Efektivitas Simulasi Kegawatdaruratan terhadap Kemampuan Mahasiswa D-III Keperawatan dalam Penanganan Gawat Darurat di Tempat Kerja
Keywords:
keperawatan vokasi, kepercayaan diri, keterampilan, pengetahuan, simulasi kegawatdaruratanAbstract
Tingginya kasus kegawatdaruratan menuntut calon perawat memiliki kemampuan penanganan awal yang cepat, tepat, aman, dan terkoordinasi. Simulasi menjadi metode pembelajaran yang memungkinkan mahasiswa berlatih dalam skenario menyerupai kondisi kerja tanpa membahayakan pasien. Penelitian ini menganalisis efektivitas simulasi kegawatdaruratan dalam meningkatkan pengetahuan, keterampilan psikomotor, dan kepercayaan diri mahasiswa Diploma III Keperawatan Politeknik Kaltara. Penelitian quasi-eksperimen dengan desain one group pretest-posttest dilakukan pada 40 mahasiswa semester V melalui total sampling. Intervensi berupa simulasi kegawatdaruratan dilaksanakan dalam tiga sesi, masing-masing dua jam. Pengetahuan diukur dengan tes pilihan ganda, keterampilan dengan ujian klinik terstruktur objektif, dan kepercayaan diri dengan kuesioner skala Likert. Instrumen telah melalui validasi isi oleh pakar dan uji reliabilitas pada uji coba terbatas sebelum digunakan. Analisis data menggunakan statistik deskriptif dan uji t berpasangan. Rerata pengetahuan meningkat dari 46,70% menjadi 83,60% dan keterampilan meningkat dari 47,43% menjadi 81,83%, keduanya bermakna secara statistik. Kepercayaan diri pasca simulasi berada pada rerata 80,45%, dengan 52,5% responden kategori sangat baik dan 47,5% kategori baik. Simulasi kegawatdaruratan efektif meningkatkan kemampuan mahasiswa dalam penanganan gawat darurat di tempat kerja.
References
Alharbi, A., et al. (2024). The effectiveness of simulation-based learning (SBL) on students' knowledge and skill acquisition and retention in nursing education: A systematic review. Nurse Education in Practice.
Alrashidi, N., et al. (2023). Effects of simulation in improving the self-confidence of student nurses in clinical practice. BMC Nursing.
Altinbas, B. C., Calik, K. Y., Erdol, E. K., et al. (2025). The effect of simulation-based laboratory training on undergraduate nursing students' clinical skill, satisfaction, and self-confidence. BMC Nursing, 24, 1322. https://doi.org/10.1186/s12912-025-04004-w
Blaak, H., Lkoul, A., Iziki, H., El Haddaouy, A., Kharabch, A., Razine, R., Belyamani, L., & Obtel, M. (2025). Satisfaction and self-confidence of Moroccan nursing students in simulation-based learning and their associations with simulation design characteristics and educational practices. Nursing Reports, 15(5).
Bwanali, R. K., et al. (2025). Effect of simulation-based perioperative education on undergraduate student nurses' self-competence and knowledge acquisition. BMC Nursing.
DeVellis, R. F., & Thorpe, C. T. (2021). Scale development: Theory and applications (5th ed.). SAGE Publications.
Gabbouj, S. B., et al. (2025). Effect of simulation-based education of adult basic life support-cardiopulmonary resuscitation on nursing students' skills and knowledge acquisition. BMC Nursing.
Gorucu, S., et al. (2024). The effect of simulation-based learning on nursing students' clinical decision-making skills: A systematic review. Nurse Education Today.
Guerrero, J. G., et al. (2024). Improvements in practising nurses' knowledge, skills, self-efficacy, confidence, and satisfaction after a simulated clinical experience of caring for a patient undergoing chemotherapy: A quasi-experimental study. BMC Nursing.
Hung, C. C., et al. (2021). Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction. Nurse Education Today.
INACSL Standards Committee. (2021a). Healthcare Simulation Standards of Best Practice(TM): Simulation design. Clinical Simulation in Nursing, 58, 14-21. https://doi.org/10.1016/j.ecns.2021.08.009
INACSL Standards Committee. (2021b). Healthcare Simulation Standards of Best Practice(TM): Facilitation. Clinical Simulation in Nursing, 58, 22-26. https://doi.org/10.1016/j.ecns.2021.08.010
INACSL Standards Committee. (2021c). Healthcare Simulation Standards of Best Practice(TM): The debriefing process. Clinical Simulation in Nursing, 58, 27-32. https://doi.org/10.1016/j.ecns.2021.08.011
Jawabreh, N., Hamdan-Mansour, A., Harazne, L., & Ayed, A. (2025). Effectiveness of high-fidelity simulation on practice, satisfaction, and self-confidence among nursing students in mental health nursing class. BMC Nursing, 24, 622. https://doi.org/10.1186/s12912-025-03300-9
Jeffries, P. R. (2021). The NLN Jeffries simulation theory (2nd ed.). Wolters Kluwer.
Korkmaz, E. K., et al. (2025). The effect of repeated simulation-based disaster education on nursing students' self-efficacy in disaster response. BMC Nursing.
Koukourikos, K., Tzeha, L., Pantelidou, P., & Tsaloglidou, A. (2021). Simulation in clinical nursing education. Acta Informatica Medica, 29(1), 15-20.
Kuesakul, K., et al. (2024). Evaluation of antenatal simulation-based learning on satisfaction and self-confidence levels among Thai undergraduate nursing students during the COVID-19 pandemic: A mixed-method study. BMC Nursing.
Mahou, F. Z., et al. (2024). The effects of screen-based simulation on nursing students' learning outcomes. BMC Nursing.
Mikkonen, K., Tomietto, M., & Watson, R. (2022). Instrument development and psychometric testing in nursing education research. Nurse Education Today, 119, 105603. https://doi.org/10.1016/j.nedt.2022.105603
Mishra, R., et al. (2023). Simulation-based learning in nursing curriculum. BMC Medical Education.
Mulyadi, M., Tonapa, S. I., Rompas, S. S. J., Wang, R. H., & Lee, B. O. (2021). Effects of simulation technology-based learning on nursing students' learning outcomes: A systematic review and meta-analysis of experimental studies. Nurse Education Today, 107, 105127. https://doi.org/10.1016/j.nedt.2021.105127
Nasiri, S., et al. (2025). Impact of flipped classroom-based simulation of cardiopulmonary resuscitation on self-confidence, satisfaction, knowledge, and skills of nursing students. BMC Medical Education.
Ozata, K., et al. (2025). Effects of high-fidelity simulation and e-learning methods on nursing students' self-efficacy in patient safety: A quasi-experimental study. BMC Nursing.
Saragih, I. D., et al. (2024). Outcomes of scenario-based simulation courses in nursing education: A systematic review and meta-analysis. Nurse Education Today.
Tadesse, L., et al. (2023). A global mandate to strengthen emergency, critical and operative care. Bulletin of the World Health Organization.
Toqan, D., Ayed, A., Khalaf, I. A., & Alsadi, M. (2023). Effect of high-fidelity simulation on self-satisfaction and self-confidence among nursing students. SAGE Open Nursing, 9, 23779608231194403.
Tong, L. K., et al. (2024). Effects of manikin-based and computer-based simulations on nursing students' learning outcomes: A multicenter randomized controlled trial. BMC Nursing.
World Health Organization. (2023). Emergency care. World Health Organization.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Rohandi Baharuddin, Fatima Ura Pabanne, Revi Yulia
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
