Impact of coronavirus pandemic to cultivate self-discipline and self-directed learning in junior nurse students through high-fidelity simulation: a descriptive qualitative study

Background: The coronavirus pandemic has forced a shift to virtual modes of education, which presents new challenges for students to maintain good learning attitudes and commitment. Self-discipline (SD) and self-directed learning (SDL) are crucial components for individual and professional development. High-fidelity simulation (HFS), an innovative teaching method commonly used in nursing education, can optimize patient outcomes and develop intellectual skills for clinical judgment and decision-making. Aim: This study aimed to explore factors associated with the development of SD and SDL through HFS in junior students. Methods: This descriptive qualitative study recruited 22 students who had no HFS or clinical experience for small group interviews through purposive sampling. Results: Four main themes were derived: 1) self-consciousness, 2) self-motivation and self-efficacy, 3) adequate support and guidance for learning, and 4) a sense of realism in clinical setting. These themes highlighted the importance of individual initiatives and educator involvement in developing SD and SDL for students' lifelong learning. Conclusion: HFS provides an effective platform for students to understand their roles and enhance their competence in managing clinical situations, thereby, ensuring the optimal effective of HFS. Therefore, the development of SD and SDL abilities through HFS should be encouraged in nursing curriculums to cultivate professionalism and accountability, even for junior-year students. The involvement of educators is essential for the optimal effectiveness of HFS. The study recommends that policymakers and higher management provide a well-planned HFS training program with adequate resources and manpower to accommodate the changing healthcare services. HFS is a useful tool for staff training to enhance the competence of various healthcare professionals, including nurses, in providing high-quality and appropriate patient care. Policymakers and educators should work together to incorporate HFS into nursing curriculums and provide the necessary resources to ensure its effectiveness. Ultimately, this will benefit healthcare professionals and patients by enhancing professionalism and improving patient outcomes.