The effect of high-fidelity simulation on clinical competencies in undergraduate nursing students: a systematic review of randomized controlled trials

Background High-fidelity simulation (HFS) has gained prominence in nursing education as a method to enhance clinical competencies in undergraduate nursing students. This systematic review examines the impact of HFS on various aspects of nursing students' clinical competencies. Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted a comprehensive search for randomized controlled trials (RCTs) published in English between 2013 and 2023. Inclusion and exclusion criteria were applied, leading to the selection of 13 relevant studies. Quality assessment and risk of bias analysis were performed using The Cochrane Collaboration's tool for RCTs. Results The systematic review synthesized findings from the selected studies, revealing the positive impact of HFS on nursing students' clinical competencies. These competencies encompassed knowledge acquisition, clinical performance, self-confidence, self-evaluation, critical thinking, problem-solving skills, and anxiety reduction. While there was variability in outcomes such as self-efficacy and satisfaction, HFS consistently demonstrated its effectiveness in enhancing nursing education. Conclusion In conclusion, HFS emerges as a valuable tool for improving the clinical competencies of undergraduate nursing students. This systematic review highlights the multifaceted benefits of HFS in nursing education, encouraging its integration alongside traditional clinical methods. Recommendations include following evidence-based guidelines and fostering collaboration among educators and institutions to further enhance nursing education through HFS.