Purpose
Hybrid simulation has emerged to increase the practicality of simulation training by combining simulators and standardized patient (SP) that implement realistic clinical environments at a high level. This study aimed to develop a hybrid simulation program focused on case of pediatric cardiac catheterization and to evaluate its effectiveness. Methods: The hybrid simulation program was developed according to the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model. And deep learning-based analysis program was used to analyze non-verbal communication with SP and applied it for debriefing sessions. To verify the effect of the program, a quasi-experimental study using a random assignment design was conducted. In total, 48 nursing students (n=24 in the experimental group; n=24 in the control group) participated in the study.
Results
Knowledge (F=3.53, p=.038), confidence in clinical performance (F=9.73, p<.001), and communication self-efficacy (F=5.20, p=.007) showed a significant difference in both groups and interaction between time points, and the communication ability of the experimental group increased significantly (t=3.32, p=.003).
Conclusion
Hybrid simulation program developed in this study has been proven effective, it can be implemented in child nursing education. Future research should focus on developing and incorporating various hybrid simulation programs using SP into the nursing curriculum and evaluating their effectiveness.

Citations

• Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
  Hee Young Kim, Soon Hyun Myung, In Young Cho
  Nurse Education in Practice.2025; 84: 104294.     CrossRef
• The role of artificial intelligence in shaping nursing education: A comprehensive systematic review
  Jiatian Ma, Jiamin Wen, Ying Qiu, Yuling Wang, Qiao Xiao, Tingting Liu, Dong Zhang, Yangyang Zhao, Zebang Lu, Zhiling Sun
  Nurse Education in Practice.2025; 84: 104345.     CrossRef
• Developing scales for clinical emotional intelligence and clinical competency and initial testing in a randomized controlled trial with hybrid simulation
  Jefferson Garcia Guerrero
  Nurse Education in Practice.2025; 87: 104450.     CrossRef
• Clinical simulation in teaching nursing students: Scoping review
  Daniel Ferreira, Delfina Borges, Maria José Oliveira, Paula Flores, Hélder Cunha, Mafalda Silva
  Athena Health & Research Journal.2025;[Epub]     CrossRef

Purpose
This study aimed to clarify the factors related to mothers' decisions to provide disease explanations to their children, investigate the associations between those factors and social adaptive skills, and examine support relative to children's growth and development.
Methods
Data were collected from anonymous, self-administered questionnaires answered by 71 mothers of outpatient school-aged children with congenital heart disease. The questionnaire items included characteristics of mothers and children, decision factors for providing disease explanations, and children's social adaptive skills (Asahide-Shiki social adaptive skills test). Factor analysis was performed on the decision factors, and multiple regression analysis was performed to examine the association between the identified factors and each social adaptive skill.
Results
The decision factors for providing disease explanations were the mother's explanation ability, the receptive capability of the child, and the child's interest and literacy regarding the explanation. Multiple regression analysis showed that language and social life skills were significantly associated with the child's receptive capability, and language and daily life skills were significantly associated with the child's interest and literacy regarding the explanation.
Conclusion
Improving children's language, social life, and daily life skills may enhance their receptive capability and literacy regarding explanations of their disease.

Citations

• Social Life and Communication Skills of School-Age Children with Congenital Hearing Loss Who Received Cochlear Implants at an Advanced Age
  Kyoko Shirai, Yusuke Saito, Keiichi Satoh, Ayako Tomizawa, Naoko Nonami, Sachi Maeda, Nobuhiro Nishiyama, Ryota Tomioka, Kiyoaki Tsukahara
  Audiology and Neurotology.2025; 30(3): 282.     CrossRef
• Health Literacy and Its Impact on Self-Care of Children With Congenital Heart Disease
  Yorman M. Gomez, Lisa K. Sharp, Pamela Martyn-Nemeth, Linda G. Park, Karen M. Vuckovic
  Journal of Cardiovascular Nursing.2024; 39(6): 517.     CrossRef