Zombie apocalypse simulation: elevating mental health nursing education.

Abstract

Abstract Background The dilution of mental health nursing (MHN) skills is a growing concern in nursing education. Simulation-based learning (SBL) offers a potential solution to enhance MHN-specific competencies. Aim This study aims to evaluate the effectiveness of SBL in improving MHN students' confidence, clinical decision-making, and readiness for practice through an innovative mass casualty zombie apocalypse scenario. It addresses the dilution of MHN skills in nursing education and demonstrates how SBL can better prepare students for real-world mental health care challenges. Methods This mixed-methods study assessed the impact of SBL on MHN students’ skills in assessment, risk management, and clinical decision-making. Quantitative data were gathered using Likert scale questionnaires, and qualitative data were obtained from open-ended questions. Both sets were analyzed to evaluate changes in student confidence and reflections on the simulation experience. Results Pre- and postquestionnaires showed significant improvements in student confidence, clinical decision-making, and readiness for practice. Qualitative feedback highlighted enhanced critical thinking and key MHN skills. Conclusions SBL enhances MHN students' competence, bridging theory-practice gaps and improving mental health care outcomes.