Trial reportBMC medical education2026
The effect of high-fidelity simulation on nursing students' self-confidence and stress levels during patient intervention: a randomized controlled trial.
Trial report in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06454786 (The Effect of Training Given by Simulation Method on the Self-confidence and Stress Levels of Nursing Students in Patient Intervention), which is not on this map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Training Given by Simulation Method on the Self-confidence and Stress Levels of Nursing Students in Patient Intervention
Who cites it
2 citing papers in PubMed.
- Is simulation always a safe learning environment? Anxiety and social anxiety symptoms in first-year medical students during simulated patient encounters.BMC medical education · 2026Article
- Simulation-Based CPR Education for Student Nurses: A Narrative Review of Effects on Knowledge, Skills, and Confidence.Advances in medical education and practice · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh-fidelity simulation provides a safe and effective learning environment in nursing education, supporting the development of clinical competence and patient safety. This randomized controlled trial aimed to examine the effect of high-fidelity simulation on nursing students’ self-confidence and perceived stress levels during patient care interventions.
methodsThe study included 38 senior nursing students who completed a pretest consisting of the Student Identification Form, the Self-Confidence in Intervening with Patients Scale, and the Perceived Stress Scale. The experimental group participated in a simulated shock scenario using high-fidelity simulation, while the control group received routine theoretical instruction. Posttests were administered to both groups two weeks after the intervention. The data obtained in the study were statistically analyzed using SPSS (Statistical Package for the Social Sciences) version 25.0 for Windows. The study adhered to the CONSORT 2010 guidelines.
resultsNo statistically significant differences were found between the experimental and control groups in posttest total scores of self-confidence or perceived stress (p > 0.05). However, within-group analysis indicated significant improvements in the experimental group’s self-confidence total score and in the subdimensions of clinical practice and psychological support (p < 0.05). These improvements demonstrate that students’ clinical performance during patient care interventions is supported.
conclusionHigh-fidelity simulation training significantly enhanced nursing students’ self-confidence during patient care interventions, whereas perceived stress levels did not differ significantly within or between groups. These findings support the integration of high-fidelity simulation into nursing curricula to enhance students’ clinical preparedness. Further studies with larger and diverse samples are recommended to strengthen the evidence base. CLINICAL TRIAL NUMBER: “ https://ClinicalTrials.gov "; ClinicalTrials.gov Identifier: NCT06454786 [Registration date 2024/06/06].
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