Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students
Introduction High-fidelity simulation and Objective Structured Clinical Examinations (OSCEs) are essential tools in nursing education, designed to enhance clinical and non-technical competencies. However, these high-pressure activities can induce significant stress, potentially impacting students’ p...
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| Format: | Article |
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SAGE Publishing
2025-08-01
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| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/23779608251365805 |
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| author | Beatriz García-Fernández MSc Pilar González-Sanz PhD Elena M. Saiz-Navarro PhD Pedro Belinchón-deMiguel PhD Vicente Javier Clemente-Suárez PhD |
| author_facet | Beatriz García-Fernández MSc Pilar González-Sanz PhD Elena M. Saiz-Navarro PhD Pedro Belinchón-deMiguel PhD Vicente Javier Clemente-Suárez PhD |
| author_sort | Beatriz García-Fernández MSc |
| collection | DOAJ |
| description | Introduction High-fidelity simulation and Objective Structured Clinical Examinations (OSCEs) are essential tools in nursing education, designed to enhance clinical and non-technical competencies. However, these high-pressure activities can induce significant stress, potentially impacting students’ performance and well-being. Objetive: This study aimed to evaluate the effects of these activities on stress levels, academic performance, and the well-being of nursing students, while exploring the influence of lifestyle habits such as sleep and physical activity. Methods The study involved 53 third-year nursing students from a single university. Data collection included demographic, psychological, and academic variables, measured through validated tools such as the Perceived Stress Scale and Zung Self-Rating Depression Scale. Physiological and academic performance data from OSCEs were also analysed. Statistical analyses included correlation tests, multiple regression, and ANOVA to identify relationships and group differences. Results Results indicated significant physiological stress activation during simulations and OSCEs. However, stress did not adversely affect overall academic performance, suggesting that resilience and coping strategies mitigated the impact of acute stress. Students with better sleep quality and higher levels of physical activity reported lower stress levels, better academic grades, and greater adaptability to complex situations. These findings emphasize the role of healthy habits in moderating the effects of stress in high-demand academic contexts. Conclusion This study highlights the need to integrate stress management strategies, such as mindfulness and breathing techniques, into nursing curricula. Promoting sleep hygiene and regular physical activity can enhance students’ resilience and preparedness for professional challenges. Future research should include longitudinal and multicentric studies to explore these relationships further and assess the long-term effectiveness of interventions. |
| format | Article |
| id | doaj-art-991791d913e04ab08f5bfa08ec9fa69b |
| institution | Kabale University |
| issn | 2377-9608 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj-art-991791d913e04ab08f5bfa08ec9fa69b2025-08-20T03:45:14ZengSAGE PublishingSAGE Open Nursing2377-96082025-08-011110.1177/23779608251365805Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing StudentsBeatriz García-Fernández MSc0Pilar González-Sanz PhD1Elena M. Saiz-Navarro PhD2Pedro Belinchón-deMiguel PhD3Vicente Javier Clemente-Suárez PhD4 Faculty of Medicine, Health, and Sports, Department of Nursing, , Villaviciosa de Odón, Spain Faculty of Medicine, Health, and Sports, Department of Nursing, , Villaviciosa de Odón, Spain Faculty of Medicine, Health, and Sports, Department of Nursing, , Villaviciosa de Odón, Spain Faculty of Medicine, Health, and Sports, Department of Nursing, , Villaviciosa de Odón, Spain Grupo de Investigación en Cultura, Educación y Sociedad, , Barranquilla, ColombiaIntroduction High-fidelity simulation and Objective Structured Clinical Examinations (OSCEs) are essential tools in nursing education, designed to enhance clinical and non-technical competencies. However, these high-pressure activities can induce significant stress, potentially impacting students’ performance and well-being. Objetive: This study aimed to evaluate the effects of these activities on stress levels, academic performance, and the well-being of nursing students, while exploring the influence of lifestyle habits such as sleep and physical activity. Methods The study involved 53 third-year nursing students from a single university. Data collection included demographic, psychological, and academic variables, measured through validated tools such as the Perceived Stress Scale and Zung Self-Rating Depression Scale. Physiological and academic performance data from OSCEs were also analysed. Statistical analyses included correlation tests, multiple regression, and ANOVA to identify relationships and group differences. Results Results indicated significant physiological stress activation during simulations and OSCEs. However, stress did not adversely affect overall academic performance, suggesting that resilience and coping strategies mitigated the impact of acute stress. Students with better sleep quality and higher levels of physical activity reported lower stress levels, better academic grades, and greater adaptability to complex situations. These findings emphasize the role of healthy habits in moderating the effects of stress in high-demand academic contexts. Conclusion This study highlights the need to integrate stress management strategies, such as mindfulness and breathing techniques, into nursing curricula. Promoting sleep hygiene and regular physical activity can enhance students’ resilience and preparedness for professional challenges. Future research should include longitudinal and multicentric studies to explore these relationships further and assess the long-term effectiveness of interventions.https://doi.org/10.1177/23779608251365805 |
| spellingShingle | Beatriz García-Fernández MSc Pilar González-Sanz PhD Elena M. Saiz-Navarro PhD Pedro Belinchón-deMiguel PhD Vicente Javier Clemente-Suárez PhD Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students SAGE Open Nursing |
| title | Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students |
| title_full | Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students |
| title_fullStr | Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students |
| title_full_unstemmed | Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students |
| title_short | Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students |
| title_sort | impact of high fidelity simulation and osce on stress academic performance and well being in nursing students |
| url | https://doi.org/10.1177/23779608251365805 |
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