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Methods: A pretest-posttest non-equivalent control group design was conducted in a Taiwan medical center’s critical care unit from October 2023 to January 2024. Sixty-seven nurses with less than two years of experience were assigned to simulation (n=32) or traditional teaching (n=35). Results: The simulation group improved skills and confidence, while the traditional group improved confidence only. Conclusions: Simulation-based training effectively enhances skills and confidence and supports integrating simulation into nursing curricula to better prepare novices for emergency care.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-impact-of-simulation-based-emergency-training-on-novice-critical-care-nurses-a-quasiexperimental-study/317303/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-impact-of-simulation-based-emergency-training-on-novice-critical-care-nurses-a-quasiexperimental-study/317303.png","ImageObject",300,407,{"name":92,"@type":93},"Lute","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What was the study’s objective?","Question",{"text":113,"@type":114},"To evaluate how simulation-based emergency training affects novice critical care nurses’ knowledge, skills, and confidence compared with traditional clinical teaching.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were participants assigned and what intervention was used?",{"text":118,"@type":114},"Sixty-seven nurses with less than two years of experience were assigned to an experimental simulation-based group (n=32) or a control traditional teaching group (n=35), with the experimental group receiving an OSCE-based intervention across three stations.",{"name":120,"@type":111,"acceptedAnswer":121},"What outcomes improved after simulation-based training?",{"text":122,"@type":114},"The simulation group showed significant improvements in both skills and confidence, while the traditional group improved confidence only.",{"name":124,"@type":111,"acceptedAnswer":125},"Why does the study suggest incorporating simulation into nursing education?",{"text":126,"@type":114},"Because simulation-based OSCE training strengthens novice nurses’ emergency readiness by bridging theoretical knowledge and practical skills, supporting improved patient safety and retention in critical care nursing.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},317303,1790293601,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":149},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","The impact of simulation-based emergency training on novice critical care nurses: a quasiexperimental study  \nYi-Chen Huang 1, Chair-Hua Lin1, Ting-Yu Yao1, Tsung-Han Lee2, Tsay-I Chiang3, Chih Hao Lin4  \n1 Department of Nursing, Changhua Christian Hospital, Taiwan  \n2 Department of Emergency Medicine, Changhua Christian Hospital, Taiwan  \n3 Department of Nursing, Hung Kuang University, Taiwan  \n4 Department of Big Data and Digital Promotion Center, Changhua Christian Hospital, Taiwan  \nCorrespondence: Yi-Chen Huang, Department of Nursing, Changhua Christian Hospital, Taiwan, 135 Nan Hsiao Street, Changhua  \nCity 50006. Email: [73824@cch.org.tw](73824@cch.org.tw)  \nAccepted: August 18, 2025  \n\n| Abstract |  |\n| --- | --- |\n| Objective: This quasi-experimental study evaluated the im- | Results: The simulation group showed significant improve- |\n| pact of simulation-based emergency training on novice crit- | ments in skills (t(31) = 1.92, p = .016, d = .34) and confidence |\n| ical care nurses’knowledge, skills, and confidence compared | (t(31) = 2.92, p = .004, d = .40); the traditional group improved |\n| to traditional clinical teaching, aiming to enhance their pre- | in confidence only (t(34) = 2.24, p = .027, d = .33) . No signifi- |\n| paredness for high-pressure emergency scenarios. | cant between-group differences were found (e.g., skills: t(65) = |\n| Methods: A pretest-posttest non-equivalent control group | 1.29, p = .201, d = .33) . |\n| design was conducted in a Taiwan medical center’s critical | Conclusions: Simulation-based training effectively enhances |\n| care unit from October 2023 to January 2024. Sixty-seven | skills and confidence in novice critical care nurses, comple- |\n| nurses with less than two years of experience were recruited | menting traditional methods. Integrating both approaches |\n| via convenience sampling and assigned to an experimental | can optimize training outcomes, improving patient safety |\n| group (n=32, simulation-based training) or a control group | and nurse retention in medical education. These findings ad- |\n| (n=35, traditional teaching). The experimental group under- | vocate for incorporating simulation into nursing curricula to |\n| went an OSCE-based intervention with three stations. Data | better prepare novice nurses for emergency care. Future re- |\n| were collected using the Nursing Competency Question- | search should explore multi-center studies with objective |\n| naire, OSCE scoring rubric, and Learning Satisfaction Scale. | measures. |\n| Paired and independent t-tests with effect sizes (Cohen’s d) | Keywords: Simulation-based training, emergency care, nurs- |\n| were used for analysis. | ing education, critical care nurses, novice nurses |\n\nIntroduction  \nSimulation-based emergency training has become a vital tool for enhancing the confidence and preparedness of novice critical care nurses with less than two years of clinical experience.1 Emergency care is a common yet critical clinical scenario requiring rapid assessment and timely intervention. However, newly recruited nurses often lack the experience and confidence necessary to effectively manage deteriorating patients.2 This gap can result in uncertainty, hesitation, and frustration, compromising patient safety during emergencies.3-5  \nResearch indicates that when nurses encounter acute patient deterioration, each second counts. Accurate and timely interventions, supported by effective teamwork, are essential to ensure optimal patient outcomes. Without adequate training, novice nurses may struggle to meet the demands of highpressure emergency situations, negatively impacting the quality of care.6-7 Although existing studies have extensively explored simulation-based training in nursing education, they predominantly focus on nursing students or nurses in general wards and emergency departments. Limited research  \nhas specifically addressed the needs of novice critical care nurses during their early career, a population faci","cbCair6OhzZ8qOB0","https://ap.wps.com/l/cbCair6OhzZ8qOB0","pdf",295981,"English","# Introduction\n## Background and rationale\n## Gap in existing research\n## Role of OSCE and simulation-based training\n# Methods\n## Study design\n## Intervention and data collection\n# Results\n## Between-group and within-group outcomes\n# Conclusions\n## Implications for nursing curricula","[{\"question\":\"What was the study’s objective?\",\"answer\":\"To evaluate how simulation-based emergency training affects novice critical care nurses’ knowledge, skills, and confidence compared with traditional clinical teaching.\"},{\"question\":\"How were participants assigned and what intervention was used?\",\"answer\":\"Sixty-seven nurses with less than two years of experience were assigned to an experimental simulation-based group (n=32) or a control traditional teaching group (n=35), with the experimental group receiving an OSCE-based intervention across three stations.\"},{\"question\":\"What outcomes improved after simulation-based training?\",\"answer\":\"The simulation group showed significant improvements in both skills and confidence, while the traditional group improved confidence only.\"},{\"question\":\"Why does the study suggest incorporating simulation into nursing education?\",\"answer\":\"Because simulation-based OSCE training strengthens novice nurses’ emergency readiness by bridging theoretical knowledge and practical skills, supporting improved patient safety and retention in critical care nursing.\"}]","The impact of simulation-based emergency training on novice critical care nurses - a quasiexperimental study | PDF",1789931453,18]