The Effect of Integrated Simulation Experiential Learning Disaster Nursing for Enhancing Learning Outcomes Among Undergraduate Nursing Students: A Quasi-Experimental Study
Etika Emaliyawati, Kusman Ibrahim, Yanny Trisyani, Praneed Songwathana
Abstract
Background: Traditional classroom-based learning often lacks the depth of experience to develop the practical skills and decision-making abilities needed in disaster situations. Integrated Simulation Experiential Learning Disaster Nursing (ISEL-DN) is an innovative approach that combines simulation technology with experiential learning, providing a more immersive and interactive learning experience for students. Purpose: This study aimed to explore the effectiveness of the ISEL-DN model in enhancing knowledge, attitudes, satisfaction, and self-confidence among undergraduate nursing students. Methods: A quasi-experimental study with a control group was conducted on 94 undergraduate nursing students (Intervention group: 47 and control group: 47). Samples were recruited using convenience sampling by inclusion and exclusion criteria. The intervention group was given learning based on ISEL-DN. The data were analyzed univariately by displaying the frequency distribution and central tendency, and comparisons were made using the Wilcoxon rank and Mann–Whitney U -tests. Results: Significant improvements were observed in the control group across variables: knowledge ( p < 0.001), attitude ( p =0.042), satisfaction ( p =0.001), and overall self-confidence ( p =0.009). In the intervention group, all variables and subcomponents showed significant improvements ( p < 0.05). The ISEL-DN model significantly increased knowledge and satisfaction, much greater than traditional learning ( p < 0.05). Conclusion: This study showed that the ISEL-DN model significantly improved nursing students’ knowledge and satisfaction, attitudes, and self-confidence compared to traditional learning. The knowledge and satisfaction variables observed the most significant improvement, indicating that the ISEL-DN model provided a more interactive and in-depth learning experience. This model can be innovative in disaster nursing education to improve students’ preparedness to deal with emergency situations effectively. Keywords: attitude, disaster nursing, knowledge, satisfaction, self-confidence, nursing student