Impact of a Home-Based Nursing Simulation Program on Nursing Skills for Preventing Frailty in Elderly Patients

Overview

This study evaluates a home-visit nursing simulation program aimed at enhancing nursing students' competencies in preventing frailty among older adults. Significant improvements were observed in clinical judgment and performance post-simulation, highlighting the program's effectiveness.

Background

Frailty in older adults is a critical health issue that can lead to severe outcomes, including increased mortality. With a growing elderly population, it is essential for nursing students to develop competencies that address the multifaceted needs of frail individuals. This study explores an innovative educational strategy to equip future nurses with the necessary skills for community health settings.

Data Highlights

The study involved 50 undergraduate nursing students and utilized a quasi-experimental pre-post design. Significant improvements were noted in clinical judgment and performance, while self-efficacy did not show a statistically significant change.

Key Findings

• Home-visit nursing simulation significantly improved clinical judgment among nursing students.
• Clinical performance also showed marked enhancement post-simulation.
• Self-efficacy did not demonstrate a statistically significant change after the simulation.
• Simulation quality positively correlated with improvements in clinical judgment and performance.
• Only 4.8% of existing simulation modules address community health nursing, indicating a gap in training.

Clinical Implications

The findings suggest that integrating home-visit simulations into nursing education can effectively enhance critical skills necessary for managing frailty in older adults. Educators should consider adopting such simulation-based strategies to better prepare nursing students for real-world challenges in community health.

Conclusion

The home-based nursing simulation program shows promise as an effective educational tool for improving nursing competencies related to frailty prevention. Further research is needed to explore its long-term impact on nursing practice.

Related Resources & Content

1. JMIR Medical Informatics, 2026 -- Implementation of a Multidevice Telemonitoring Program for Home-Based Nursing Care in Quebec: Qualitative Report
2. Frontiers in Medicine, 2026 -- Effects of unfolding case-based simulation in obstetrics and gynecology internships on caring ability and caring behaviors: a quasi-experimental study
3. Frontiers in Medicine, 2026 -- Evaluation of the implementation of clinical simulation as a learning tool: An 18-month experience at a university hospital
4. Integrated care for older people (ICOPE), 2nd ed -- Guidance for person-centred assessment and pathways in primary care
5. Effect of multicomponent exercise and nutrition intervention on frailty status in older adults: a network meta-analysis - PubMed
6. npj Digital Medicine — Collaborative Design with Frail Residents of Nursing Homes to Enhance a VR-Based Physio-Cognitive Intervention through Gamification
7. Integrated care for older people (‎ICOPE)‎: guidance for person-centred assessment and pathways in primary care, 2nd ed
8. Effect of multicomponent exercise and nutrition intervention on frailty status in older adults: a network meta-analysis - PubMed
9. Effects of a simulation-based learning tool (serious game) on nursing students' knowledge of risk of falls and prevention in older adults: the PREVISS-GAME multicentre, randomized, controlled trial - ScienceDirect