Effectiveness of simulation in nursing students' critical thinking scores : A pre-/post-test study

Journal article

Saghafi, Farida, Blakey, Nicole, Guinea, Stephen and Levett-Jones, Tracey. (2024). Effectiveness of simulation in nursing students' critical thinking scores : A pre-/post-test study. Clinical Simulation in Nursing. 89, p. Article 101500. https://doi.org/10.1016/j.ecns.2023.101500

Publication dates
Authors	Saghafi, Farida, Blakey, Nicole, Guinea, Stephen and Levett-Jones, Tracey
Abstract	Background This study investigated how final-year undergraduate nursing students’ critical thinking skills were impacted after attending a purposefully designed 15 hour program with nine hours of simulation-based learning activities aligned with a theoretical framework of clinical reasoning comprising the Clinical Reasoning Cycle and Debriefing for Meaningful Learning. Method A one-group pre-test post-test design was used. Fifty-six final semester undergraduate nursing students from five campuses of one Australian university participated in this study. Data were collected before and after the simulation program using the Health Sciences Reasoning Test. Results Analysis of data using paired sample t-tests demonstrated a positive change in critical thinking scores after completing the program (95% confidence interval 0.206-2.079). A total of 62.5% of participants achieved two scores higher after completing the simulation program. Conclusions Implementing a simulation program designed according to the Clinical Reasoning Cycle and using the Debriefing for Meaningful Learning model is associated with enhancing the critical thinking skills of nursing students.
Keywords	simulation; critical thinking; clinical reasoning; nursing education; nursing students
Year	2024
Journal	Clinical Simulation in Nursing
Journal citation	89, p. Article 101500
Publisher	Elsevier Inc.
ISSN	1876-1399
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.ecns.2023.101500
Scopus EID	2-s2.0-85187577687
Open access	Published as ‘gold’ (paid) open access
Page range	1-8
Funder	Australian Catholic University (ACU)
Publisher's version	OA_Saghafi_2024_Effectiveness_of_simulation_in_nursing_students.pdf License CC BY 4.0 File Access Level Open
Output status	Published
Online	12 Mar 2024
Publication process dates
Deposited	27 May 2025
Grant ID	D 3261
Additional information	© 2023 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)

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