Saritas, EvrimAydogan, SinanTikit, OzlemGulnar, EmelCaliskan, NurcanBaykara, Zehra Gocmen2025-01-212025-01-2120241471-59531873-5223https://doi.org/10.1016/j.nepr.2024.104016https://hdl.handle.net/20.500.12587/25617Aim: This study evaluated the effect of simulation on auscultation skills, self-confidence and anxiety levels. Background: Auscultation is an essential topic in nursing education and patient care. Simulation is efficacious in improving auscultation skills and self-confidence and reducing anxiety levels. It is a valuable educational approach whose effects should be evaluated and disseminated in the context of auscultation. Design: This study had a randomised controlled trial design. Methods: The study was conducted with second -year nursing students enrolled at a university in Turkey. One group of students studied auscultation of heart, lung and bowel sounds with a simulated patient (n = 28), the second group with a high fidelity simulator (n = 30) and the third group with traditional education (n = 28). Data were collected using a demographic information form, auscultation control list and Nursing Anxiety and Self -Confidence with Clinical Decision Making Scale. The students' psychomotor auscultation skills, selfconfidence and anxiety levels were evaluated. Data on auscultation skills were assessed after the intervention, while data on self-confidence and anxiety levels were collected at baseline, after the intervention and after clinical practices throughout the academic year. Results: Anxiety and self-confidence levels showed statistically significant differences in intragroup evaluation. The self-confidence levels of the groups working with simulation did not change much in the follow-up test conducted after the end of clinical practices. The mean skill scores in the auscultation control list showed a statistically significant difference between the groups. Conclusions: Simulation and traditional approaches are effective in learning auscultation skills. However, the positive effects of simulation, particularly in enhancing students' self-confidence and reducing anxiety levels, appear to be more permanent and impactful than traditional education. Therefore, it is recommended that simulation be prioritized for teaching auscultation skills.eninfo:eu-repo/semantics/closedAccessAnxiety; Auscultation; Nursing education; Nursing students; Self-confidence; SimulationArticle7810.1016/j.nepr.2024.1040162-s2.0-8519609438438889525Q1WOS:001260097100001N/A