Impact of High-Fidelity Simulation and OSCE on Stress, Academic Performance, and Well-Being in Nursing Students

Abstract

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. 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. 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 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. […]