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High fidelity full sized human patient simulation manikins: Effects on decision making skills of nursing students

Loke, Jennifer C F; Lee, Bryant K; Loh, Susan; Noor, Asmah Mohd


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Dr Jennifer Loke
Lecturer / Programme Director (Dual Award in BSc in Nursing Science)

Bryant K Lee

Susan Loh

Asmah Mohd Noor


Background: The continued use of high fidelity full sized human patient simulation manikins (HF-HPSMs) for developing decision making skills of nursing students has led to growing research focusing its value on student learning and decision making skills. Methods: In October 2012, a cross-sectional survey using the 24-item Nurse Decision-Making Instrument was used to explore the decision making process of 232 pre-registration nursing students (age 22.0 + 5.4; 83.2% female) in Singapore. Results: The independent samples t-tests demonstrated three significant predictive indicators. These indicators include: prior experience in high fidelity simulation based on pre-enrolled nursing course (t = 70.6, p = .001), actual hands-on practice (t = 69.66, p < .005) and active participation in debrief (t = 70.11, p < .005). A complete experience based on role-playing followed by active discussion in debrief was a significant contributor to the decision making process (t = 73.6667, p < .005). However, the regression model indicated active participation in debrief as a significant variable which explained its development (t = 12.633, p < .005). Conclusions: This study demonstrated the usefulness of active participation in simulation learning for an analytic- intuitive approach to decision making, however active participation in debrief was a more important influencing element than role-playing. In situations where resources are limited for students to experience hands-on role-playing, peer reviewing and feedback on others’ experiences could benefit students, just as much. However, further study is warranted to determine the development of HF-HPSMs as a pedagogic tool for enhancing the decision making process of nursing students.


Loke, J. C. F., Lee, B. K., Loh, S., & Noor, A. M. (2014). High fidelity full sized human patient simulation manikins: Effects on decision making skills of nursing students. Journal of Nursing Education and Practice, 4(7), 31-40.

Journal Article Type Article
Acceptance Date Mar 1, 2014
Online Publication Date Apr 20, 2014
Publication Date 2014
Deposit Date Jun 16, 2016
Publicly Available Date Jun 16, 2016
Journal Journal of nursing education and practice
Print ISSN 1925-4040
Electronic ISSN 1925-4040
Publisher Sciedu Press
Peer Reviewed Peer Reviewed
Volume 4
Issue 7
Pages 31-40
Keywords Critical thinking, Decision making skills, High fidelity full-sized human patient simulation manikins, Nursing students, Nursing education, Singapore
Public URL
Publisher URL
Additional Information This is a copy of an open access article published in Journal of nursing education and practice, 2014, v.4 issue 7.


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This work is licensed under a Creative Commons Attribution 3.0 License.

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