Provide nursing students with repeated exposures to HFPS sessions to build self-efficacy and self-confidence over time¶

Strategy · All strategies
Evidence · 2 claims (2 for) · 2 studies (2 quant-synthesis), q2–q3 · 1 of 2 report an effect size · 2 claims rest on one study

Description¶

The review recommends that, because single-session HFPS did not significantly improve self-efficacy or self-confidence, educators "provide students with repeated exposures to the HFPS sessions in order to maintain successful performances over time". Repeated practice would let students observe other students' success, increasing encouragement and engagement, with outcome evaluation at intermediate and long-term intervals.

Design Implications¶

Context¶

Requirements¶

• Outcome evaluation should occur during both intermediate and long-term intervals, not only immediately after a single session

Constraints¶

• The recommendation is the authors' interpretation offered because single-session measurements may not detect change; it was not tested in the included studies

Target Learners¶

• undergraduate nursing students
• postgraduate nursing students

Target Learning Goals¶

• self-efficacy
• self-confidence
• clinical performance in life-threatening conditions

Claims¶

• Self-confidence gains from single-session simulation are often temporary, suggesting a dose–response effect [+W]
• HFPS based on life-threatening scenarios shows no significant difference from other teaching methods on nursing students' self-efficacy (d=0.05) [+W]

Related Strategies¶

• Build an orientation activity into XR study designs and use multiple sessions to increase tool familiarity

Examples¶

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Key Sources¶

• La Cerra Carmen, Dante Angelo, Caponnetto Valeria, Franconi Ilaria, Gaxhja Elona, Petrucci Cristina, Alfes Celeste M, Lancia Loreto. (2019). Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. BMJ Open 9(2):e025306. https://doi.org/10.1136/bmjopen-2018-025306