Simulation-Based Learning Satisfaction and Clinical Decision Making among Staff Nurses in Iloilo City

Abstract

Background: Simulation-Based Learning (SBL) is widely used in nursing education to enhance clinical competence, confidence, and decision-making skills in a safe and controlled environment. Despite its growing use, limited local studies have examined its relationship with clinical decision-making among staff nurses in Iloilo City. Aims: This study aimed to determine the relationship between staff nurses’ satisfaction with Simulation-Based Learning and their clinical decision-making skills. Study Design: Descriptive-correlational design. Place and Duration of Study: Two selected private hospitals in Iloilo City, Philippines, between January and February 2026. Methodology: A total of 80 staff nurses were selected using purposive sampling. Data were collected using adopted and validated questionnaires measuring SBL satisfaction and clinical decision-making domains (apprehension, time pressure, and professional autonomy). Descriptive statistics were used to summarize the data, while the Kolmogorov-Smirnov test assessed normality. Spearman’s rho was used to determine the relationship between variables. Ethical clearance was secured prior to data collection. Results: Findings revealed that staff nurses had a high level of satisfaction with Simulation-Based Learning. Clinical decision-making skills were generally moderate, with professional autonomy rated high, while apprehension and time pressure were moderate. Statistical analysis showed no significant relationship between SBL satisfaction and clinical decision-making skills. Conclusion: Although staff nurses reported high satisfaction with SBL, it did not significantly influence their clinical decision-making skills. Enhanced simulation design, structured feedback, and continuous exposure are recommended to improve clinical competence.