Effect of High-Fidelity Simulation on Nursing Proficiency in Managing Acute Cirrhotic Emergencies

Eman Mukhtar Mohammed Gabr1a-b, Hanaa Farahat Ibrahim Ahmed2, Gehan Abd elfattah Atia Elasrag3a-b, Hadaiea Ismail Abo Baker Ismail4a-b, Ghada Sobhy Hassan5a-b, Mohsen Mohamed Elsayed Zidan6a-b, Manal Mohamed Ahmed Ayed7, Shymaa Helmy Ahmed8

1aAssistant Professor of Medical Surgical Nursing department at North Private College of Nursing, Arar, Saudi Arabia.
1bPHD, Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
Email: emangabr681@gmail.com
ORCID: 0009-0005-5686-6967
2Lecturer in Medical-Surgical Nursing, Nursing College, Badr University in Cairo.
3aAssistant Professor in Medical-Surgical Nursing Department, Faculty of Nursing, Jouf University, Sakākā, Jouf, Saudi Arabia.
3bMedical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt.
Email: gehanatia@ju.edu.sa
ORCID: 0000-0003-3164-5920
4aAssistant Professor, Nursing Department, North Private College of Nursing, Arar, Northern Border, Saudi Arabia
4bPhD, Medical Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt
Email: Hadaieaismail@nec.edu.sa
ORCID iD: 0009-0006-7400-5631
5aAssistant Professor of Family and Community Health Nursing, Faculty of Nursing, Ain Shams University, Egypt.
5bNursing Department, North Private College of Nursing, Arar, Saudi Arabia.
Email: dr.ghada.sobhy@nursing.asu.edu.eg
ORCID: https://orcid.org/0000-0002-7520-584X
6aLecturer of Gerontological Nursing, Faculty of Nursing, Zagazig University, Egypt.
6bAssistant Professor of Nursing, Nursing Department, University of Tabuk, KSA.
Email: profmohsen5@gmail.com
ORCID: https://orcid.org/0000-0002-2514-353X
7Professor of Pediatric Nursing, Faculty of Nursing, Sohag University, Sohag, Egypt.
Email: Manal_ayed@yahoo.com
ORCID: https://orcid.org/0000-0003-0922-5823
8Assistant Professor of Adult Nursing, Faculty of Nursing, Qena University

Received: ; Revised: ; Accepted: ; Available Online:

ABSTRACT

Background: Acute cirrhotic emergencies, such as variceal bleeding and hepatic encephalopathy, require rapid and expert nursing intervention. High-fidelity simulation offers an immersive environment to bridge the gap between theory and clinical practice.

Aim: This study aimed to evaluate the effect of high-fidelity simulation on nursing proficiency in managing acute cirrhotic emergencies.

Methods: A quasi-experimental design was utilized. A convenient sample of 100 nursing nurses was divided into an experimental group (Received High-Fidelity Simulation-based training) and a control group (Received traditional lecture-based). The study was conducted at Faculty of Nursing Laboratories equipped with advanced computerized manikins that can simulate vital signs and physiological responses of cirrhotic patients. Tools: Tool I: Self-Administered Knowledge Questionnaire, Tool II: Observational Performance Checklist, Tool III: Lasater Clinical Judgment Rubric, and Tool IV: Simulation Satisfaction and Self-Confidence Scale.

Results: Post-intervention data showed a statistically significant improvement in the experimental group's mean scores regarding clinical performance and decision-making speed compared to the control group (p < 0.05).

Conclusion: High-fidelity simulation is an effective educational tool that significantly enhances nursing proficiency and confidence in handling high-acuity liver disease complications. Nursing faculties should integrate high-fidelity simulation as a mandatory component of critical care and emergency nursing courses.

Keywords: Acute Cirrhotic Emergencies, High-fidelity simulation, Nursing Proficiency.

How to cite this article: Gabr EMM, Ahmed HFI, Elasrag GAA, Ismail HIA, Hassan GS, Zidan MME, Ayed MMA, Ahmed SH, Effect of High-Fidelity Simulation on Nursing Proficiency in Managing Acute Cirrhotic Emergencies. Int J Drug Deliv Technol. 2026;16(4s): 387-396; DOI: 10.25258/ijddt.16.4s.48