Simulation-Based Nursing Education in Improving Clinical Competence
DOI:
https://doi.org/10.46749/pbssp846Keywords:
Nursing Education, Simulation-Based Learning, Clinical Competence, Nursing Students, Health EducationAbstract
Nursing education is required to produce graduates with adequate clinical competency to ensure the quality and safety of healthcare services. One rapidly developing innovative learning approach is simulation-based nursing education, designed to bridge the gap between theory and clinical practice. This study aimed to analyze the effect of simulation-based nursing education on improving the clinical competency of nursing students. The study used a quasi-experimental design with a pretest-posttest approach and a control group. The study sample consisted of 80 nursing students divided into an intervention group and a control group. The intervention group received simulation-based clinical learning, while the control group underwent conventional clinical learning. Clinical competency was measured using the Objective Structured Clinical Examination (OSCE) and a standardized clinical skills instrument. Data analysis was performed using paired t-tests and independent t-tests. The results showed a significant increase in clinical competency in the intervention group compared to the control group (p < 0.001) with a strong effect size. These findings indicate that simulation-based nursing education is effective in improving clinical skills, decision-making, and student confidence. Therefore, simulation is recommended as a primary learning strategy in nursing education to enhance graduates' clinical readiness
References
Alharbi, A., Nurfianti, A., Mullen, R. F., et al. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: A systematic review. BMC Medical Education, 24, 1099. https://doi.org/10.1186/s12909-024-06080-z. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-024-06080-z
Alzahrani, R. A. M. A., Alzahrani, M. M. S., Alghamdi, H. A. M., et al. (2024). Innovations in nursing education: The effectiveness of simulation-based learning. Journal of International Crisis and Risk Communication Research, 7(S8), 504–510. https://doi.org/10.63278/jicrcr.vi.774. https://jicrcr.com/index.php/jicrcr/article/view/774
Ariestia, M. (2025). Efektivitas simulasi klinis dalam meningkatkan kemampuan penulisan laporan asuhan keperawatan gerontik pada mahasiswa Akper Kesdam I/BB Padang. Jurnal Pendidikan Tambusai, 9(2), 27817–27823. https://doi.org/10.31004/jptam.v9i2.31345. https://jptam.org/index.php/jptam/article/view/31345
Dow, Z. A., Memon, A. H., et al. (2025). Effectiveness of simulation-based learning on clinical skills competence among undergraduate nursing students. Indus Journal of Bioscience Research, 3(5). https://doi.org/10.70749/ijbr.v3i5.1142. https://ijbr.com.pk/IJBR/article/view/1142
FornoIles, D. J. S., Salinda, M. T., Zapico, S. V., et al. (2025). Simulation based training in to clinical competence among nursing students: Systematic review. Asian Journal of Research in Nursing and Health, 8(1), 607–616. https://doi.org/10.9734/ajrnh/2025/v8i1232. https://journalajrnh.com/index.php/AJRNH/article/view/232
Issroviatiningrum, R., Wardaningsih, S., & Kurnia Sari, N. (2024). Pengaruh practice based simulation model terhadap critical thinking di nursing skill laboratory. Jurnal Penelitian Keperawatan. https://doi.org/10.32660/jurnal.v4i1.329. https://jurnal.stikesbaptis.ac.id/index.php/keperawatan/article/view/329
PubMed (2023). Effectiveness of simulation-based education on educational practices of communication skills, satisfaction, and self-confidence among undergraduate nursing students. PubMed. https://pubmed.ncbi.nlm.nih.gov/39639530
Susila, I. M. D. P., & Laksmi, I. A. A. (2024). Simulasi multimedia interaktif: Meningkatkan keterampilan CPR dan efikasi diri mahasiswa keperawatan. Bali Medika Jurnal, 11(1), 344. https://doi.org/10.36376/bmj.v11i1.344. https://balimedikajurnal.com/index.php/bmj/article/view/344
Xu, et al. (2024). The effects of simulation-based education on undergraduate nursing students' competences: A multicenter randomized controlled trial. BMC Nursing, 23, 400. https://doi.org/10.1186/s12912-024-02069-7. https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-02069-7
Jarelnape, A. A., & Sagiron, E. I. (2023). Evaluation of the effectiveness of simulation-based teaching on nursing education: A systematic review. Egyptian Journal of Health Care, 14(3), 302–311. https://doi.org/10.21608/ejhc.2023.316222. https://journals.ekb.eg/article_316222_0.html
Adib-Hajbaghery, A., & Sharifi, N. (2025). Simulation in nursing education: Narrative review of research and methodology. Adi Husada Nursing Journal, 3(1), 45-60. Retrieved from https://adihusada.ac.id/jurnal/index.php/AHNJ/article/view/622
BMC Nursing. (2024). The effects of simulation-based education on undergraduate nursing students’ competences: A multicenter randomized controlled trial. BMC Nursing, 23, Article 400. https://doi.org/10.1186/s12912-024-02069-7
Issroviatiningrum, R., Wardaningsih, S., & Kurnia Sari, N. (2018). Pengaruh practice based simulation model terhadap critical thinking di nursing skill laboratory: Quasi-experiment. Jurnal Penelitian Keperawatan, 4(1). https://doi.org/10.32660/jurnal.v4i1.329
Jallad, S. T. (2025). Effectiveness of simulation-based education on communication, confidence, and critical thinking. Journal of Health Professions Education, 32(4). https://doi.org/10.1177/10784535241301115
Suriyani, A. (2025). Effectiveness of simulation learning methods on improving clinical competence. Junedik Journal, 5(1). Retrieved from https://jurnal.edi.or.id/index.php/Junedik/article/download/149/132
Alharbi, A., Nurfianti, A., Mullen, R. F., et al. (2024). The effectiveness of simulation-based learning (SBL) on students’ knowledge and skills in nursing programs: A systematic review. BMC Medical Education, 24, 1099. https://doi.org/10.1186/s12909-024-06080-z
Cho, H.-J., & Chong, K.-S. (2025). Effects of community nursing simulation education on nursing core competencies, clinical judgment, and clinical performance of nursing college students. European Journal of Investigation in Health, Psychology and Education, 15(6), 92. https://doi.org/10.3390/ejihpe15060092
Görücü, S., et al. (2024). The effect of simulation-based learning on nursing students’ clinical decision-making skills: Systematic review and meta-analysis. Nurse Education Today, 140, 106270. https://doi.org/10.1016/j.nedt.2024.106270
Rateb, D. I., Ghazi, C., Moore, B., & Ali, Z. H. (2025). The effect of simulation-based learning on first-year nursing students’ perception of competence, self-efficacy, and learning satisfaction. South Eastern European Journal of Public Health. https://doi.org/10.70135/seejph.vi.4864
Susila, I. M. D. P., & Laksmi, I. A. A. (2024). Simulasi multimedia interaktif: Meningkatkan keterampilan CPR dan efikasi diri mahasiswa keperawatan. Bali Medika Jurnal, 11(1), 344. https://doi.org/10.36376/bmj.v11i1.344
Ariestia, M. (2025). Efektivitas simulasi klinis dalam meningkatkan kemampuan penulisan laporan asuhan keperawatan gerontik. Jurnal Pendidikan Tambusai, 9(2), 27817-27823. https://doi.org/10.31004/jptam.v9i2.31345
Issroviatiningrum, R., Wardaningsih, S., & Kurnia Sari, N. (2024). Practice based simulation model terhadap critical thinking di nursing skill laboratory. Jurnal Penelitian Keperawatan. https://doi.org/10.32660/jurnal.v4i1.329
Alharbi et al. review on Simulation-Based Learning retention challenges. BMCMedEd, 24, 1099. https://doi.org/10.1186/s12909-024-06080-z
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