Comparison of the effects of role-playing, small group discussion, and traditional teaching methods on nursing students’ self-efficacy

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Udgivet i:BMC Medical Education vol. 25 (2025), p. 1-9
Hovedforfatter: Fallah-Karimi, Samaneh
Andre forfattere: Ghaljaie, Fereshteh, Khalilzadeh-Farsangi, Zahra
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Springer Nature B.V.
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07996-w  |2 doi 
035 |a 3268438353 
045 2 |b d20250101  |b d20251231 
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100 1 |a Fallah-Karimi, Samaneh 
245 1 |a Comparison of the effects of role-playing, small group discussion, and traditional teaching methods on nursing students’ self-efficacy 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a Background and aimSelf-efficacy is a key component in developing professional readiness among nursing students. It plays a crucial role in enhancing clinical performance, decision-making quality, and self-confidence. Therefore, identifying and applying effective educational methods to improve this capability is one of the major challenges in nursing education systems. This study aimed to compare the effectiveness of three teaching approaches—role-playing, small group discussion, and traditional instruction—on the self-efficacy of nursing students.MethodsThis Quasi-experimental study with three groups was conducted on 90 nursing students at Zahedan University of Medical sciences, Iran. Participants were randomly assigned to groups by drawing a card: red card (role-playing), yellow card (group discussion), and green card (traditional teaching). In the traditional teaching group, the educational content was delivered through lecture and PowerPoint presentation. In the group discussion method, students were divided into subgroups of six, and each subgroup was provided with a clinical scenario related to the topic. With the guidance of a facilitator, the subgroups engaged in discussion and exchange of ideas about the scenario. In the role-playing method, students were divided into groups of four, and each member assumed one of the roles: nurse, parent, child, or observer. Each group received a structured clinical scenario related to the subject, and the students enacted the assigned roles and performed the scenarios. Data were collected using the Clinical Self-Efficacy Questionnaire, completed by all students before and three months after the intervention.ResultsThe present study demonstrated the clear superiority of active learning methods, particularly role-playing, over traditional teaching in enhancing nursing students’ self-efficacy. Role-playing, by providing a safe environment for practice, led to a 55.7% improvement in self-efficacy (p < 0.001, d = 1.55) and enhanced students’ professional confidence. Group discussion was also effective, resulting in a 50.9% improvement (p = 0.02), whereas traditional teaching yielded only a negligible 0.8% increase (p = 0.78).ConclusionThe findings suggest that using active and interactive teaching methods—especially role-playing—can effectively enhance nursing students’ self-efficacy. These results can be utilized in designing student-centered and participatory educational programs. 
651 4 |a Iran 
653 |a Students 
653 |a Nursing education 
653 |a Collaboration 
653 |a Teaching methods 
653 |a Communication 
653 |a Nurses 
653 |a Cognition & reasoning 
653 |a Skills 
653 |a Role playing 
653 |a Simulation 
653 |a Active learning 
653 |a Health education 
653 |a Decision making 
653 |a Data collection 
653 |a Self-efficacy 
653 |a Critical thinking 
653 |a Problem based learning 
653 |a Independent study 
653 |a Pediatric nursing 
653 |a Nursing skills 
653 |a Educational Quality 
653 |a Group Discussion 
653 |a Grade Point Average 
653 |a Environment 
653 |a Educational Research 
653 |a Learning Strategies 
653 |a Educational Methods 
653 |a College Faculty 
653 |a Communication Skills 
653 |a Job Skills 
653 |a Interpersonal Relationship 
653 |a Ethics 
653 |a Instructional Effectiveness 
653 |a Data Analysis 
653 |a Evaluative Thinking 
653 |a Course Content 
653 |a Learner Engagement 
653 |a College Science 
653 |a Fidelity 
653 |a Educational Strategies 
700 1 |a Ghaljaie, Fereshteh 
700 1 |a Khalilzadeh-Farsangi, Zahra 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-9 
786 0 |d ProQuest  |t Healthcare Administration Database 
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856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3268438353/fulltext/embedded/Q8Z64E4HU3OH5N8U?source=fedsrch 
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