Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/222722
Title: Acquisition of physical assessment skills among undergraduate nursing students using simulation-based assessment: A mixed-methods study
Author: Raurell Torredà, Marta
Basco Prado, Luis
Fernandez-González, Vanessa
Bohils-Valle, Marc
Diz-Martínez, Alberto
Estrada Masllorens, Joan Maria
Sarria Guerrero, José Antonio
Guix Comellas, Eva Maria
Hidalgo Blanco, Miguel Ángel
Lamoglia-Puig, Montserrat
Adalid, Roser
Fernández Cervilla, Ana Belén
Keywords: Ensenyament de la infermeria
Examen físic
Simulació per ordinador
Nursing education
Physical diagnosis
Computer simulation
Issue Date: 11-Jun-2025
Publisher: Elsevier B.V.
Abstract: Background: The ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) approach is a valid model for teaching physical examination skills. Aim: Evaluate how physical examination is carried out based on the ABCDE approach using simulation training. Methods: Mixed-methods study on undergraduate nursing students during the 2022 to 2023 academic year at University of Barcelona. For the quantitative analysis, the Clinical Simulation Evaluation Tool was used. Results: About 887 students evaluated in 45 simulation sessions with high-fidelity manikins in second year, and 90 scenarios in third and fourth year respectively. Pulmonary auscultation was not performed as students advanced through the degree (p < 0.001). Instead, they became more competent in identifying changes in the patient (p < 0.001). Seven categories emerged from the qualitative analysis: previous experience, importance of physical assessment, feelings and emotions generated by the simulation, learning enablers, learning obstacles, personal knowledge gaps and autonomous study time. Conclusions: By means of more simulation sessions, students gain the capacity to identify changes in the patient’s condition, but as more hours of clinical practice are accumulated, pulmonary auscultation is no longer performed.
Note: Reproducció del document publicat a: https://doi.org/10.1016/j.teln.2025.06.004
It is part of: Teaching and Learning in Nursing, 2025
URI: https://hdl.handle.net/2445/222722
Related resource: https://doi.org/10.1016/j.teln.2025.06.004
ISSN: 1557-3087
Appears in Collections:Articles publicats en revistes (Infermeria Fonamental i Clínica)

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