Background: The expanding usage of technology in healthcare education has permitted
the creation of simulation as one of the innovative educational methods in healthcare educational
programs. Simulation has been valued to have a significant impact in improving the learning
environment by using real-life scenarios with different and suitable fidelity types- low, medium or
high- to fulfill the intended learning outcomes for undergraduate as well as postgraduate students.
Aim of study: to compare between low -fidelity simulation and high -fidelity simulation
regarding nursing students' self-confidence, achievement and satisfaction. Research design: A
comparative research design was utilized. Sample: A convenient sample of 102 nursing students
(51 for each group) was included in the current study. Setting: This study was carried out at the
learning and simulation laboratories at Nursing Faculty, Modern University for Technology and
Information. Three tools were utilized for data collection: Tool I: Student Satisfaction and Self-
Confidence in Learning to assess the students' self-confidence level with the simulation. Tool II:
Adult Cardiopulmonary Resuscitation (CPR) achievement observational checklist to assess
nursing students' CPR achievement. Tool III: The Satisfaction with Simulation Experience Scale
to measure student satisfaction with simulation. Results: revealed that more than three quarters
of the studied nursing students had high confidence level for both groups. Meanwhile, less than
half of the studied nursing students had competent level for low fidelity group compared to more
than three quarters had competent level for high fidelity group. Most of the studied students were
satisfied with both low and high fidelity. Conclusion: Nursing Students' self-confidence was
equal in both low and high fidelity simulation groups. Meanwhile, the nursing Students'
achievement in Cardiopulmonary Resuscitation (CPR) was significantly increased with the use of
high fidelity simulation compared to low fidelity simulation. Moreover, nursing students'
satisfaction was slightly higher in low fidelity simulation compared to high fidelity simulation
group. Recommendation: Future studies are recommended to:
evaluate nursing instructors'
perception, knowledge, self-confidence and satisfaction regarding
high fidelity simulation as a
teaching and evaluating tool