Scenario-based simulation training as a strategy to improve infection prevention and control adherence: A quasi-experimental study

Abstract

Background: Healthcare-associated infections remain a critical global health concern, adversely affecting patient outcomes and increasing healthcare costs. Effective infection prevention and control measures are essential to mitigating healthcare-associated infections, yet traditional educational methods often fail to ensure their practical application.

Objective: This study evaluates the effectiveness of scenario-based simulation training in improving infection control knowledge, self-efficacy, and adherence to standard precautions among clinical nurses.

Methods: A quasi-experimental pre-test/post-test design with a nonequivalent control group was employed. Sixty-eight clinical nurses were randomly assigned to an experimental or control group. The intervention included four scenario-based simulation sessions on standard and transmission-based precautions. Outcomes were assessed at baseline and two months post-intervention using validated instruments. Data were analyzed using paired t-tests and independent t-tests.

Results: Nurses in the experimental group demonstrated significant improvements in infection control knowledge (t = 7.111, p < .001, Cohen's d = 1.725, 95 % CI [1.086, 2.348]), self-efficacy (t = 2.194, p = .032, Cohen's d = 0.532, 95 % CI [0.036, 1.021]), and adherence to standard precautions (t = 4.191, p < .001, Cohen's d = 1.017, 95 % CI [0.476, 1.545]) compared to the control group. These findings underscore the efficacy of simulation training in enhancing infection prevention and control competencies among clinical nurses.

Conclusion: Scenario-based simulation training is a valuable educational strategy for improving infection prevention and control practices among clinical nurses. Integrating this approach into infection prevention and control training programs can strengthen infection prevention efforts, enhance healthcare worker preparedness, and improve patient safety.

Keywords: Cross infection; Education, nursing; Infection control; Nurses; Simulation training.