@misc{10481/112234,
year = {2026},
month = {3},
url = {https://hdl.handle.net/10481/112234},
abstract = {Background: Clinical simulation is widely used in nursing education but is less frequently implemented in pri-mary care contexts.

Aim: To examine pre-post changes in knowledge and student satisfaction after a student-designed primary-care role-play simulation with Plus/Delta debriefing.

Methods: Quasi-experimental pretest-posttest study without a control group in a pre-licensure nursing course. Knowledge was assessed with a 12-item test completed before the first and after the final session (n = 103 paired). Satisfaction was collected after the activity (n = 73). Wilcoxon signed-rank tests (effect size r) and Spearman correlations were used.

Results: Knowledge scores increased from pre- to post-test (p < .001; r = .519). Lower baseline scores were associated with larger gains (r = -.447; p < .001), suggesting potential ceiling effects. Among respondents, 91.7% reported being satisfied/very satisfied.

Conclusions: A learner-designed primary-care simulation paired with Plus/Delta debriefing was associated with higher knowledge scores and high satisfaction. Controlled and longitudinal studies are warranted to confirm effectiveness and examine skill transfer."},
organization = {University of Granada/CBUA},
publisher = {Elsevier},
keywords = {Debriefing},
keywords = {Nursing education},
keywords = {Primary care},
keywords = {Role-play},
keywords = {Simulation},
title = {Student-designed primary care role-play simulation with Plus/Delta debriefing: A quasi-experimental pretest-posttest study in pre-licensure nursing education},
doi = {10.1016/j.teln.2026.02.015},
author = {Galarreta-Aperte, Sergio and Gómez-Torres, Piedad and Rúger-Navarrete, Azahara and Gómez Urquiza, José Luis and García Oliva, Sofía and Ramón-Arbués, Enrique and Membrive Jiménez, María José},
}