The effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its in？uencing factors

摘要

Objective: To investigate the effectiveness of a high-?delity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its in?uencing factors.Methods: A high-?delity teaching simulation on clinical nursing practices using intelligent human analogues was conducted with 200 students, and The Simulation Design Scale, and the Student Satisfaction and Self-Con?dence in Learning Scale developed by the National League for Nursing were used to evaluate the training effectiveness and its in?uencing factors.Results: For the high-?delity teaching simulation, students gave scores of 4.36 ± 0.54 points for satisfaction and 4.33 ± 0.46 points for Self-Con?dence. The students highly rated the ?ve dimensions of teaching design, i.e., teaching objectives/information, assistance/support for students, problem solving,guided feedback, and ?delity. The teaching design was closely correlated with the satisfaction of the high-?delity teaching simulation and self-ef?cacy, and the dimensions of teaching objectives/information and assistance/support for students were particularly strong predictors of teaching effectiveness.Conclusions: A high-?delity teaching simulation based on Jeffries' theoretical framework improved student satisfaction with the simulation and their Self-Con?dence. In planning simulations, teachers should take into account ?ve characteristics, i.e., teaching objectives/information on simulation education, assistance/support for students, problem solving, guided re?ection, and ?delity, to achieve better teaching effectiveness.