Impact of Simulation on Undergraduate Student Outcomes

Abstract

Background: Clinical reasoning is a cognitive and metacognitive process that is essential for positive patient outcomes. Simulation experiences provide situations and reflection where students can build clinical reasoning. Purpose: This study examined the impact of a higher number of simulation experiences on undergraduate student outcomes. Methods: A retrospective comparison study examined differences between group grade point average, Assessment Technologies Institute (ATI) predictor, and National Council Licensure Examination (NCLEX) scores (P < .05). A sample of 395 students was included in data analysis. Results: No differences were noted in grade point average or NCLEX pass rates. However, students who completed a simulation elective had significantly higher ATI predictor scores. Cohen's d (0.39) approached a medium effect size. Conclusions: Incorporating higher levels of in-person simulation through creative delivery models can improve student outcomes. Simulations may enhance students' clinical reasoning skills.

Comparing Preferred and Actual Clinical Learning Environments and Perceptions of First-Year Nursing Students in Long-Term Care: A Cross-Sectional Study

“…In addition, the fact that these placements took place in parallel with clinical simulations might have also helped the students feel that they participated in and practiced the different clinical contents. Even though there is no substitute for reality [47], clinical simulation is a pedagogical tool through which students can safely practice and prepare for future challenges and reflect upon them through guided reflection and critical thinking [48,49].…”