Year : 2017 | Volume : 5 | Issue : 2 | Page : 63 - 67  

Original Articles
Competency and satisfaction level of high and medium fidelity simulation in drug administration teaching and learning practice: A comparative study

Mohd Said Nurumal1, UmmuHananiHaji Hashim2, KhinThandarAung3

1Dean, Faculty of Nursing, 2Faculty of Nursing, 3Lecturer/Head, Critical Care Nursing Department, Faculty of Nursing, International Islamic University, Malaysia

Corresponding Author:




Background: Nowadays, the simulation practice is becoming more popular in nursing education and that can improve the nursing students clinical skills and soft skills. Moreover, it allows the students from conductive simulated environment to the real-like situation that they may experience later in their clinical attachment period. Due to little current information of issues pertaining to the relevant type of simulation that is able to create the students competency and satisfaction, therefore, a thorough comparison between the effectiveness of high fidelity and medium fidelity simulation is needed.

Objective: The aim of this study was to compare the effectiveness of medium and high fidelity simulation towards developing students competency skill in drug administration via oral, subcutaneous, intramuscular and intravenous route and also to identify the students satisfaction level towards high and medium fidelity simulation.

Methods: A comparative cross-sectional study was conducted in Kulliyyah of Nursing, International Islamic University Malaysia (IIUM) at Jalan Hospital Campus, Kuantan. First year nursing students who match including criteria were recruited as a compulsory class (N= 54) and the students were divided into two groups using simple random assignment sampling. The students were assessed during the simulation using rubric checklist and completed Likert scale after finished each simulation sessions. Data analysis involved Wilcoxon signed rank test using PASW Statistic 18.

Results: The findings on the competency level (technical skills and non-technical skills) showed statistical significant improvement of mean score (p< 0.05) in high fidelity simulation compared to medium fidelity simulation in both groups. The students satisfaction levels towards simulation were significant increased statistically for both groups (p< 0.05) in second session of simulation regardless of the type fidelity simulation.

Conclusion: The high fidelity simulation was able to prepare better technical and non-technical skills as compared to medium fidelity simulation. However, the students satisfaction did not associate with the type of fidelity simulation but showed improvement after repeated or sequential simulation. More research is required to compare and to explore more about the simulation fidelity.

Keywords: High fidelity simulation, Medium fidelity simulation, Competency, Satisfaction, Nursing simulation


Important links

adv apply rec

Open Access Journal

MRIMS Journal of Health Sciences is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher of the author. This is in accordance with the BOAI definition of open access.

Visitor Count

© 2020 Chandramma Education society . All Rights Reserved.