Clinical competencies of undergraduate nursing students for labor care: a quasi-experimental study

Authors

DOI:

https://doi.org/10.15649/cuidarte.3679

Keywords:

Quasi-experimental Study, High Fidelity Simulation Training, Students, Nursing, ompetency-Based Education, Labor, Obstetric

Abstract

Highlights

  • Clinical simulation in nursing enhances the acquisition of practical skills critical to patient care.
  • Simulation-based nursing education promotes agile and accurate decision-making in simulated clinical environments.
  • Clinical simulation provides a safe, controlled space for developing and improving essential nursing skills.
  • Clinical simulation as an active teaching method promotes meaningful learning for nurses.

Introduction: Clinical simulation in the management of labor improves undergraduate nursing students' clinical competencies by integrating knowledge, skills, and attitudes. This integration facilitates the internalization of theoretical knowledge, reinforcing self-esteem and confidence in providing care.   Objective: To evaluate the effect of clinical simulation on the development of clinical competencies for the management of labor in undergraduate nursing students at a public university in Oaxaca. Materials and Methods: A quasi-experimental pre- and post-test study was conducted with 38 undergraduate nursing students, men and women, in the sixth (18) and fourth (20) semesters. The sample size for comparison of means was calculated in G*Power 3. Data were collected using the Clinical Simulation Competency Assessment Tool (ClinSimCAT). Descriptive and inferential statistical analysis was performed using the statistical software SPSS version 26.0. Results: The Wilcoxon test revealed statistically significant differences between the mean pretest and post-test scores for the Intervention Group (IG) (p < 0.001). In addition, the Student's t-test showed significant differences between the means of the IG and Control Group (CG) in the post-test (t = 7.598, df = 37, p < 0.0001). Discussion: Clinical simulation significantly improved students' clinical competencies in the management of labor, which is consistent with the findings of other research studies. Conclusion: It is crucial that clinical simulation is not limited to technical procedures but also promotes the development of comprehensive nursing skills.

How to cite this article: Castillo Ramírez Alvar Rafael, Librado González Natanael, Sánchez Maldonado Hugo Alberto, Nicolas Santiago Maritza, Urueña González Carolina, Felipe Herrera Leticia. Clinical competencies of undergraduate nursing students for labor care: a quasi-experimental study. Revista Cuidarte. 2024;15(3):e3679.  https://doi.org/10.15649/cuidarte.3679

Author Biographies

Alvar Rafael Castillo Ramírez, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico

Natanael Librado González, Universidad Autónoma de Nuevo León, Facultad de Enfermería, Monterrey, Nuevo León, Mexico, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Universidad Autónoma de Nuevo León, Facultad de Enfermería, Monterrey, Nuevo León, Mexico, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Hugo Alberto Sánchez Maldonado, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Maritza Nicolas Santiago , Universidad de la Sierra Sur, Miahuatlán de Porfirio Díaz, Oaxaca, Mexico.

Universidad de la Sierra Sur, Miahuatlán de Porfirio Díaz, Oaxaca, Mexico.

Carolina Urueña González, Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Leticia Felipe Herrera , Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

Universidad de Chalcatongo, Chalcatongo de Hidalgo, Oaxaca, Mexico.

References

Rusch L, Manz J, Hercinger M, Oertwich A, McCafferty K. Nurse preceptor perceptions of nursing student progress toward readiness for practice. Nurse Educ 2019;44(1):34–7. http://dx.doi.org/10.1097/nne.0000000000000546

Otaghi M, Mozafari M, Veysani Y, Taheri A. The relationship between clinical competence and ethical reasoning and factors affecting it in nurses working in therapeutic educational centers of Ilam. Rom J Mil Med. 2023;126(1):106–11. https://doi.org/10.55453/rjmm.2023.126.1.15

Fetene TT, Abebe HG, GebreEyesus FA, Tsehay TT, Tsegaye BA, Kindie K, et al. Clinical competency and associated factors among undergraduate nursing students studying in universities of Southern Regional State of Ethiopia, 2021. Heliyon. 2023;9(8): e18677. https://doi.org/10.1016/j.heliyon.2023.e18677

Nadler CF, Pina JC, Schmidt SQ, Okido ACC, Fonseca LMM, Rocha PK, et al. Impact of high-fidelity simulation in Pediatric Nursing teaching: An experimental study. Texto Contexto Enferm. 2022; 31:e20210410. http://dx.doi.org/10.1590/1980-265x-tce-2021-0410en

Akyüz E, Ergöl Ş. The challenges experienced by nursing students in clinical learning environment and their suggestions. Sağlık ve Hemşire Yönet Derg. 2022;9(3):463–74. http://dx.doi.org/10.54304/shyd.2022.58561

Franjić S. Midwives and nurses play important roles in every pregnancy. Austin J Nurs Health Care. 2022;9(1):1065 http://dx.doi.org/10.26420/austinjnurshealthcare.2022.1065

Murn NL. Mothering the Mother: an educational program for Nurse-Provided Continuous Labor support. Journal of Perinatal Education. 2019;28(4):199-209. https://doi.org/10.1891/1058-1243.28.4.199

Ortiz Rivas MK, Rosado Colonia JD, Antuna Canales AB, Bañuelos Barrera Y, Bañuelos Barrera P. Simulación clínica: metodología didáctica en la formación de competencia inherentes a la seguridad del paciente. Revista Eugenio Espejo. 2021;15(2):6-17. https://doi.org/10.37135/ee.04.11.03

Teles MG, Mendes-Castillo AMC, Oliveira-Kumakura ARS, Silva JLG. Clinical simulation in teaching pediatric nursing: students’ perception. Rev Bras Enferm. 2020;73(2): e201807201. https://doi.org/10.1590/0034-7167-2018-0720

Sailema M, Cajamarca K, Moreta J, Manzano D, Mariño V. Satisfacción del uso del simulador de alta fidelidad SimMon en estudiantes de enfermeira. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades. 2023;4(3):1088–1098.https://doi.org/10.56712/latam.v4i3.1133

Zara F. Numerical simulation of vaginal delivery. En: Biomechanics of the Female Reproductive System: Breast and Pelvic Organs. Elsevier; 2023. p. 379–413.

Ami O, Maran J-C, Cohen A, Hendler I, Zabukovek E, Boyer L. Childbirth simulation to assess cephalopelvic disproportion and chances for failed labor in a French population. Sci Rep. 2023;13(1). http://dx.doi.org/10.1038/s41598-023-28459-6

Morchi L, Tognarelli S, Menciassi A. A novel childbirth simulator for real-time monitoring of fetal head during the active phase of the labor. IEEE Trans Med Robot Bionics. 2022;4(3):720–8. http://dx.doi.org/10.1109/tmrb.2022.3191494

Hashem S, El-Kholy E, Abo-Hatab T. Effect of high fidelity simulation on intern students’ competency regarding clinical guidelines for active management of the third stage of labor. Tanta Scientific Nursing Journal. 2022;25(22):49–67. http://dx.doi.org/10.21608/tsnj.2022.241898

Yu YR. Effects of virtual simulation education on labour and delivery care. Korean Assoc Learn-Centered Curric Instr. 2022;22(23):61–72 http://dx.doi.org/10.22251/jlcci.2022.22.23.61

Coro‐Montanet G, Bartolomé-Villar B, García-Hoyos F, Sánchez-Ituarte J, Torres-Moreta L, Méndez-Zunino M, et al. Indicadores para medir fidelidad en escenarios simulados. Educación Médica. 2020;23(3):141-149. https://doi.org/10.33588/fem.233.1058

Hussein MTE, Hakkola J. Valid and reliable tools to measure safety of nursing students during simulated learning experiences: A scoping review. Teaching and Learning in Nursing. 2023;18(2):321-329. https://doi.org/10.1016/j.teln.2022.12.009

Beauvais AM, Phillips KE. Incorporating future of nursing competencies into a clinical and simulation assessment tool: Validating the Clinical Simulation Competency Assessment Tool. Nursing education perspectives. 2020 ;41(5) :280-284.https://doi.org/10.1097/01.nep.0000000000000709

Uribe-Muñoz K, Hidalgo-Mancilla D. Transferencia del aprendizaje desde la educación basada en simulación a la práctica clínica : revisión sistemática. Revista Latinoamericana de Simulación Clínica. 2024;6(1):40–9.http://dx.doi.org/10.35366/115805

Benner P. From Novice to Expert. Nursology. [Internet] 2020 [cited: 2024 Jun 18]. Available from: https://nursology.net/nurse-theories/from-novice-to-expert/

Cole H. Competency-based Evaluations in Undergraduate Nursing Simulation: A State of the literature. Clinical Simulation in Nursing. 2023;76:1-16. https://doi.org/10.1016/j.ecns.2022.12.004

Arrogante Ó, González-Romero GM, López-Torre EM, Carrión-García L, Polo A. Comparing formative and summative simulation-based assessment in undergraduate nursing students: nursing competency acquisition and clinical simulation satisfaction. BMC Nursing. 2021;20(1):92. https://doi.org/10.1186/s12912-021-00614-2

Bailey L, Emory J. High-fidelity simulation improves confidence in nursing students. Teaching and Learning in Nursing. 2022;17(2):191-194. https://doi.org/10.1016/j.teln.2021.12.004

Quinn B. Using Benner’s Model of clinical competency to promote nursing leadership. Nurs Manag (Harrow). 2020;27(2):33–41.http://dx.doi.org/10.7748/nm.2020.e1911

Guerrero JG, Ali SAA, Attallah DM. The acquired critical thinking skills, satisfaction, and self-confidence of nursing students and staff nurses through high-fidelity simulation experience. Clinical Simulation in Nursing. 2022 ;64 :24-30.https://doi.org/10.1016/j.ecns.2021.11.008

Hwang JH. Effects of simulation-based practice education on learning satisfaction, immersion, and self-efficacy of nursing students. J Curric Teach. 2023;12(1):275. http://dx.doi.org/10.5430/jct.v12n1p275

Goodrich D, Miake-Lye I, Braganza M, Wawrin N, Kilbourne A. Evaluation and Study Designs for Implementation and Quality Improvement. The QUERI Roadmap For Implementation And Quality Improvement - NCBI Bookshelf. [Internet] 2020. [cited: 2024 Jun 18]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK566228/

Des Jarlais DC, Lyles C, Crepaz N, Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. Am J Public Health. 2004;94(3):361-366. https://www.cdc.gov/trendstatement/

Watts PI, Rossler K, Bowler F, Miller C, Charnetski M, Decker S, et al. Onward and upward: Introducing the healthcare simulation standards of best PracticeTM. Clin Simul Nurs. 2021;58:1–4.http://dx.doi.org/10.1016/j.ecns.2021.08.006

Hallmark B, Brown M, Peterson DT, Fey M, Decker S, Wells-Beede E, et al. Healthcare simulation standards of best PracticeTM professional development. Clin Simul Nurs. 2021; 58:5–8. http://dx.doi.org/10.1016/j.ecns.2021.08.007

Gómez-López L, Tena-Blanco B, Bergè-Ramos R, Coca-Martínez M, Forero-Cortés C, Gomar-Sancho C. Nueva plantilla para diseñar escenarios de simulación: interrelación de elementos en un vistazo. Educación Médica. 2018; 19:350-359. https://doi.org/10.1016/j.edumed.2017.12.001

Cámara de Diputados del Honorable Congreso de la Unión. Ley general de salud. Texto vigente: Últimas reformas publicadas en el Diario Oficial de la Federación. [Internet] 2024 [citado: Junio 20 2024]. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/pdf/LGS.pdf

Castillo AR, Librado N, Sánchez HM, Nicolas MS, Urueña CG. Competencias clínicas de enfermería en la atención al parto vaginal: estudio cuasiexperimental. Mendeley Data v2. 2024. https://doi.org/10.17632/b2s862fn5k.2

IBM Corp. Statistical Package for the Social Sciences (SPSS) para-Windows, versión 26.0. Ibm.com. [Internet] 2019 [cited: 2024 Jun 21]. Available from: https://www.ibm.com/mx-es/products/spss-statistics

Pajohideh ZS, Mohammadi S, Keshmiri F, Jahangirimehr A, Honarmandpour A. The effects of normal vaginal birth simulation training on the clinical skills of midwifery students: a quasi-experiment study. BMC Med Educ. 2023;23(1). http://dx.doi.org/10.1186/s12909-023-04319-9

Mert Karadas M, Terzioglu F. The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey. Health Care Women Int. 2019;40(5):597–612. http://dx.doi.org/10.1080/07399332.2019.1583229

Published

2024-09-01

How to Cite

1.
Castillo Ramírez AR, Librado González N, Sánchez Maldonado HA, Nicolas Santiago M, Urueña González C, Felipe Herrera L. Clinical competencies of undergraduate nursing students for labor care: a quasi-experimental study. Revista Cuidarte [Internet]. 2024 Sep. 1 [cited 2024 Nov. 21];15(3). Available from: https://revistas.udes.edu.co/cuidarte/article/view/3679

Altmetrics

Downloads

Download data is not yet available.