Effectiveness of home-visit-based simulation nursing education in preventing frailty among older adults

Abstract Background Limited opportunities for direct client interaction during community health nursing practicums limit nursing students' ability to deliver appropriate home-visit care to frail older adults. This study aimed to preliminarily examine the associations of a home-visit simulation-based nursing education program for frailty prevention with student outcomes and practicum satisfaction. Methods A quasi-experimental single-group pretest–posttest design was used. Thirty third-year nursing students participated in a simulation program focused on home-visit care for frailty prevention. Perceived education quality, self-efficacy, clinical performance, frailty-related knowledge, clinical judgment, and practicum satisfaction were assessed. Multiple regression analysis was conducted to examine the associations between education quality and student outcomes. Results Higher simulation education quality was associated with greater self-efficacy (β = 0.42, p = .021) and clinical performance (β = 0.64, p < .001). No significant associations were observed for frailty-related knowledge or clinical judgment. Education quality was also associated with practicum satisfaction, explaining 44% of the variance (β = 0.62, p < .001). Conclusion Higher perceived quality of home-visit simulation-based education was associated with higher levels of self-efficacy, clinical performance, and practicum satisfaction, suggesting its potential value in frailty prevention training.