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Effects of Simulation-based Learning on Stress, Problem Solving Ability, Self-Efficacy, and Resilience of College Nursing Students

  • Kyoungrim, Kang (College of Nursing, Research Institute of Nursing Science, Pusan National Univ.) ;
  • Sang-Hwa, Lee (Department of Nursing, Gimhae College) ;
  • Dong-Hee, Kim (College of Nursing, Research Institute of Nursing Science, Pusan National Univ.) ;
  • Kyo-Yeon, Park (Department of Nursing, Masan Univ.)
  • Received : 2022.09.07
  • Accepted : 2022.11.01
  • Published : 2022.12.31

Abstract

Objectives: The objective of this study was to explore the effects of the simulation-based learning program on stress, problem-solving ability, self-efficacy, and resilience of final-year nursing students in a college in South Korea. Methods: The design of the study was a one-group pretest-posttest. The participants of this study were final-year nursing students in 2018. A total of 105 students completed it. The intervention was an 8-week simulation-based practice course. The primary and secondary outcome measures were baseline and follow-up questionnaires regarding demographic factors, stress, problem-solving ability, self-efficacy, and resilience. Results: Problem-solving ability (t=6.567, p<.001), self-efficacy in four situations (p<.001) and resilience (t=2.352, p=.021) increased after simulation-based learning than before learning. Stress also increased after simulation-based learning compared to before learning (t=5.960, p<.001). The level of stress, self-efficacy, and resilience were mainly related to participants' satisfaction with their clinical placement, and interpersonal relationships (p<.05). Conclusions: Simulation-based learning is expected to improve nursing students' problem-solving ability, self-efficacy, and resilience. This can lead to induce learning motivation of nursing students, improve their coping strategies for solving problems, and ultimately provide high-quality care.

Keywords

Acknowledgement

This work was supported by a 2-Year Research Grant of Pusan National University.

References

  1. S.-O. Lee, M. Eom, and J.-H. Lee, "Use of simulation in nursing education," The Journal of Korean Academic Society of Nursing Education, Vol. 13, No. 1, pp. 90-94, 2007.
  2. S. Y. Park, Y. Hur, C. Cha, and Y. Kang, "Experiences of nursing practicum using virtual simulation among nursing undergraduate students," Journal of Korean Society for Simulation in Nursing, vol. 9, no. 1, pp. 1-14, 2021. DOI: 10.17333/JKSSN.2021.9.1.1
  3. Korea Institute of Nursing Evaluation, "Operational guidelines for nursing college practical education support project," 2020.
  4. E. Simpson and M. Courtney, "Critical thinking in nursing education: Literature review," International Journal of Nursing Practice, vol. 8, no. 2, pp. 89-88, 2002. DOI: 10.1046/j.1440-172x.2002.00340.x
  5. M. R. Cannon-Diehl, "Simulation in healthcare and nursing: State of the science," Critical Care Nursing Quarterly, vol. 32, no. 2, pp. 128-136, 2009. DOI: 10.1097/CNQ.0b013e3181a27e0f
  6. J. H. Yoo, "Factors influencing nursing students' flow experience and clinical competency in simulationbased education - based on Jeffries's simulation model," Sungshin University, Seoul, 2016.
  7. N. Lee and A. Peacock, "Using simulation to teach undergraduate nursing and midwifery students research design," Nurse Education in Practice, vol. 45, 2020. DOI: 10.1016/j.nepr.2020.102804
  8. M. L. Cantrell, S. L. Meyer, and V. Mosack, "Effects of Simulation on Nursing Student Stress: An Integrative Review," Journal of Nursing Education, vol. 56, no. 3, pp. 139-158, 2017. DOI: 10.3928/01484834-20170222-04
  9. R. Kneebone, "Simulation in surgical training: Educational issues and practical implications," Medical Education, vol. 37, no. 3, pp. 267-266, 2003. DOI: 10.1046/j.1365-2923.2003.01440.x
  10. T. M. Wadas, "Role rehearsal: a mock code program," Dimensions of Critical Care Nursing : DCCN, vol. 18, no. 6, pp. 36-35, 1999.
  11. E. J. Ko and E. J. Kim, "Effects of simulation-based education before clinical experience on knowledge, clinical practice anxiety, and clinical performance ability in nursing students," (in Korean), The Journal of Korean Academic Society of Nursing Education, vol. 25, no. 3, pp. 289-299, 2019. DOI: 10.5977/jkasne.2019.25.3.289
  12. J. O. Anne Carrick, "Student achievement and NCLEX-RN success: Problems that persist," Nursing Education Perspectives, vol. 32, no. 2, pp. 78-77, 2011.
  13. A. Weaver, "High-fidelity patient simulation in nursing education: An integrative review," Nursing Education Perspectives (National League for Nursing), vol. 32, no. 1, pp. 37-40, 2011.
  14. M. A. Lee et al., "A comparative study of the stress that is perceived by nursing students and nurses in clinical nursing education," (in Korean), Journal of Korean Academy of Nursing, vol. 9, no. 1, pp. 51-61, 2003.
  15. A. Bandura, "Self-efficacy : the exercise of control," 1997.
  16. E.-J. Kim and S.-J. Kang, "Effects of the simulation on the ego resiliency, self-efficacy and satisfaction of major of the nursing students," (in Korean), Journal of the Korea Academia-Industrial Cooperation Society, vol. 17, no. 1, pp. 324-330, 2016. DOI: 10.5762/KAIS.2016.17.1.324
  17. H. M. Hwang, "The effect of simulation-based advanced life support training for nursing studentsknowledge, self-efficacy, self-directed learning ability," Korean Association for Learner-centered Curriculum and Instruction, vol. 20, no. 20, pp. 1-15, 2020. DOI: 10.22251/jlcci.2020.20.20.1
  18. M. R. Eom, H. S. Kim, E. K. Kim, and K. Seong, "Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness, and problem solving ability," Journal of Korean Academy of Nursing, vol. 40, no. 2, pp. 151-160, 2010. DOI: 10.4040/jkan.201 0.40.2.151
  19. S. M. Park and I. G. Kwon., "Factors influencing nurses' clinical decision making - focusing on critical thinking disposition," Journal of Korean Academy of Nursing, vol. 37, no. 6, pp. 863-871, 2007. DOI: 10.4040/jkan.2007.37.6.863
  20. J. O. Park and Y. S. Seo, "Validation of the Perceived Stress Scale (PSS) on samples of Korean university students," (in Korean), Korean Journal of Psychology : General, vol. 29, no. 3, pp. 611-629, 2010.
  21. S. Cohen and G. Williamson, "Perceived stress in a probability sample of the United States," in The social psychology of health., (The Claremont Symposium on Applied Social Psychology. Thousand Oaks, CA, US: Sage Publications, Inc, 1988, pp. 31-67.
  22. O. H. Woo, "The effects of a PBL (Problem-Based Learning) on the problem solving process of students by their meta-cognitive levels," Master's, Major in Curriculum, [Korea National University of Education, Chung-Buk, 2000.
  23. J. S. Lee, "The effects of process behaviors on problem-solving performance in various tests," Doctor of Philosophy, Education, [University of Chicago, Chicago, Ill., 1978.
  24. C. DiIorio and M. E. Price, "Description and use of the neuroscience nursing self-efficacy scale," The Journal of Neuroscience Nursing, vol. 33, no. 3, pp. 130-135, 2001, DOI: 10.1097/01376517-200106000- 00004.
  25. H. W. Kim, "Development and application of phased nursing simulation modules : based on a conceptual framework of 3-D nursing simulation education," Doctor of Philosophy in Nursing, Seoul National University, Seoul, South Korea, 2013.
  26. G. M. Wagnild and H. M. Young, "Development and psychometric evaluation of the Resilience Scale," (in Eng), Journal of Nursing Measurement, vol. 1, no. 2, pp. 165-78, 1993.
  27. Y.-O. Ha and S.-Y. Jung, "Effects of simulation-based orientation program before pediatric clinical practice of nursing students," Journal of Industrial Convergence, vol. 18, no. 6, pp. 119-127, 2020. DOI: 10.22678/JIC.2020.18.6.119
  28. H.-K. Oh and Y. I. Han, "Effects of simulation-based training on stress and self-efficacy in nursing students," The Journal of the Korean Society of School Health, vol. 24, no. 1, pp. 33-40, 2011. DOI: 10.15434/kssh.2011.24.1.4
  29. R. M. Yerkes and J. D. Dodson, "The relation of strength of stimulus to rapidity of habit-formation," The Journal of Comparative Neurology and Psychology, vol. 18, no. 5, pp. 459-482, 1908. https://doi.org/10.1002/cne.920180503
  30. W.-S. Lee, K.-C. Cho, S.-H. Yang, Y.-S. Roh, and G.-Y. Lee, "Effects of Problem-Based Learning Combined with Simulation on the Basic Nursing Competency of Nursing Students," Journal of Korean Academy of Fundamentals of Nursing, vol. 16, no. 1, pp. 64-0, 1 2009.
  31. J. Lee, Y. Lee, S. Lee, and J. Bae, "Effects of high-fidelity patient simulation led clinical reasoning course: Focused on nursing core competencies, problem solving, and academic self-efficacy," Japan journal of nursing science : JJNS, vol. 13, no. 1, pp. 20-28, 2016. DOI: 10.1111/jjns.12080
  32. P. P. Heppner and C. J. Krauskopf, "An Information-Processing Approach to Personal Problem Solving," The Counseling Psychologist, vol. 15, no. 3, pp. 371-447, 1987. https://doi.org/10.1177/0011000087153001
  33. Y.-H. Jeong and K.-H. Lee, "Effect of Verbal Abuse Experience, Coping Style and Resilience on Emotional Response and Stress During Clinical Practicum among Nursing Students," Journal of Digital Convergence, vol. 14, pp. 391-399, 03/28 2016. DOI: 10.14400/JDC.2016.14.3.391
  34. Y.-J. Lim, "The Mediating Effect of Resilience on Relationship between Clinical Practice Stress and Nursing Professional Values in Nursing Students," Journal of Learner-Centered Curriculum and Instruction, vol. 19, no. 8, pp. 649-664, 2019. DOI: 10.22251/jlcci.2019.19.8.649