Clinical simulation improves nursing students' knowledge, confidence and performance in cardiovascular physical examination compared with traditional teaching, per a systematic review of six studies¶

Claim · All claims
Evidence · 1 study · review r2 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Most included studies reported statistically significant results favoring clinical simulation over traditional teaching for cardiovascular assessment. → Andrade Italo Rigoberto Cavalcante; de Queiroz Johny Carlos; Farias Maria Sinara; Maia Nicole Paulo da Silva; da Silva Lúcia de Fátima 2025

Evidence¶

Andrade Italo Rigoberto Cavalcante; de Queiroz Johny Carlos; Farias Maria Sinara; Maia Nicole Paulo da Silva; da Silva Lúcia de Fátima 2025¶

Andrade Italo Rigoberto Cavalcante; de Queiroz Johny Carlos; Farias Maria Sinara; Maia Nicole Paulo da Silva; da Silva Lúcia de Fátima. (2025). Clinical simulation in the teaching of cardiovascular physical examination with nursing students: a systematic review. Revista Brasileira de Enfermagem. https://doi.org/10.1590/0034-7167-2023-0429

q2 · i? · review · r2

Narrative synthesis of six included experimental and quasi-experimental studies (four quasi-experimental, two randomized) comparing clinical simulation with traditional strategies. The review reports "statistically significant results in favor of clinical simulation" in the majority of studies, with heterogeneity in methods and sample sizes.

"The majority of the studies(12,26,27,29) presented statistically significant results in favor of clinical simulation for cardiovascular assessment, compared to traditional teaching methods."

Discussion¶

Related Claims¶

• Clinical simulation improved overall cardiovascular examination performance compared with traditional lecture in the Brazilian quasi-experimental study (Fernandes et al.) — a narrower finding that bears on this claim
• Simulation training increased nursing students' confidence in cardiopulmonary physical examination skills more than traditional training (Tawalbeh et al. study) — a narrower finding that bears on this claim
• Simulation-based curriculum with deliberate practice improved cognitive knowledge and cardiovascular assessment skills from pre-test to post-test (Jeffries et al. study) — a narrower finding that bears on this claim
• Intermediate-fidelity mannequin simulation increased knowledge but not confidence compared with no additional instruction (Tiffen et al. study) — a narrower finding that bears on this claim
• Peer tutoring in clinical simulation is associated with improved technical skills such as laparoscopic tasks, lumbar puncture, and cardiovascular examination — related
• Standardized patients produced higher knowledge scores than high-fidelity simulation, but performance scores did not differ (Tuzer et al. study) — related
• High-fidelity simulation improved auscultation performance in the intervention group, with no statistical or clinical differences between groups (Menon et al. pilot study) — related
• Simulation Based Education Improves Outcomes — a broader claim this one bears on
• Simulation improves critical thinking in nursing and medical students compared to traditional teaching — related