ArticleBMC nursing2023
The effect of simulation-based advanced cardiac life support training on nursing students' self-efficacy, attitudes, and anxiety in Palestine: a quasi-experimental study.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed.
- The impact of Pecha Kucha on enhancing basic life support training: randomized controlled trial.BMC medical education · 2025Trial
- From Simulation to Sustainability: The Mediating Role of Clinical Self-Efficacy Among Undergraduate Healthcare Students.European journal of investigation in health, psychology and education · 2026Article
- Teaching reform and practical exploration of the fundamental nursing skills course in higher vocational nursing education: a quasi-experimental study.Frontiers in medicine · 2026Article
- Performance metrics in cardiac resuscitation: Rapid cycle deliberate practice (RCDP) versus simulated clinical experience (SCE).Journal of education and health promotion · 2026Article
- Immersive clinical learning using simulation and its impact on academic performance, satisfaction, self-confidence, and anxiety among pediatric nursing students.Frontiers in medicine · 2026Article
- The effect of simulation training on midwifery students' skills, satisfaction with learning, anxiety, and self-efficacy in neonatal heel prick blood collection.BMC medical education · 2025Article
- Competency-based spiritual care education program for undergraduate nursing students: a quasi-experimental study.BMC nursing · 2025Article
- Exploring nursing students' emotional experiences of patient cardiac arrest in the operating room: a descriptive phenomenological study.BMC medical education · 2025Article
- Evaluation of the effectiveness of basic cardiopulmonary resuscitation training on willingness to perform CPR among high school students.BMC cardiovascular disorders · 2025Article
- A Scoping Review of Quasi-experimental Studies on Simulation-Based Learning in Medical Education: Trends and Insights from the Last Decade.Medical journal of the Islamic Republic of Iran · 2025Review
- Article
- Differences in Pathophysiology and Treatment Efficacy Based on Heterogeneous Out-of-Hospital Cardiac Arrest.Medicina (Kaunas, Lithuania) · 2024Review
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Abstract
backgroundCardiac Arrest (CA) is one of the leading causes of death, either inside or outside hospitals. Recently, the use of creative teaching strategies, such as simulation, has gained popularity in Cardio Pulmonary Resuscitation (CPR) instruction. This study aimed to assess the effect of High-Fidelity Simulation (HFS) training on nursing students' self-efficacy, attitude, and anxiety in the context of Advanced Cardiac Life Support (ACLS). METHODOLOGY: The study design is quasi-experimental employing a pre-test and post-test approach during April and May 2023. A convenient sample of 60 undergraduate nursing students in a 4-year class from a nursing college at the Arab American University/ Palestine (AAUP) participated in this study. The data were analyzed using a paired sample t-test in SPSS program version 26. Three data collection tools were used pre- and post-intervention; the Resuscitation Self-Efficacy Scale (RSES), The Attitudinal instrument, and the State Anxiety Inventory (SAI).
resultsThe total number of nursing students was 60, out of them (56.7%) were female, while the mean age was (22.2) years. Improvements were seen in all four domains of self-efficacy following HFS training: recognition, debriefing, recording, responding and rescuing, and reporting. (t (59) = 26.80, p < 0.001, confidence interval [29.32, 34.05]). After receiving HFS training on ACLS, the post-intervention for the same group attitude scores significantly increased from 32.83 (SD = 15.35) to 54.58 (SD = 8.540) for emotion, from 6.72 (SD = 2.44) to 10.40 (SD = 1.40) for behavior, and from 7.03 (SD = 2.03) to 10.33 (SD = 1.42) for cognitive. The anxiety level decreased post-simulation from 3.53 (SD = 0.3) to 2.14 (SD = 0.65), which was found to be statistically significant (t(59) = 16.68, p < 0.001, 95% CI [1.22 to 1.55]). Female students (M = 73.18), students who observed a real resuscitation (M = 71.16), and who were satisfied with their nursing major (M = 72.17) had significantly higher self-efficacy scores post-simulation.
conclusionThe HFS can be recommended as an effective training strategy among nursing students. The ACLS training-based HFS was effective in improving the students' self-efficacy and attitudes and decreasing their anxiety.
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