Abstract
Purpose: Traditional training methods for new graduate nurses often rely on bedside experiences and lectures, which may limit the development of clinical skills essential for hands-on patient care. This study evaluates the effectiveness of high-fidelity simulation training in improving clinical competencies among newly graduated pediatric nurses in Taiwan, specifically in managing seizure emergencies. The study examines gains in cognitive, psychomotor, and affective domains.
Methods: A one-group pre- and post-test design was implemented using the Sim Junior high-fidelity simulation model alongside situational teaching strategies. Participants included Nurse Post Graduate Year (NPGY) pediatric nurses who received a structured “High-Fidelity Simulation Training Plan for Emergency Management of Seizures.” Assessments focused on emergency assessment skills, seizure management knowledge, and psychomotor performance. Participant satisfaction was measured using a five-point Likert scale.
Results: Post-training analysis showed a significant increase in knowledge scores, with average post-test results increasing by 37.9% compared to pre-test scores (p < 0.05). Skill competency scores also demonstrated improvement, with gains between 30% and 35% (p < 0.05). Participants rated their overall satisfaction with the simulation training course at an average of 4.7 out of 5.
Conclusion: The study findings indicate that high-fidelity simulation training, combined with Objective Structured Clinical Examinations (OSCE), effectively enhances clinical competencies in pediatric NPGY nurses in Taiwan. The training improved clinical skills, professional attitudes, and team communication. Integrating high-fidelity simulation into NPGY training programs is recommended to strengthen emergency response skills and support clinical decision-making in managing pediatric seizure emergencies.
Notes
References:
Lammers, R. L., Willoughby-Byrwa, M. J., Vos, D. G., & Fales, W. D. (2021)．Comparison of Four Methods of Paramedic Continuing Education in the Management of Pediatric Emergencies. Prehospital Emergency Care, 1-19. https://doi.org/10.1080/10903127.2021.1916140
Luo, Y., Geng, C., Chen, X., Zhang, Y., Zou, Z., & Bai, J. (2021)．Three learning modalities' impact on clinical judgment and perceptions in newly graduated registered nurses: A quasi experimental study. Nursing & Health Sciences, 23(2), 538-546. https://doi: 10.1111/nhs.12842
Lee, C., Mowry, J. L., Maycock, S. E., Colaianne-Wolfer, M. E., Knight, S. W., & Wyse, D. M. (2019). The impact of hospital-based in situ simulation on nurses’ recognition and intervention of patient deterioration. Journal for Nurses in Professional Development, 35(1), 18– 24.
Woon, A. P. N., Mok, W. Q., Chieng, Y. J. S., Zhang, H. M., Ramos, P., Mustadi, H. B., & Lau, Y. (2021). Effectiveness of virtual reality training in improving knowledge among nursing students: A systematic review, meta-analysis and meta-regression. Nurse Education Today, 98, 104655.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Simulation, Pediatric Nursing, Seizure Management, Novice Nurses, Newly Graduated Nurses, Clinical Skills, Taiwan
Recommended Citation
Wu, Wan Ting, "Impact of High-Fidelity Simulation Training on Pediatric Nurses' Competence in Seizure Management" (2025). International Nursing Research Congress (INRC). 85.
https://www.sigmarepository.org/inrc/2025/posters_2025/85
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Impact of High-Fidelity Simulation Training on Pediatric Nurses' Competence in Seizure Management
Seattle, Washington, USA
Purpose: Traditional training methods for new graduate nurses often rely on bedside experiences and lectures, which may limit the development of clinical skills essential for hands-on patient care. This study evaluates the effectiveness of high-fidelity simulation training in improving clinical competencies among newly graduated pediatric nurses in Taiwan, specifically in managing seizure emergencies. The study examines gains in cognitive, psychomotor, and affective domains.
Methods: A one-group pre- and post-test design was implemented using the Sim Junior high-fidelity simulation model alongside situational teaching strategies. Participants included Nurse Post Graduate Year (NPGY) pediatric nurses who received a structured “High-Fidelity Simulation Training Plan for Emergency Management of Seizures.” Assessments focused on emergency assessment skills, seizure management knowledge, and psychomotor performance. Participant satisfaction was measured using a five-point Likert scale.
Results: Post-training analysis showed a significant increase in knowledge scores, with average post-test results increasing by 37.9% compared to pre-test scores (p < 0.05). Skill competency scores also demonstrated improvement, with gains between 30% and 35% (p < 0.05). Participants rated their overall satisfaction with the simulation training course at an average of 4.7 out of 5.
Conclusion: The study findings indicate that high-fidelity simulation training, combined with Objective Structured Clinical Examinations (OSCE), effectively enhances clinical competencies in pediatric NPGY nurses in Taiwan. The training improved clinical skills, professional attitudes, and team communication. Integrating high-fidelity simulation into NPGY training programs is recommended to strengthen emergency response skills and support clinical decision-making in managing pediatric seizure emergencies.
Description
With advancements in technology, clinical nursing education is undergoing rapid changes, with high-fidelity simulation-based teaching becoming a prominent trend in clinical applications. Through simulated scenarios, prominent trend in clinical. the process . This approach provides learners with the opportunity for repeated practice, facilitating the transfer of learned experiences into clinical work.