | Published - Aug 2012 |
Keywords
- Clinical Competence
- Education, Nursing
- Educational Measurement
- Female
- Humans
- Knowledge
- Learning
- Male
- Nursing Education Research
- Nursing Evaluation Research
- Nursing Methodology Research
- Patient Simulation
- Self Efficacy
- Self Report
- Students, Nursing
- Young Adult
- Comparative Study
- Journal Article
- Randomized Controlled Trial