Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students' Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study.
Background: Simulation-based education (SBE) is a key component of nursing training. It enables students to apply theoretical knowledge in practice, expand their clinical understanding, develop critical thinking, improve communication skills, and build self-confidence. Increasing the number of simul...
| Publicado en: | Nursing Reports Vol. 15; no. 8; pp. 307 - 319 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187615805&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187615805 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Aug2025 vid: 15 iid: 8 pid: 97109 pub: MDPI artinfo: ui: 187615805 187615805 187615805 10.3390/nursrep15080307 187615805 ppf: 307 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students' Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study. aug: au: Hebel, Kazimiera Steliga, Aleksandra Lewandowska, Katarzyna Majkowicz, Mikolaj Goral-Kubasik, Aleksandra Buzanowska, Monika Lammek, Mateusz Sykes, Andrew Puslecki, Mateusz Kowianski, Przemyslaw affil: Institute of Health Sciences, Pomeranian University of Slupsk, 64 Bohaterow Westerplatte St. 76-200 Slupsk, Poland sug: subj: Education, Nursing Simulations Students, Nursing Psychosocial Factors Clinical Competence Evaluation Stress, Psychological Evaluation Stress, Physiological Evaluation Poland Human Male Female Adult Middle Age Prospective Studies Nonexperimental Studies Cross Sectional Studies Comparative Studies Descriptive Statistics Anxiety Heart Rate Diastolic Pressure Hydrocortisone Blood Stress, Psychological Prevention and Control Stress, Physiological Prevention and Control Clinical Assessment Tools State-Trait Anxiety Inventory Scales Academic Medical Centers Nonparametric Statistics Spearman's Rank Correlation Coefficient Kruskal-Wallis Test One-Way Analysis of Variance Data Analysis Software Post Hoc Analysis Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Simulation-based education (SBE) is a key component of nursing training. It enables students to apply theoretical knowledge in practice, expand their clinical understanding, develop critical thinking, improve communication skills, and build self-confidence. Increasing the number of simulation hours in nursing curricula may enhance students' ability to manage stress in clinical settings. Methods: This was a cross-sectional comparative study involving 113 nursing students during a practical exam. Participants graduated in three consecutive years: 2020, 2021, and 2022. SBE was introduced into the curriculum in 2020, resulting in varying levels of simulation experience. Stress and anxiety markers were measured during the exam and compared across groups. Results: Greater simulation experience was associated with lower heart rate (p = 0.007), lower diastolic blood pressure (p < 0.001), and lower cortisol levels (p < 0.001). Students with two years of simulation training reported the lowest perceived stress (p = 0.031). However, anxiety levels remained high across all groups and did not differ significantly. Conclusions: The study showed that OSCEs are associated with elevated stress in nursing students. Students with greater exposure to simulation-based education had significantly lower stress and anxiety indicators. SBE appears to reduce stress and improve students' preparedness for clinical assessments. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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