Effects of Simulated Video Consultation Training on Nursing Students' Clinical Decision Making, Self-Confidence, and Anxiety: A Quasi-Experimental Study.
Background: The expansion of telenursing in primary care requires undergraduate nursing programmes to prepare students for clinical decision making in virtual care. However, evidence on educational interventions integrating clinical reasoning with managing uncertainty, anxiety, and self-confidence i...
| Publicado en: | Nursing Reports Vol. 16; no. 6; pp. 181 - 201 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
MDPI
Jun2026
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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=194909398&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194909398 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jun2026 vid: 16 iid: 6 pid: 97109 pub: MDPI artinfo: ui: 194909398 194909398 194909398 10.3390/nursrep16060181 194909398 ppf: 181 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of Simulated Video Consultation Training on Nursing Students' Clinical Decision Making, Self-Confidence, and Anxiety: A Quasi-Experimental Study. aug: au: Tort-Nasarre, Glòria Baltasar-Bagué, Alícia Malagón-Aguilera, Maria del Carmen Vilar-Pont, Mariona Camí, Carla Reig-Garcia, Glòria affil: Department of Nursing and Physiotherapy, University of Lleida, 25198 Lleida, Spain sug: subj: Videorecording Referral and Consultation Computer Simulation Education Anxiety Evaluation Confidence Evaluation Decision Making, Clinical Student Satisfaction Student Experiences Students, Nursing, Baccalaureate Psychosocial Factors Human Young Adult Male Female Quasi-Experimental Studies Pretest-Posttest Control Group Design Comparative Studies Descriptive Statistics Scales Telenursing Clinical Reasoning Professional Autonomy Digital Health Education Education, Nursing Internal Consistency Data Analysis Software Inferential Statistics Unpaired T-Tests Mann-Whitney U Test Paired T-Tests Wilcoxon Signed Rank Test Analysis of Covariance Male Female ab: Background: The expansion of telenursing in primary care requires undergraduate nursing programmes to prepare students for clinical decision making in virtual care. However, evidence on educational interventions integrating clinical reasoning with managing uncertainty, anxiety, and self-confidence in telenursing remains limited. Objective: This study aims to assess changes in nursing students' self-confidence and anxiety related to clinical decision making following a simulation-based video consultation intervention, and to explore their satisfaction and perceived learning regarding this educational experience. Methods: A quasi-experimental pretest–post-test study with a comparison group was conducted at two public universities during the 2024–2025 academic year. Undergraduate nursing students (N = 115) were included. The intervention consisted of theoretical training on video consultations, complemented by structured simulated consultations based on primary care scenarios. The control group received no intervention. Outcomes were assessed before and after, with self-confidence and anxiety measured using the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM©) scale. Satisfaction and perceived learning were evaluated in the intervention group using the Student Satisfaction and Self-Confidence in Learning Scale. Results: At baseline, students had high digital competence but limited preparedness for telenursing, with heterogeneous self-confidence and moderate anxiety in virtual decision making. After the intervention, the intervention group showed significant increases in self-confidence and reductions in anxiety, particularly in global clinical judgement and autonomous decision making. Students reported high satisfaction and perceived learning. Conclusions: Simulation-based video consultations may improve nursing students' self-confidence and reduce anxiety in virtual care decision making, suggesting a potentially valuable strategy for integrating psychoeducational dimensions into nursing curricula on digital health. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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