Effectiveness of a Scenario-Based Simulation Training on Nursing Students' Learning Outcomes for Stoma Care: A Randomized Controlled Study


Dilek F., ÖZDEN D., AYİK C.

European Journal of Education, cilt.61, sa.4, 2026 (SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 61 Sayı: 4
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1111/ejed.70858
  • Dergi Adı: European Journal of Education
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, IBZ Online, Periodicals Index Online, Agricultural & Environmental Science Database, EBSCO Education Source, Education Abstracts, Educational research abstracts (ERA), ERIC (Education Resources Information Center), MLA - Modern Language Association Database, Public Affairs Index, MLA International Bibliography, Academic Search Ultimate (EBSCO), Social Science Premium Collection (ProQuest), Education Collection (ProQuest), Education Source Ultimate (EBSCO), Sociology Source Ultimate (EBSCO)
  • Anahtar Kelimeler: hybrid simulation, learning outcome, nursing student, standardized patient, stoma care
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Simulation-based learning is an effective teaching modality. However, there is a lack of evidence regarding scenario-based simulation training with standardized patients on stoma care among nursing students. This study aimed to examine the effect of a scenario-based hybrid simulation training using standardized patients and a wearable bud-shaped stoma on nursing students' knowledge, skills, satisfaction, expectations, and opinions about stoma care. This randomized controlled study included 66 students, 33 in each group. Stoma care was practiced with a standardized patient who had a wearable bud-shaped stoma stuck to the abdomen in the hybrid simulation group and a manikin in the control group. Study data were collected using the Stoma Care Skills Evaluation Form to measure students' skills, a questionnaire to reveal their knowledge and opinions, and the Student Satisfaction and Self-Confidence in Learning Scale to find out about their satisfaction. Students' knowledge and opinion levels in both groups increased statistically significantly following the intervention (p < 0.05). The students in the hybrid simulation group had higher skill (p < 0.001) and satisfaction levels (p = 0.043) than the control group. Scenario-based hybrid simulation training increased students' knowledge, skills, expectations, and opinions about stoma care. It should be considered implementation and dissemination in health education.