J Korean Acad Soc Nurs Educ.  2023 Aug;29(3):203-224. 10.5977/jkasne.2023.29.3.203.

The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis

• Park JM
• Jun S

• KMID: 2545416
• DOI: http://doi.org/10.5977/jkasne.2023.29.3.203

Abstract

Purpose
This study aimed to evaluate the effectiveness of simulation-based education on communication and clinical judgment in nursing students and nurses.
Methods
A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Seven databases were searched to obtain articles published in Korean or English. Of 12,864 articles reviewed, 36 were included in a systematic review and 23 in a meta-analysis. To estimate the size of the effects of simulation-based education, a meta-analysis was performed using the R package meta program. The risk of bias was assessed using RoB 2.0 and ROBINS-I.
Results
The effect sizes (ES) of simulation-based education on communication and clinical judgment were ES=0.77, 95% confidence interval (95% CI)=0.43 to 1.12 on communication-related variables and ES=1.84, 95% CI=1.03 to 2.65 on clinical judgment.
Conclusion
Simulation-based education for nursing students and nurses is useful for improving their communication and clinical judgment. Thus, it is necessary to develop and apply simulation-based education programs for nursing students and nurses to improve their abilities in communications and clinical judgment.

Keyword

Simulation training, Patient safety, Communication, Judgment, Meta-analysis; 시뮬레이션 교육, 환자안전, 의사소통, 임상판단, 메타분석