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   <dc:title>The impact of high-fidelity simulation training on first-year nursing students’ attitudes toward communication skills learning: A quasi-experimental study</dc:title>
   <dc:creator>Arrogante Maroto, Óscar</dc:creator>
   <dc:creator>Ortuño Soriano, Ismael</dc:creator>
   <dc:creator>Fernandes Ribeiro, Ana Sofía</dc:creator>
   <dc:creator>Raurell Torredà, Marta</dc:creator>
   <dc:creator>Jiménez Rodríguez, Diana</dc:creator>
   <dc:creator>Zaragoza García, Ignacio</dc:creator>
   <dcterms:abstract>Background
Communication skills are essential for fostering nurse-patient relationships and ensuring quality nursing care, making them a critical competency in nursing education. Attitudes constitute powerful behavioral indicators and influence the learning process of nursing students.
Aim
This study evaluated the effects of high-fidelity simulation training on first-year nursing students' attitudes toward learning communication skills.
Methods
A total of 149 first-year students participated in a quasi-experimental study, in which their attitudes toward learning communication skills were compared between baseline and after the simulation experience. The standardized patient performed different behaviors during each simulated nursing consultation: assertive, passive/noncompliant, depressed, aggressive, and agitated.
Results
Nursing students significantly improved their attitudes toward learning communication skills after the simulation sessions.
Conclusion
High-fidelity simulation training using standardized patients allows first-year nursing students to improve their attitudes toward learning communication skills. This improvement can provide benefits directly related to nurse-patient relationships and high-quality nursing care. Therefore, the inclusion of simulation training programs in nursing curricula is necessary to promote these attitudes in order to prepare undergraduate nursing students for real clinical practice.</dcterms:abstract>
   <dcterms:dateAccepted>2025-04-29T15:53:22Z</dcterms:dateAccepted>
   <dcterms:available>2025-04-29T15:53:22Z</dcterms:available>
   <dcterms:created>2025-04-29T15:53:22Z</dcterms:created>
   <dcterms:issued>2025-04</dcterms:issued>
   <dc:type>journal article</dc:type>
   <dc:identifier>https://hdl.handle.net/20.500.14352/119761</dc:identifier>
   <dc:identifier>1876-1399</dc:identifier>
   <dc:identifier>10.1016/j.ecns.2025.101711</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>Arrogante, O., Ortuño-Soriano, I., Fernandes-Ribeiro, A. S., Raurell-Torredà, M., Jiménez-Rodríguez, D., &amp; Zaragoza-García, I. (2025). The impact of high-fidelity simulation training on first-year nursing students’ attitudes toward communication skills learning: A quasi-experimental study. Clinical Simulation in Nursing, 101. https://doi.org/10.1016/J.ECNS.2025.101711</dc:relation>
   <dc:rights>http://creativecommons.org/licenses/by-nc-nd/4.0/</dc:rights>
   <dc:rights>open access</dc:rights>
   <dc:rights>Attribution-NonCommercial-NoDerivatives 4.0 International</dc:rights>
   <dc:publisher>Elsevier</dc:publisher>
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