Factors affecting the perceived stress and anxiety of novice nursing students in high-fidelity simulation education:a secondary qualitative analysis of focus group interviews
Natalie Lee Po-man
Alice Chan Mei-ling
Florence Wong Mei-Fung
Abstract：Objective: To gain insight into the potential factors that may cause perceived stress and anxiety in simulation education.
Methods: A secondary qualitative analysis study using qualitative thematic synthesis. A local higher education institution that conducted pre-registration nursing programs. A total of 189 undergraduate nursing students that were never attained any clinical placement prior to the parent study. Focus group interviews were conducted to collect data that were then transcribed and analyzed through the qualitative thematic synthesis approach to develop themes.
Results: Three themes were emerged from the participants' simulation experiences in terms of people (the observers vs the observed), actions (the prepared vs the unprepared), and settings (the realism vs the simulation).
Conclusions: By considering and reviewing the current design and development of the simulation practice, the findings of this study contribute to the body of knowledge with valuable insights on stress and anxiety that may affect students' learning in simulation.
Keywords：high-fidelity simulationnovice nursing studentsperceived anxietyperceived stresssecondary qualitative analysissimulation-based education
Publication Date：2025-09-20
Online Publishing Date：2025-10-13(First online date of this platform, not the publication date of the document)
Pages：8( 325-332 )