Authors : Lin Bin

Volume/Issue : Volume 11 - 2026, Issue 2 - February

Google Scholar : https://tinyurl.com/ycypasbd

Scribd : https://tinyurl.com/38e75dz3

DOI : https://doi.org/10.38124/ijisrt/26feb120

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Clinical simulation has emerged as a vital pedagogical approach in nursing education and professional development, particularly for preparing nurses to manage high-risk and time-sensitive clinical situations. Diabetic patient deterioration represents one such scenario, requiring rapid assessment, accurate clinical judgment, and confident decision-making to prevent adverse outcomes. This study aimed to examine the extent of nurses’ clinical simulation exposure and determine how such exposure influences their self-confidence in managing diabetic patient deterioration events. A descriptivecorrelational research design was employed to gather data from registered nurses working in various clinical settings. Respondents completed a validated questionnaire that assessed (1) the frequency, type, and fidelity level of clinical simulation activities they had experienced, and (2) their perceived self-confidence in recognizing early signs of deterioration, performing timely interventions, communicating with the healthcare team, and safely executing clinical procedures. Descriptive statistics were used to profile the participants and summarize their simulation exposure, while inferential analysis examined the relationship between simulation engagement and self-confidence levels. Findings revealed that nurses who frequently participated in structured simulation activities—particularly highfidelity and scenario-based simulations—demonstrated significantly higher self-confidence in managing diabetic emergencies. Simulation exposure was positively associated with improved situational awareness, enhanced critical thinking, and increased readiness to perform rapid interventions such as glucose monitoring, medication administration, and escalation of care. Participants also reported that simulation experiences reduced anxiety, reinforced clinical guidelines, and improved their ability to work effectively within interprofessional teams during deterioration events. The study underscores the importance of integrating regular, realistic, and competency-based simulation training into both pre-service nursing education and continuing professional development programs. Strengthening simulation curricula can enhance nurses’ clinical preparedness, promote safer patient care practices, and ultimately contribute to reducing morbidity associated with diabetic deterioration. Future research is recommended to explore longitudinal effects of simulation exposure, compare outcomes across fidelity levels, and examine how simulation-based training influences actual clinical performance in real-world settings.

Keywords : Clinical Simulation, Diabetic Patient Deterioration, Emergency Management, Nursing Competence, Nursing Education, Patient Safety, Self-Confidence, Simulation-Based T.

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