The Comprehensive Healthcare Education Simulation Tool (CHEST): A validity and reliability study in nursing education

Abstract

BackgroundSimulation-Based Learning (SBL) is vital in nursing education, bridging theory and practice to prepare students for complex care scenarios. However, existing tools often fail to evaluate cultural relevance, engagement, and motivation comprehensively. AimThis study introduces the Comprehensive Healthcare Education Simulation Tool (CHEST), designed to holistically assess SBL experiences, including faculty support, student engagement, motivation, and cultural alignment. MethodsA cross-sectional study was conducted with 204 nursing students enrolled in SBL courses. The psychometric properties of CHEST were examined using reliability analysis and construct validity assessment. ResultsCHEST demonstrated high reliability, with Cronbach's alpha values of 0.967 for SBL, 0.955 for engagement, and 0.953 for motivation, and an overall value of 0.981. These findings validate CHEST as a robust instrument for assessing diverse dimensions of SBL. ConclusionsCHEST addresses critical gaps in current tools by evaluating cultural and motivational factors, providing nursing educators with actionable data to enhance SBL environments. Widespread adoption could improve simulation-based programs, better prepare nursing students for real-world healthcare demands.