Featured Article| Volume 16, P62-69, March 2018

Comparing Traditional and Simulation-Based Experiences in Pediatrics with Undergraduate Nursing Students in Turkey

Published:January 03, 2018DOI:


      • Students who received simulation-based nursing training felt more self-efficacy for pediatric skills than students who received classical training.
      • There were no statistically significant differences in state anxiety levels between the groups.
      • Students who received simulation-based nursing training displayed lower trait anxiety levels.
      • Simulation methods in pediatric nursing training increase students’ practice skills while reducing their anxiety levels. It encourages consideration of using simulation-based nursing training methods in nursing training as well as in establishing relevant laboratories.



      Simulation-based nursing training helps students develop skills, such as critical thinking, decision making, and the ability to manage cases.


      A two-group, nonrandomized, and quasi-experimental study examined the effect of using classical and simulation-based pediatric nursing training on students' perception of self-efficacy and anxiety levels as measured by the State–Trait Anxiety Scale. Cognitive learning and social learning theories guided our study. Participants were third-year undergraduate nursing students taking a pediatric nursing course from the same instructor during two different academic years in Turkey. The control group included 115 students selected from the spring term of the 2013 to 2014 education year, and the experimental group included 112 students selected from the spring term of the 2014 to 2015 education year.


      The simulation-based nursing training group's perception of self-efficacy was significantly higher in pediatric assessment, taking anthropometric measurements and vital signs, some medication administration, and care activities (p < .05). This study found no difference between the groups in the state anxiety mean scores of the students. The simulation-based nursing training group's trait anxiety mean scores were significantly lower (p < .05).


      Simulation-based nursing training enhances pediatric nursing students' perception of self-efficacy about their practice skills while reducing their anxiety level.


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