The impact of high-fidelity simulation training on first-year nursing students’ attitudes toward communication skills learning: A quasi-experimental study

<h2>Abstract</h2><h3>Background</h3> 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. <h3>Aim</h3> This study evaluated the effects of high-fidelity simulation training on first-year nursing students' attitudes toward learning communication skills. <h3>Methods</h3> 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. <h3>Results</h3> Nursing students significantly improved their attitudes toward learning communication skills after the simulation sessions. <h3>Conclusion</h3> 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.