2019/03/10 by Leodoro J. Labrague, Denise M. McEnroe–Petitte, Denise M. McEnroe-Petitte +5 · 1 citation
Medicine · Nursing · #Innovations in Medical Education #Nursing education and management #Simulation-Based Education in Healthcare
paper · doi:10.1111/nuf.12337
crossref issued 2019/03/10 · crossref published 2019/03/10 · crossref published-online 2019/03/10 · openalex publication_date 2019/03/10 · crossref created 2019/03/10 · crossref published-print 2019/07/01 · crossref deposited 2023/09/14 · openalex created_date 2025/10/10 · crossref indexed 2026/07/25 · openalex updated_date 2026/07/29
BACKGROUND: As a complementary teaching pedagogy, high-fidelity simulation remains as an effective form of simulation modality. Empirical evidence has additionally shown high-fidelity simulation (HFS) to be an effective contributor to students' learning outcomes. PURPOSE: This paper critically appraised existing scientific articles that covered the influence of utilizing HFS on the effects of nursing students' anxiety and self-confidence during undergraduate nursing education. METHODS: This was a systematic review of scientific articles conducted from 2007 to 2017 on the topic of the influence of using HFS on students' self-confidence and anxiety. The literature of six electronic databases (Proquest, SCOPUS, MEDLINE, PubMed Central, CINAHL, and PsychINFO) was reviewed. RESULTS: Following the literature search, 35 articles were selected. This review provides updated evidence on the efficacy of HFS in reducing anxiety and enhancing self-confidence among nursing students when performing nursing duties or managing patients. Moreover, this review highlights the need for more research that examines the impact of HFS on students' anxiety. CONCLUSION: As this form of simulation is found to be effective in the enhancement of nursing student self-confidence and the reduction of their anxiety when caring for patients and/or employing nursing skills, the inclusion of simulation-based activities in all clinical nursing courses is vital.