In an RCT of ICU nurses, simulation-based education produced within-group gains in knowledge, confidence and competence but no between-group differences at 6 weeks¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? A randomized controlled trial found no between-group differences at 6 weeks on primary outcomes or clinical observation audit, while the intervention group showed significant within-group improvements in knowledge, confidence and competence. → EL Hussein Mohamed Toufic 2026
Evidence¶
EL Hussein Mohamed Toufic 2026¶
EL Hussein Mohamed Toufic, Sheehan Dawson S., Hirst Sandra. (2026). Simulation‐Based Education to Support Nurses' Critical Thinking in Delirium Recognition: A Scoping Review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.70640
q3 · i? · review · r2
This single-blind, parallel-group randomized controlled trial randomized 72 critical-care RNs (36 intervention; 36 control) to a multicomponent SBE programme (online videos, flip-chart session, role-play and OSCE with standardized patients) versus online videos only. At 6 weeks "there were no between-group differences on primary outcomes or on the clinical observation audit"; no effect size is printed for this null finding.
"At 6 weeks, there were no between-group differences on primary outcomes or on the clinical observation audit; however, the intervention group showed significant within-group improvements over time in knowledge, confidence and competence whereas the control group showed no significant within-group changes."
Discussion¶
Related Claims¶
- The effect of high-fidelity simulation on practising nurses' self-confidence is inconclusive, varying by study design — related
- Increasing the proportion of simulation within a nursing course shows mixed effects on competency outcomes (Hayden et al. trial) — related
- Simulation-based education consistently improved nurses' confidence in delirium recognition and assessment across included studies — related
- Simulation-based education combined with workflow redesign improved ICU nurses' delirium-assessment documentation rates on day and night shifts — related
- Simulation-based education increases post-registration nurses' odds of satisfactory observed delirium-care practice at 6 weeks in a cluster RCT — related
- High-fidelity simulation training improves knowledge acquisition among practising registered nurses (moderate pooled effect) — related
- Delirium knowledge gains from simulation-based education were sustained over time in repeated-survey and delayed-assessment studies — related
- Study design moderates reported effects: RCTs gave more conservative or mixed results while non-randomized and uncontrolled designs more consistently reported positive effects — a broader claim this one bears on
- High-fidelity simulation improves ECT procedural skills substantially but does not reliably improve theoretical knowledge or confidence — related
- Self-confidence gains from single-session simulation are often temporary, suggesting a dose–response effect — related
- Simulation-based education improves nursing students' clinical decision-making, judgment, and self-confidence — related
- In the Albright RCT, knowledge, skills, and likelihood to screen increased significantly from pre- to post-test and versus control — related
- Consequences of clinical readiness include personal and job-related satisfactory outcomes — 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
- Intermediate-fidelity mannequin simulation increased knowledge but not confidence compared with no additional instruction (Tiffen et al. study) — related
- Standardized patients produced higher knowledge scores than high-fidelity simulation, but performance scores did not differ (Tuzer et al. study) — related
Page metadata
| Field | Value |
|---|---|
status |
review |
generated |
by process:wiki-ingest on 2026-10-31 |
trust |
unverified — no one has confirmed this page's content |
Frontmatter is the page's machine-readable record — see the Schema & Guide.