Empowering Future Caregivers: A Study on Caregiving Simulation Shapes Students' Confidence and Communication Skills

A quantitative correlational research design was used in the study. For the study, a total of 183 high school students from the Lorenzo S. Sarmiento Sr. National High School in the Mawab District Secondary Schools were selected as the respondents of the study. The weighted mean, Spearman's rho product-moment correlation and multiple regression analysis was used for data treatment. The results showed that the students performed at a high level of caregiving simulation activities; content was rated highest and was followed by quality and organization of the caregiving simulation. Students also reported high levels of self-confidence, problem-solving, active learning, and communication skills. These results show that caregiving simulation can positively influence students' self-confidence and communication skills. Competence, discouragement, and body language were considerably rated. The results establish an important positive relationship between caregiving simulation and student confidence and body language skills, suggesting that if appropriately designed, simulations are effective for teaching caregiving.

Caregiving Simulation, Confidence, Communication Skills.

1. Agbo, C., et al. (2024). Reflective practice bolstering confidence in healthcare students. Reflective Practice, 25(2), 178–192. https://scholar.google.com/scholar?q=Reflective+practice+bolstering+confidence+Agbo+2024 [Google Scholar] [Crossref]

2. Ahmed, A. (2021). Anxiety and motivation loss in simulation-based learning. Journal of Educational Psychology and Simulation, 9(2), 45–58. https://scholar.google.com/scholar?q=Ahmed+2021+Anxiety+and+motivation+loss+in+simulations [Google Scholar] [Crossref]

3. Ahmed, A. (2021). Empathy and adaptability in caregiving education. Journal of Nursing Education and Practice, 11(4), 72–84. https://scholar.google.com/scholar?q= Ahmed+2021+Empathy+and+adaptability+in+caregiving+education [Google Scholar] [Crossref]

4. Al-Elq, A. (2023). Repeated simulations enhancing communication and teamwork. Journal of Interprofessional Education, 7(2), 98–110. https://scholar.google.com/scholar?q= Repeated+simulations+enhancing+communication+and+teamwork+Al-Elq [Google Scholar] [Crossref]

5. Alshammari, A., et al. (2022). Active listening strategies in caregiver interactions. Journal of Caring Sciences, 11(3), 145–156. https://scholar.google.com/scholar?q= Active+listening+strategies+in+caregiver+interactions+Alshammari [Google Scholar] [Crossref]

6. Alvarez, R., et al. (2021). Hands-on activities boosting knowledge application confidence. Journal of Experiential Learning, 14(2), 101–114. https://scholar.google.com/scholar? q=Handson+activities+boosting+knowledge+application+confidence [Google Scholar] [Crossref]

7. Ang, L. (2025). Passive learning hindering skills and confidence development. Asian Journal of Education, 6(1), 33–45. https://scholar.google.com/scholar?q=Passive+learning+hindering+skills+confidence+development [Google Scholar] [Crossref]

8. Anderson, T. (2022). Communication building a positive learning culture. Learning Environments Research, 25(1), 87–99. https://scholar.google.com/scholar?q=Communication+building+positive+learning+culture+Anderson [Google Scholar] [Crossref]

9. Anderson, T., & Patel, R. (2022). Emotional resilience in caregiving simulation training. Simulation in Healthcare, 17(4), 267–274. https://scholar.google.com/scholar?q=Emotional+resilience+in+caregiving+simulation+training [Google Scholar] [Crossref]

10. Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman. https://scholar.google.com/scholar?q=Bandura+1997+Self+efficacy+The+exercise+of+control. [Google Scholar] [Crossref]

11. Basilio, J. J. (2022). Social support and anxiety of senior high school students. Philippine Journal of Psychology, 55(1), 33–49. https://philarchive.org/rec/BASATO-4 [Google Scholar] [Crossref]

12. Bautista, L., et al. (2024). Repeated practice leading to long-term confidence retention. Nurse Education Today, 125, 105678. https://scholar.google.com/scholar?q=Repeated+practice+longterm+confidence+retention+Bautista [Google Scholar] [Crossref]

13. Borges, F., et al. (2023). Performance framework for simulations. Simulation & Gaming, 54(1), 67–85. https://scholar.google.com/scholar?q=Performance+framework+for+simulations+Borges+2023 [Google Scholar] [Crossref]

14. Brown, P. (2021). Communication enabling interaction and collaboration. Communication Education, 70(3), 287–301. https://scholar.google.com/scholar?q=Communication+ enabling+interaction+ collaboration+Brown+2021 [Google Scholar] [Crossref]

15. Burgoon, J. K., et al. (2021). Simulation training for nonverbal awareness. Human Communication Research, 47(3), 215–230. https://scholar.google.com/scholar?q=Simulation+training+for+nonverbal+awareness+Burgoon [Google Scholar] [Crossref]

16. Cant, R. P., & Cooper, S. J. (2010). Simulation-based learning in nurse education: Systematic review. Journal of Advanced Nursing, 66(1), 3–15. https://doi.org/10.1111/j.1365-2648.2009.05240. [Google Scholar] [Crossref]

17. Chen, Y., & Hung, H. (2023). Poor body language impairing training outcomes. International Journal of Training and Development, 27(1), 66–80. https://scholar.google.com/scholar?q=Poor+body+language+impairing+training+outcomes [Google Scholar] [Crossref]

18. Cheng, M., et al. (2024). Technology integration boosting self-assurance. Educational Technology Research and Development, 72(1), 45–61. https://scholar.google.com/scholar?q=Technology+integration+boosself-assurance [Google Scholar] [Crossref]

19. Chiu, M., & Burhan, A. (2024). Cultural sensitivity in caregiving simulation. International Journal of Multicultural Education, 26(1), 55–70. https://scholar.google.com/scholar?q=Cultural+sensitivity+caregiving+simulation+Chiu+Burhan [Google Scholar] [Crossref]

20. Choi, H. (2022). Teamwork outcomes in simulation-based learning. Journal of Nursing Management, 30(4), 812–820. https://scholar.google.com/scholar?q=Teamwork+outcomes+simulation-based+learning+Choi [Google Scholar] [Crossref]

21. Clay, R., et al. (2024). Confidence, debriefing, and realistic simulation scenarios. Simulation in Healthcare, 19(1), 44–52. https://scholar.google.com/scholar?q=Confidence+debriefing+realistic+simulation+Clay+2024 [Google Scholar] [Crossref]

22. Delgado, E., et al. (2024). Simulation in healthcare education: Advancing clinical competence. Journal of Healthcare Education, 18(2), 115–129. https://scholar.google.com/scholar?q=Delgado+2024+simulation+healthcare+education [Google Scholar] [Crossref]

23. Department of Education (DepEd). (2017). K to 12 TVL caregiving curriculum guide. https://www.deped.gov.ph/k-to-12-curriculum-guides [Google Scholar] [Crossref]

24. Department of Health (DOH). (2016). National objectives for health Philippines 2017–2022. https://doh.gov.ph/publications [Google Scholar] [Crossref]

25. Diaz, D. (2020). Withholding ideas in discouraged learners. Communication Education, 69(4), 456–472. https://scholar.google.com/scholar?q=Diaz+2020+Withholding+ideas+discouraged+learners [Google Scholar] [Crossref]

26. Echeverria, E., et al. (2025). AI-guided debriefing enhancing reflective confidence. Journal of Nursing Education Technology, 14(1), 22–34. https://scholar.google.com/scholar?q=AI-guided+debriefing+enhancing+reflective+confidence [Google Scholar] [Crossref]

27. Fernandez, F. (2024). Professional readiness through discouragement mitigation. Nurse Educator, 49(2), 89–104. https://scholar.google.com/scholar?q=Professional+readiness+discouragement+mitigation + Fernandez+2024 [Google Scholar] [Crossref]

28. Gaspar, G., & Banayat, B. (2024). High confidence in Filipino nursing students during critical care simulation. Acta Medica Philippina, 58(2), 122–131. https://scholar.google.com/scholar?q=Gaspar+Banayat+2024+confidence+Filipino+nursing+students [Google Scholar] [Crossref]

29. Gonzalez, G. (2020). Reflection as a tool for communication growth. Reflective Practice, 21(5), 678–692. https://scholar.google.com/scholar?q=Reflection+as+a+tool+for+communication + growth+ Gonzalez+2020 [Google Scholar] [Crossref]

30. Haugland, T., et al. (2022). Collaborative learning fostering social skills. Educational Psychology Review, 34(2), 655–672. https://scholar.google.com/scholar?q=Collaborative+learning+fostering+social+skills+Haugland+2022 [Google Scholar] [Crossref]

31. Lee, U., Choi, H., & Jeon, Y. (2021). Nursing students’ experiences with computer simulation-based communication education. International Journal of Environmental Research and Public Health, 18(6), 3108. https://doi.org/10.3390/ijerph18063108 [Google Scholar] [Crossref]

32. Nguyen, T. T. T., Duong, T. T. K., Tran, H. T., Ton, D. N. M., Mai, H. B., Nguyen, P. T. A., Ho, B. D., & Ho, T. T. T. (2024). Effects of standardized patient simulation and mobile applications on nursing students’ clinical competence, self-efficacy, and cultural competence. International Journal of Environmental Research and Public Health, 21(4), 515. https://doi.org/10.3390/ijerph21040515 [Google Scholar] [Crossref]

33. Oanh, T. T. H., Thuy, L. T., & Huyen, N. T. T. (2024). The effect of simulation-based training on problem-solving skills, critical thinking skills, and self-efficacy among nursing students in Vietnam: A before-and-after study. Journal of Educational Evaluation for Health Professions, 21, 24. Sharma, R., & Rani, S. (2021). Simulation-based learning and student communication outcomes. https://doi.org/10.3390/ijerph18063108 [Google Scholar] [Crossref]

34. Takahashi, Y., & Mori, K. (2022). Communication barriers in caregiving simulations among students. International Journal of Research and Innovation in Social Science. https://dx.doi.org/10.47772/IJRISS.2025.90300144 [Google Scholar] [Crossref]

35. Unver, V., et al. (2023). Simulation-based confidence gains in complex skills. Nursing Education Perspectives, 44(3), 189–205. https://doi.org/10.1097/01.NEP.0000000000001023 [Google Scholar] [Crossref]

36. Yilmaz, A., & Carter, J. (2022). Active engagement promoting self-assurance. Journal of Nursing Education, 61(6), 345–358. https://doi.org/10.3928/01484834-20220503-02 [Google Scholar] [Crossref]

37. Zhang, Y., Li, X., Wang, H., & Chen, L. (2022). Empathy and listening in Chinese simulation caregiving. Frontiers in Psychiatry, 13, 938461. https://doi.org/10.3389/fpsyt.2022.938461 [Google Scholar] [Crossref]

38. Zhou, Z. (2020). Handling stress through competence. Journal of Applied Psychology, 105(6), 678–692. https://doi.org/10.1037/apl0000482 [Google Scholar] [Crossref]

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