Is Clinical Scenario Simulation Teaching Effective in Cultivating the Competency of Nursing Students to Recognize and Assess the Risk of Pressure Ulcers? - Research Article

Sep 20, 2026

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Objective: evaluate whether clinical scenario simulation improves nursing students’ competence to recognize and assess the risk of pressure ulcers compared with traditional didactic teaching. Methods: controlled single-blind experimental trial with nursing students randomly assigned to control (didactic knowledge only) or experimental (clinical scenario simulation) groups, assessed pre/post with OSCE and analyzed by t-test in SPSS (α=0.05). Results: no baseline differences; post-intervention OSCE performance was markedly higher in the simulation group with statistical significance. Conclusion: simulation is more effective for cultivating assessment ability and supporting patient safety.

LanguageEnglish

CategoryHealthcare

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Risk Management and Healthcare Policy downloaded from [https://www.dovepress.com/](https://www.dovepress.com/) For personal use only. Risk Management and Healthcare Policy Dovepress open access to scientific and medical research Open Access Full Text Article ORIGINAL RESEARCH Is Clinical Scenario Simulation Teaching Effective in Cultivating the Competency of Nursing Students to Recognize and Assess the Risk of Pressure Ulcers? Yan-Li Du 1 Chun-Hua Ma 1 Yu-Feng Liao 1 Lu Wang2 Ya Zhang 1 Geng Niu 3 1School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People’s Republic of China; 2Delivery Center, Shenzhen Maternity & Child Healthcare Hospital, Shenzhen, 518028, Guangdong, People’s Republic of China; 3Shenzhen Elderly Healthcare College, Shenzhen Polytechnic, Shenzhen, Guangdong, 518055, People’s Republic of China Correspondence: Geng Niu Shenzhen Elderly Healthcare College, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People’s Republic of China Tel +86 755 86379018 Fax +86 755 26731867 Email [niugeng_dr@163.com](niugeng_dr@163.com) Objective: To evaluate the effectiveness of a clinical scenario simulation method among nursing students for assessing the risk of patients developing pressure ulcers compared with the traditional didactic method. Methods: This experimental study was a controlled trial with single-blind assessments. Nursing students (n = 47) were randomly assigned to either a control or an experimental group. The control group (n = 21) was instructed using traditional didactic methods that only delivered knowledge of pressure ulcers, while the experimental group (n = 26) received a clinical scenario simulation-based method for cultivating the competence to assess the risk of pressure ulcers. Participants underwent pre- and post-intervention based on the objective structured clinical examination (OSCE) comprising objective performance criteria. Data were analyzed using a t-test in the SPSS Statistics software program at a significance level of 0.05. Results: No significant differences were observed regarding age or the mean scores of the OSCE in pre-intervention between the two groups. Following the intervention, the meanscore of the experimental group’s performance was higher (29.04 ± 6.00) compared with the control group (12.38 ± 4.15) (P = 0.000) . There were statistical differences between the two groups. Nursing students in the clinical scenario simulation group performed significantly better in recognizing and assessing the risk of pressure ulcers. Conclusion: This study demonstrates that a clinical scenario simulation approach is more effective than employing the traditional didactic method for cultivating students’ assessment ability regarding pressure ulcers. This student-centered, clinical scenario simulation method can help to effectively develop students’ competency in recognizing and assessing the risk of pressure ulcers, thereby providing a solid foundation for their clinical practice towards enhanced patient safety. Keywords: pressure ulcer, clinical scenario simulation, didactic method, patient safety, competence, systematic assessment Introduction “Patient safety” refers to the absence of preventable harm being done to a patient during the process of delivering healthcare, 1 and is currently recognized asa significant and growing global public health challenge.2 Available evidence indicates that approximately one in 10 patients are harmed while receiving hospital care in high-income countries.3 Annually, 134 million adverse events occur due to unsafe care in low and middle-income country hospitals.4 The lack of focus on Received: 9 April 2021 Accepted: 10 June 2021 Published: 8 July 2021 Risk Management and Healthcare Policy 2021:14 2887–2896 2887 © 2021 Du et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at [https://www.dovepr

FAQs

What is the objective of this study?

To evaluate the effectiveness of clinical scenario simulation teaching for nursing students to recognize and assess the risk of pressure ulcers compared with traditional didactic teaching.

How were students assigned and evaluated in the study?

Nursing students were randomly assigned to control or experimental groups, then assessed before and after the intervention using an OSCE with objective performance criteria.

What were the main findings after the intervention?

The simulation group showed significantly higher OSCE performance scores than the didactic group, with no significant baseline differences between groups.

Sep 20, 2026

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