Effect of Simulation-Based Learning on Critical Care Nurses’ Adherence to SKINCARE Bundle | ||
| Assiut Scientific Nursing Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 12 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asnj.2025.416431.2157 | ||
| Authors | ||
| Asmaa Elnosary* 1; Shimaa Awad1; Hend Wageh Abozed2; Eman Yasser Hammouda3 | ||
| 1Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Mansoura City, Egypt | ||
| 2Lecturer of Pediatric Nursing, Faculty of Nursing, Mansoura University, Mansoura City, Egypt | ||
| 3Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Mansoura City, Egypt. | ||
| Abstract | ||
| Background: Pressure injuries remain a significant concern in critical care settings, contributing to patient morbidity, increased healthcare costs, and prolonged hospital stays. Adherence to evidence-based prevention strategies, such as the SKINCARE bundle, is essential to mitigate these adverse outcomes. Nevertheless, achieving consistent implementation among critical care nurses can be challenging. Aim of the Study: This study aimed to evaluate the effect of simulation-based learning utilizing low-fidelity simulation techniques on nurses’ adherence to the SKINCARE bundle for pressure injury prevention. Method: A quasi-experimental one-group (pre–post-test) design was employed with 54 nurses working in the intensive care units of a university hospital in Egypt. Data were collected by using one tool: Simulation-based evaluation checklist for nurses’ adherence to the SKINCARE bundle. Results: Post-intervention findings revealed a statistically significant improvement in nurses’ adherence to the SKINCARE bundle compared to pre-intervention levels (p < 0.001). These results highlight the effectiveness of simulation-based education in translating theoretical knowledge into enhanced clinical practice. Conclusion and Recommendation: Simulation-based learning is an effective educational strategy for enhancing critical care nurses' adherence to the SKINCARE bundle. These findings highlight the importance of continuous and innovative educational approaches to ensure the consistent application of evidence-based practices, ultimately leading to improved patient outcomes and quality of care in critical care environments. The study reinforces the need for healthcare institutions to invest in and integrate simulation-based training into their ongoing professional development programs for nursing staff. | ||
| Keywords | ||
| Simulation-Based Learning; Critical Care Nurses; Adherence; SKINCARE Bundle | ||
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