Browse > Article
http://dx.doi.org/10.5762/KAIS.2020.21.8.107

The Effects of Simulation-based Education on the Clinical Reasoning Competence, Clinical Competence, and Educational Satisfaction  

Kang, Hee (Department of Nursing, Graduate School, Chosun University)
Kang, Hee-Young (Department of Nursing, Chosun University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.8, 2020 , pp. 107-114 More about this Journal
Abstract
This study was conducted to examine the effects of simulation-based education on the clinical reasoning competence, clinical competence, and satisfaction with simulation experience (SSE). The research design was one group pretest-posttest. Study participants were 89 third-year nursing students from C University in G city, who were engaged the simulation-based education for eight weeks from August to October 2019. Learning scenario titles were blood transfusion reaction patient care with postoperative total hip replacement, hypoglycemia patient care with diabetes mellitus, and hyperkalemia patient care with liver cirrhosis. The data were analyzed by paired t-test using SPSS Win 23.0 program. After applying simulation-based education, nursing students' clinical reasoning competence (t=-17.082, p<.001) and clinical competence(t=-18.40, p<.001) improved significantly. SSE score was 4.65 out of 5 points. The results indicate that the simulation-based education in this study gave the students the experience of providing qualified and secure nursing care under conditions similar to those in the real clinical field. To improve the clinical reasoning competence and clinical competence of nursing students, various cases scenarios are developed and simulation-based education should be applied to more subjects in the nursing curriculum.
Keywords
Nursing Student; Clinical Reasoning; Clinical Competence; Satisfaction; Simulation;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 J. W. Joung, J. W. Han, "Validity and Reliability of a Korean Version of Nurse Clinical Reasoning Competence Scale", Journal of the Korea Academia-Industrial Cooperation Society, vol. 18, no. 4, pp. 304-310, 2017. DOI: http://dx.doi.org/10.5762/KAIS.2017.18.4.304   DOI
2 T. Levett-Jones, M. McCoy, S. Lapkin, D. Noble, K. Hoffman, et al., "The Development and Psychometric Tsting of the Satisfaction with Simulation Experience Scale", Nurse Education Today, vol. 31, no. 7, pp. 705-710, 2011. DOI: https://doi.org/10.1016/j.nedt.2011.01.004   DOI
3 C. A. Tanner, "Thinking like a Nurse: A Research-based Model of Clinical Judgement in Nursing", Journal of Nursing Education, vol. 45, no. 6, pp. 204-211, 2006. DOI: https://doi.org/10.3928/01484834-20060601-04   DOI
4 M. Banning, "Clinical Reasoning and Its Application to Nursing: Concepts and Research Studies", Nurse Education in Practice, vol. 8, no. 3, pp. 177-183, 2008. DOI: https://doi.org/10.1016/j.nepr.2007.06.004   DOI
5 C. M. Hong, "The Effects of Simulation on Nursing Students' Clinical Competence, Communication Skills, and Team Efficacy", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, vol. 8, pp. 397-405, 2018.
6 J. K. Kim, M. S. Song, "Effects of Respiratory Infectious Disease Simulation-based Education on Nursing Student's of Clinical Competency, Self-leadership and Critical Thinking", Journal of the Korea Academia-Industrial cooperation Society, vol. 20, no. 8, pp. 93-101, 2019. DOI: https://doi.org/10.5762/KAIS.2019.20.8.93   DOI
7 Y. M. Kim, J. Y. You, M. S. Lee, "Effect of Simulation-based Integrated Practice for High-risk Newborn on Problem Solving Process, Resilience and Clinical Performance Abilities in Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, vol. 8, no. 12, pp. 343-352, 2018. DOI: http://dx.doi.org/10.21742/AJMAHS.2018.12.78
8 M. H. Han, "A Clinical Skill Test using OSCE Modules Developed by Nursing Students", Journal of Korean Academy of Nursing Administration, vol. 12, no. 3, pp. 365-372, 2006.
9 B. Simmons, "Clinical Reasoning: Concept Analysis", Journal of Advanced Nursing, vol. 66, no. 5, pp. 1151-1158, 2010. DOI: https://doi.org/10.1111/j.1365-2648.2010.05262.x   DOI
10 Korean Accreditation Board of Nursing, Certification Criteria and Handbook, 2017, Available From : http://www.kabone.or.kr/kabon02/index04.php (accessed Jan., 26, 2017)
11 R. A. Kuiper, D. J. Pesut, "Promoting Cognitive and Metacognitive Reflective Reasoning Skills in Nursing Practice: Self‐regulated Learning Theory", Journal of Advanced Nursing, vol. 45, no. 4, pp. 381-391, 2004. DOI: https://doi.org/10.1046/j.1365-2648.2003.02921.x   DOI
12 S. Griffits, S. Hines, C. Moloney, N. Ralph, "Characteristics and Processes of Clinical Reasoning in Nurses and Factors related to Its Use: A Scoping Review Protocol", JBI Database of Systematic Reviews and Implementation Reports, vol. 15, no. 12, pp. 2832-2836, 2017. DOI: http://dx.doi.org/10.11124/JBISRIR-2016-003273   DOI
13 C. Barrett, F. Myrick, "Job Satisfaction in Preceptorship and Its Effect on the Clinical Performance of the Preceptee", Journal of Advanced Nursing, vol. 27, no. 2, pp. 364-371, 1998. DOI: https://doi.org/10.1046/j.1365-2648.1998.00511.x   DOI
14 K. C. Lim, "Directions of Simulation-based Learning in Nursing Practice Education: A Systematic Review", The Journal of Korean Academic Society of Nursing Education, vol. 17, no. 2, pp. 246-256, 2011. DOI: http://dx.doi.org/10.5977/JKASNE.2011.17.2.246   DOI
15 C. B. Evans, D. K. Mixon, "The Evaluation of Undergraduate Nursing Students' Knowledge of Post-op Pain Management after Participation in Simulation", Pain Management Nursing, vol. 16, no. 6, pp. 930-937, 2015. DOI: https://doi.org/10.1016/j.pmn.2015.07.006   DOI
16 H. K. Hur, Y. S. Roh, "Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students", Korean Journal of Adult Nursing, vol. 25, no. 5, pp. 574-584, 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.5.574   DOI
17 P. R. Jeffries, Simulation in Nursing Education: from Conceptualization to Evaluation, National League for Nursing, 2012.
18 M. Y. Kim, S. H. Park, "Effects of Pre-briefing in Simulation-based Learning on Nursing Students' Satisfaction with Simulation", Journal of Korea Society for Simulation in Nursing, vol. 6, no. 2, pp. 27-34, 2018. DOI: http://dx.doi.org/10.17333/JKSSN.2018.6.2.27   DOI
19 J. M. Kim, Y. S. Choi, "Effect of Practice Education using the Simulator, Critical Thinking, Problem Solving Ability and Nursing Process Confidence of Nursing Students", The Society of Digital Policy & Management, vol. 13, no. 4, pp. 263-270, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.4.263
20 Y. H. Kim, K. S. Jang, "Effect of a Simulation-based Education on Cardio-Pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses", Journal of Korean Academy of Nursing, vol. 41, no. 2, pp. 245-255, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.2.245   DOI
21 W. F. Bond, L. Spillane, "The Use of Simulation for Emergency Medicine Resident Assessment", Academic Emergency Medicine, vol. 9, no. 11, pp. 1295-1299, 2002. DOI: http://dx.doi.org/10.1197/aemj.9.11.1295   DOI
22 S. R. Liou, H. C. Liu, H. M. Tsai, Y. H. Tasi, Y. C. Lin, et al., "The Development and Psychometric Testing of a Theory‐based Instrument to Evaluate Nurses' Perception of Clinical Reasoning Competence", Journal of Advanced Nursing, vol. 72, no. 3, pp. 707-717, 2016. DOI: https://doi.org/10.1111/jan.12831   DOI
23 A. R. Kim, "Effects of Maternity Nursing Simulation using High-fidelity Patient Simulator for Undergraduate Nursing Students", Journal of the Korea Academia-Industrial Cooperation Society, vol. 17, no. 3, pp. 177-189, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.3.177   DOI
24 E. M. Kwak, "Effects of Simulation-based Integrated Nursing Practice on Nursing Students", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, vol. 7, no. 10, pp. 445-455, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.10.77   DOI
25 J. Y. Kim, E. J. Kim, "Effects of Simulation on Nursing Students' Knowledge, Clinical Reasoning, and Self-confidence: A Quasi-experimental Study", Korean Journal of Adult Nursing, vol. 27, no. 5, pp. 604-611, 2015. DOI: http://dx.doi.org/10.7475/kjan.2015.27.5.604   DOI