The Impact of Simulation-Based Learning on Nursing Decision-Making Ability: A Meta-Analysis

•There is an increasing focus on improving nursing decision-making ability.•The development of nursing decision-making ability through simulation is critical.•SBL significantly develops nursing decision-making ability in nursing education.•SBL improves knowledge, critical thinking and skills in nurs...

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Bibliographic Details
Published inClinical simulation in nursing Vol. 93; p. 101576
Main Authors ZHAO, Wei, XU, Meng-meng, TIAN, Qi, HAN, Yu-jie, WANG, Zi-qi, ZHANG, Wei
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.08.2024
Subjects
Decision-making
Meta-analysis
Nurse
Nursing education
Simulation
Students
Decision-making
Nursing education
Students
Simulation
Meta-analysis
Nurse
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Summary:•There is an increasing focus on improving nursing decision-making ability.•The development of nursing decision-making ability through simulation is critical.•SBL significantly develops nursing decision-making ability in nursing education.•SBL improves knowledge, critical thinking and skills in nursing education.•The simulation duration should last from 2 weeks to 8 weeks. In multi-level health care environments, the complexity of nursing decisions is increasing, which places greater demands on nurses’ decision-making ability. Compared with traditional teaching methods, simulation has gradually been introduced into nursing decision-making training curricula because of the advantages of simulation-based learning (SBL). Meta-analysis. This meta-analysis included 11 studies. SBL showed statistically significant improvements in nursing decision-making ability (SMD = 0.89, 95% CI = [0.39, 1.38], p < .001), knowledge (SMD = 0.46, 95% CI = [0.14, 0.79], p = .006), critical thinking (SMD = 0.50, 95% CI = [0.15, 0.84], p = .005), and skills (SMD = 0.34, 95% CI = [0.10, 0.58], p = .005). Subgroup analyses revealed that SBL was more helpful for nursing students than for registered nurses. The effects of a computer-based simulation were similar to those of a people-based simulation. Interventions conducted for “2-8 weeks” and immediate measurement were found to be more effective. SBL is an effective method for improving nurses’ decision-making ability, knowledge, critical thinking and skills.
ISSN:1876-1399
1876-1402
DOI:10.1016/j.ecns.2024.101576