ArticleBMC medical education2025
Impact of an advanced trauma life support (ATLS) simulation program on nursing students' clinical decision-making in trauma care: a quasi-experimental study.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectiveTrauma is one of the leading causes of mortality worldwide, especially in developing countries. Accurate clinical decision-making ability among nurses plays a crucial role in reducing trauma-related mortality and complications. Strengthening such skills during nursing education can better prepare students to effectively address clinical challenges they may face in real-world trauma care. This study aimed to determine the effect of an Advanced Trauma Life Support (ATLS) simulation program on the clinical decision-making abilities of nursing students.
methodsThis quasi-experimental study with a pre-test/post-test control group design was conducted in 2025 on 66 final-year nursing students at Shahid Beheshti University of Medical Sciences. Participants were assigned to intervention (n = 31) and control (n = 35) groups. The intervention group received advanced trauma life support simulation training. Data were collected using a validated clinical decision-making questionnaire and analyzed with paired t-tests, repeated measures ANOVA, and interaction effects tests.
resultsThe mean clinical decision-making score in the intervention group increased from 40.81 ± 3.22 before the intervention to 52.24 ± 2.04 after the intervention. In the control group, the mean scores were 39.06 ± 2.27 before and 48.09 ± 1.97 after the study period. Repeated measures ANOVA indicated that time (F = 601.08, p < 0.001), group (F = 47.26, p < 0.001), and the interaction of time and group (F = 8.23, p = 0.006) had significant effects on clinical decision-making ability. The improvement in the intervention group was significantly greater than in the control group.
conclusionsThese findings suggest that ATLS-based simulation programs can significantly improve nursing students' readiness for real-life trauma situations and should be integrated into nursing curricula.
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