Abstract
Ultrasound examinations are increasingly widespread in clincial settings as the relevant equipment becomes more miniaturized, leading to the development of portable ultrasound diagnostic devices (portable echoes). Point-of-care ultrasound (POCUS) is a safe and powerful tool for physicians, nurses, and other ultrasound-trained healthcare providers. However, ultrasound education is not standardized across nursing programs, and sometimes not even incorporated into the curricula. Hence, we currently know little regarding the effectiveness of ultrasound education for nursing students. To determine whether bladder ultrasound simulation exercises sustainably improve clinical ultrasound performance among nursing students, we conducted evaluations before and after training, and then performed follow-up evaluations one month later . This is the first study to demonstrate that a simulation exercise of bladder ultrasound examinations can sustainably improve nursing students’ POCUS use in a clinical setting. We obtained the following specific findings. First, clinical performance improved significantly, measured in equipment knowledge proficiency, image optimization, image interpretation, systematic examination, examination documentation, and medical decision-making. Second, simulation exercises were effective in increasing self-confidence among nursing students and promoting an independent learning attitude. The results of this study should enhance nursing education through demonstrating the efficacy of ultrasound simulations as a pedagogical tool. We expect that including simulations will encourage nursing programs to include ultrasound training as part of their curricula and contribute to the development of nursing science.