August 21, 2025Nursing ReportsOpen Access

Simulated Learning, Real Emotions: The Impact of Simulation-Based Education on Nursing Students’ Stress Levels During Objective Structured Clinical Examination: A Longitudinal Observational Cohort Study

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Greater simulation experience is linked to lower stress indicators, improving preparedness during assessments.
Heart rate and cortisol levels significantly decreased among students with more simulation hours, with p values indicating strong associations.
Cross-sectional study analyzed 113 nursing students over three years, measuring stress and anxiety during exams to assess educational impact.
Simulation-based education shows promise in lowering stress but anxiety levels remained consistently high across all groups.

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Longitudinal analysis shows simulation-based education reduces stress in nursing students during exams, indicating its benefit for clinical practice.

Hebel et al. (2025) studied this question.

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Longitudinal analysis shows simulation-based education reduces stress in nursing students during exams, indicating its benefit for clinical practice.