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Simulation Anxiety and its Effect on Clinical Judgment for Undergraduate Nursing Students

Published:September 28, 2022DOI:https://doi.org/10.1016/j.ecns.2022.08.005

      Highlights

      • Simulation anxiety has been assumed to be problematic.
      • Suggested anxiety-reducing interventions in the literature have mixed effectiveness.
      • In this study, anxiety did not significantly predict clinical judgment scores.
      • Faculty should help students function through anxiety rather than eliminating it.

      Abstract

      Background

      High anxiety during simulation has been well documented with calls to reduce students’ anxiety. Simulation anxiety is often assumed to be harmful to students and a variety of anxiety-reducing interventions have been suggested. The purpose of this study was to explore the effect of different types of anxiety on the clinical judgment of undergraduate nursing students in simulation.

      Methods

      This research used a one-group repeated measures quantitative design using the conceptual framework of Tanner's (2006) model of clinical judgment.

      Results

      Anxiety did not have a significant impact on clinical judgment, both overall and within each of the four phases of Tanner's (2006) model.

      Conclusion

      The findings imply a changed focus to reframe anxiety and how we think about its effects. Understanding that not all anxiety is debilitating but some is facilitative challenges the assumption that faculty need to attempt to lower students’ anxiety in simulation. Rather than seeking to lower anxiety for all students, nursing educators should help students function despite anxiety, in order to prepare them for real world nursing practice.

      KEYWORDS

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