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. 2023 Sep 28;22:344. doi: 10.1186/s12912-023-01515-2

Table 2.

Factor loadings of the modified ESSAF-scale and correlation matrix

N = 425 F1 F2 F3 F4 F5 F6
V9.    Simulation will help me to establish priorities for action in clinical situations. 0.960 0.050 -0.304 -0.303 0.030 -0.235
V15. Simulation enables effective patient care planning 0.739 -0.038 0.103 0.007 -0.035 0.101
V19. This experience will help me to prioritize care 0.714 0.078 -0.091 -0.064 -0.098 0.021
V10.  Simulation will improve my ability to provide care to my patients. 0.648 0.014 -0.142 -0.042 0.285 -0.084
V14. Simulation is beneficial because it relates theory to practice. 0.635 0.125 0.189 0.032 -0.085 0.109
V16. Simulation will improve my technical skills 0.563 -0.155 0.013 0.201 0.263 -0.127
V29. Debriefing helps to correct mistakes 0.078 0.834 0.072 0.150 0.117 -0.123
V28. Debriefing allows for reflection on cases 0.265 0.740 0.382 -0.035 -0.036 0.003
V27. The teacher always gives constructive feedback after each simulation session -0.341 0.529 0.044 -0.058 0.405 -0.085
V2. The objectives of the simulation of the cases are clear -0.126 0.132 0.566 -0.138 0.406 -0.100
V1. The simulation classrooms where the cases take place are real -0.103 -0.033 0.564 -0,007 0.172 -0.143
V7.    Simulation is useful for assessing a patient’s clinical situation 0.218 0.002 0.445 0.062 0.107 -0.164
V18. Simulation will help me to assess the patient’s condition 0.300 -0.117 0.436 0.241 -0.002 0.065
V12. Simulation will improve the ability to work with the equipment -0.215 0.141 -0.101 0.998 0.155 0.111
V17. The simulation will reinforce my critical thinking and decision making 0.325 -0.200 0.091 0.621 0.053 -0.125
V21- Simulation improves communication with the team 0.076 0.135 0.018 0,557 0.088 0.025
V11. The simulation will make me reflect on my next clinical practice 0.275 -0.003 -0.085 0.481 0.166 -0.198
V31. Simulation will allow me to learn from the mistakes I have made 0.089 0.108 -0.061 − 0.201 0.864 0.003
V24. Simulation will increase my safety -0.230 -0.006 -0.022 0.189 0.639 0.019
V32. Simulation is useful in practice 0.330 -0.058 -0.007 -0.059 0.628 0.033
V20. Simulation promotes self-confidence -0.116 -0.086 0.119 0.181 0.601 0.016
V26. Simulation will improve my clinical competence 0.167 -0.003 -0.073 -0.029 0.595 0.137
V33. With these sessions I will meet the expected learning outcomes 0.172 0.053 0.058 0.062 0.490 0.055
V23. Improved communication with the patient -0.077 0.052 -0.067 0.195 0.118 0.710
V22. Improved communication with the family 0.083 -0.072 0.032 0.085 -0.015 0.643

Matrix determinant = 0.000002517365237

Bartlett’s Test of Sphericity = 5361.0 (df = 300; p < 0.001)

Kaiser-Meyer-Olkin (KMO) test = 0.93810 (very good)

% Explained variance = 66.52%

Goodness-of-fit indicators:

• Root Mean Square Error of Approximation (RMSEA) = 0.023; Good fit if < 0.05

• Non-Normed Fit Index (NNFI; Tucker & Lewis) = 0.996

• Comparative Fit Index (CFI) = 0.998; (> 0.990: excellent)

• Goodness of Fit Index (GFI) = 0.991

• Adjusted Goodness of Fit Index (AGFI) = 0.9678

Root Mean Square of Residuals (RMSR) = 0.0596; Expected mean value of RMSR for an acceptable model = 0.0836 (Kelley’s criterion) [33].