Perception of simulation-based training as a replacement for clinical practice training among pre-licensure nursing students: a qualitative study

作者：Ka Ming Chow, Anna Hau Yi Ngan, Conny Sau Man Chan · 发表于：BMC Nursing · 年份：2025 · DOI：10.1186/s12912-025-04096-4 · 被引用次数：3 · 研究领域：Simulation-Based Education in Healthcare、Nursing education and management、Patient Safety and Medication Errors

BACKGROUND: Despite the increasing adoption of simulation during clinical training disruptions, little is known about how students perceive its ability to replace clinical placements. This study aims to explore the perceptions, attitudes and experiences of final-year pre-licensure nursing students regarding simulation-based training as a substitution for clinical practice. METHODS: This study adopted an exploratory qualitative design with face-to-face focus group interviews. Two accident and emergency case scenarios involving tachycardia and drug overdose were developed and simulated in the simulation wards of the participating nursing institution to substitute for clinical practice during the COVID-19 pandemic. We recruited a total of 40 final-year pre-licensure nursing students (80% female) enrolled in both bachelor’s (n = 20) and master’s programs (n = 20) in a government-funded public university in Hong Kong to participate in focus group interviews via convenience sampling until data saturation was reached. All interviews were audio-recorded and moderated by nurse instructors using a pre-determined interview guide. Qualitative data were subjected to thematic analysis. RESULTS: A total of eight focus group interviews were conducted. Three themes emerged from the qualitative data: (i) effective preparation for clinical practice, (ii) the limitations of simulation-based training in replacing clinical practice and (iii) refining simulation-based training. All students recogni...