Effectiveness of Simulation-Based Learning in Enhancing Communication and Teamwork Skills among Nursing Students
DOI:
https://doi.org/10.31305/rrijm.2025.v10.n5.002Keywords:
Simulation-Based Learning, traditional class room instruction, Communication Skills, Teamwork, Nursing Education, Clinical Competency, Team STEPPS, CSASAbstract
Background: Effective communication and teamwork are critical competencies in nursing, directly influencing patient outcomes and safety. Traditional pedagogical approaches often fall short in providing experiential learning opportunities for these essential skills. Simulation-Based Learning (SBL) offers a realistic and interactive platform for students to engage in clinical scenarios that foster communication and collaborative practice. Objective: This study aimed to evaluate the effectiveness of SBL in enhancing communication and teamwork skills among undergraduate nursing students. Methods: A quasi-experimental study design was adopted involving 100 nursing students divided into two groups: a SBL group (n=50) receiving Simulation-Based Learning and a TL group (n=50) exposed to traditional classroom instruction. Communication skills were assessed using the Communication Skills Attitude Scale (CSAS), and teamwork abilities were measured using the TeamSTEPPS Teamwork Perception Questionnaire (T-TPQ). Pre- and post-intervention assessments were conducted to evaluate changes in skill levels. Results: For communication skills (CSAS), the SBL group achieved a significantly higher post-test mean score of 85.7 (SD = 5.8) compared to 70.2 (SD = 6.0) in the TL group. Similarly, for teamwork abilities, the SBL group scored 83.4 (SD = 6.1), markedly higher than the TL group's score of 68.1 (SD = 6.4). The SBL group demonstrated statistically significant improvements in both communication and teamwork scores compared to the TL group (p < 0.05). Students in the SBL group reported higher confidence, better role clarity, and improved interprofessional collaboration. Conclusion: Simulation-Based Learning is an effective educational strategy for enhancing communication and teamwork skills among nursing students. Integrating simulation into nursing curricula can bridge the gap between theory and practice, preparing students for real-world clinical challenges.
Metrics
References
Interprofessional Education Collaborative. (2023). Core competencies for interprofessional collaborative practice: 2023 update. Washington, DC: Interprofessional Education Collaborative.
Kim, Y. M., & Kim, S. J. (2021). Effects of simulation-based education on nursing students’ clinical competence and confidence: A meta-analysis. Nurse Education Today, 104, 104984. https://doi.org/10.1016/j.nedt.2021.104984
Foronda, C., Armstrong, B., & Al-Hawajreh, S. (2020). A blueprint for nursing education: Simulation and technology. Nursing Education Perspectives, 41(6), 333–338. https://doi.org/10.1097/01.NEP.0000000000000719
World Health Organization. (2022). Global competency framework for universal health coverage. Geneva: WHO.
Lee, J., Oh, P. J., & Lee, M. N. (2023). Effects of simulation-based learning on nursing students’ non-technical skills: A systematic review and meta-analysis. Nurse Education in Practice, 67, 103545. https://doi.org/10.1016/j.nepr.2023.103545
INACSL Standards Committee. (2021). Healthcare Simulation Standards of Best PracticeTM: Debriefing. Clinical Simulation in Nursing, 58, 45–50. https://doi.org/10.1016/j.ecns.2021.08.011.
Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014 May;23(5):359–72. doi:10.1136/bmjqs-2013-001848
Rees, C., Sheard, C., & Davies, S. (2002). The development of a scale to measure medical students' attitudes towards communication skills learning: the Communication Skills Attitude Scale (CSAS). Medical education, 36(2), 141-147.
TeamSTEPPS Teamwork Perceptions Questionnaire. https://www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
Priya, S., Vijayalakshmi, K., & Merlin, A. (2024). Effectiveness of Neurolinguistic Programme Upon Emotional Intelligence among Nursing Faculty. RESEARCH REVIEW International Journal of Multidisciplinary, 9(5), 251-261.
Benjamin, L. S., Pasay an, E., Vijayalakshmi, K., Alqarni, A. S., Aseeri, A., Alsulami, A., ... & Shanmugam, S. R. (2024). Emotional intelligence and self-esteem among Saudi Arabian and Indian nursing students: findings from two countries. BMC nursing, 23(1), 349.
Priya, S., Vijayalakshmi, K., & Merlin, A. (2024). Predictors of Creativity among College Faculty. International Journal of Indian Psychology, 12(2), 2927-2936.
Sternberg, R. J., & Williams, W. M. (1996). How to develop student creativity. ASCD.
Sivagami G. Current Practices and Challenges in Simulation Based Learning: Nurse Educators’ perspective. RESEARCH REVIEW International Journal of Multidisciplinary. 2025 Jan 10;10(1):117-24.
Baek, Y. (2009). Digital simulation in teaching and learning. In Digital simulations for improving education: Learning through artificial teaching environments (pp. 25-51). IGI Global.
Kansal, M. S., Vijayalakshmi, K., & Merlin, A. (2024). Benefits and challenges of implementing problem-based learning (PBL) in nursing education. RESEARCH REVIEW International Journal of Multidisciplinary, 9(5), 276-283.
Kansal, M. S., Vijayalakshmi, K., & Merlin, A. (2024). The Impact of Problem-Based Learning (PBL) Vs Conventional Teaching Method on Undergraduate Students' Attitude towards Schizophrenia: A Comparative Approach. International Journal of Scientific Research in Engineering and Management (IJSREM), 8 (6), 1-10.
Wilder, S. (2015). Impact of problem-based learning on academic achievement in high school: a systematic review. Educational Review, 67(4), 414-435.
Vijayalakshmi, K., Revathi, S., & Venkatesan, L. (2016). Validity of objective structured clinical examination (OSCE) in psychiatric nursing. The Journal of Nursing Trendz, 7(1), 16-20.
Vijayalakshmi. K, Revathi S. Transforming Practical Evaluations: A Comparative Approach to Students’ Satisfaction with OSCE Versus Traditional Methods. Nursing & Midwifery Research Journal. 2025;21(1), 21-32. doi:10.1177/0974150X241299195
Brazeau, C., Boyd, L., & Crosson, J. (2002). Changing an existing OSCE to a teaching tool: the making of a teaching OSCE. Academic Medicine, 77(9), 932.
Anusha, S., Vijayalakshmi, K., & Venkatesan, L. (2018). Effectiveness of virtual reality therapy upon concentration among secondary school students. TNNMC Journal of Nursing Education and Administration, 6(1), 34-40.
Huang, Y., Richter, E., Kleickmann, T., & Richter, D. (2023). Virtual reality in teacher education from 2010 to 2020. Bildung für eine digitale Zukunft, 399-441.
Metha, J., Vijayalakshmi, K., & Venkatesan, L. (2016). Effectiveness of Bibliotherapy Upon Coping Skills Among B. Sc. Nursing First Year Students. TNNMC Journal of Mental Health Nursing, 4(2), 8-12.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open access article under the CC BY-NC-ND license Creative Commons Attribution-Noncommercial 4.0 International (CC BY-NC 4.0).