• Journal of Industrial Convergence
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• v.21 no.10
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• pp.111-120
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• 2023

This study is a descriptive research to examine the effects of meta-cognition and resilience on clinical reasoning ability of nursing students who have completed the simulation education integrated with problem based learning. The study subjects were senior nursing students who had experienced SIM-PBL education, and data was collected by using a structured questionnaire from September to December 2021. The collected data was analyzed employing descriptive statistics, correlation, and hierarchical regression analysis using the SPSS program. The results demonstrated that meta-cognition and resilience had a significant positive correlation with clinical reasoning ability. The chief factors influencing on the clinical reasoning ability of nursing students were as follows: confidence in participating in the SIM-PBL education, meta-cognition, and resilience. In addition, the three factors explained the clinical reasoning ability at a high level of 75%. The clinical reasoning ability of nursing students may be cultivated by applying internal reinforcers of self-confidence, meta-cognition, and resilience into a SIM-PBL simulation.

• Korean Journal of Adult Nursing
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• v.28 no.1
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• pp.95-105
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• 2016

Purpose: This study was conducted to test whether Health Communication Assessment Tool (HCAT) developed by Campbell et al. in 2013 can be applied to assess Korean nursing students' communication skills in simulation education. Methods: The content validity of the Korean version of HCAT (K-HCAT) was evaluated through expert's assessment and a principal component analysis was conducted for testing construct validity. The convergent validity was tested by measuring relationship between the K-HCAT and those of existing communication assessment tool for standardized patient instruction. The evaluation was done by surveying 154 senior students from four different nursing colleges. Results: The K-HCAT was condensed into 15 items from the original 22 HCAT items. Four factors were extracted from the principal component analysis; factor loadings ranged from .50 to .83; cumulative explained variance was 62.65%. Four factors were entitled as 'relationship building', 'empowering', 'empathy/response', and 'education/feedback'. Cronbach's ${\alpha}$ for sub-dimensions ranged from .73 to .84. An evaluation of convergent validity showed that the scores of the K-HCAT were moderately correlated with those of an assessment tool for standardized patient instruction. Conclusion: The K-HCAT can be used as an effective tool for assessing nursing students' communication skills in various kinds of simulation educations Further research is needed to test the consistency of the K-HCAT.

• Journal of Convergence for Information Technology
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• v.9 no.10
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• pp.16-27
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• 2019

The purpose of this study was to develop and evaluate the effects of a simulation-based convergence practicum education program among senior nursing students. A repeated measure experimental design was used. A total of 77 senior nursing students were recruited from a university located in G city. Data was collected at baseline, program completion, and 2 month following completion of the practicum. Repeated measure ANOVA was used to evaluate the effects of the program. There were statistically significant improvements between baseline and program completion and between the baseline and 2 month follow-up. However, there was no significant differences between the program completion and 2 month follow-up. The study demonstrated that simulation-based convergence practicum education was an effective strategy to increase study outcomes and reduce clinical practice stress among senior nursing students. Further studies are needed to evaluate the effects of the program using randomized controlled trials.

• Journal of The Korean Association For Science Education
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• v.19 no.4
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• pp.653-664
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• 1999

This study was designed to develope an in-service training programme using Interactive $Physics^{TM}$ simulation for science teachers and to evaluate the effect of programme. The purposes of training programme are the improvement of scientific inquiry teaching ability as well as enhancement of the understanding of scientific concepts, inquiry skills, and the computer manipulation skills. The developed programme was implemented four times with 15 hours for each courses. The questionnaire for evaluating the programme after the last course showed that many teachers (1) voluntarily participated in this programme with internal motivation, (2) were satisfied with the level of programme difficulty, professionality of lecturer, and classroom environment, (3) gave positive responses about the achievement of the purposes of this programme, (4) showed strong intention for applying simulation to their school teaching. And future studies were proposed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.93-101
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• 2019

This study was conducted to develop a simulation-based education program for respiratory infectious disease and to identify the effects of clinical competency, self-leadership and critical thinking after applying to nursing students. A non-equivalent pre-post test of quasi-experimental design was used. The study subjects were 30 students for the experimental group and 30 for the control group. Respiratory infectious disease simulation-based education was provided for 5 weeks. Data analysis was performed using SPSS WIN Ver 21.0 with Fisher's exact test, independent t-test, and paired t-test. Clinical competency, self-leadership, and critical thinking of the experimental group showed statistically significant differences in comparison with the control group. These study results proved that a simulation-based education program for respiratory infectious disease is effective in raising nursing students' clinical competency, self-leadership and critical thinking. Therefore, it is considered that simulation-based education should be provided to cultivate nursing problem-solving clinical competency, self-leadership or critical thinking by developing a scenario based on various clinical situations.

• Fire Science and Engineering
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• v.28 no.5
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• pp.98-103
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• 2014

This study investigated the confidence, satisfaction, and psychological safety and identified factors affecting the satisfaction of 41 paramedic students. Data, which consists of pre and post-confidence items on visual analogue scale, 21 satisfaction items and 10 psychological safety items was analyzed using SPSS WIN 21.0 program. After the simulation education, the students were told to write what they felt about the education. Then the students' comments, which were categorized as effectiveness and difficulty, were analyzed. Satisfaction of general characteristics showed a significant difference in age (t = -2.22, p = 0.03) and psychological safety of general characteristics showed a significant difference in gender (t = 3.70, p = 0.00) and age (t = -3.65, p = 0.00). Pre-confidence is low (4.37); however, post-confidence increased to 6.22. It showed a significant difference in pre and post-confidence (t = -5.878, p = 0.000). Satisfaction was correlated with psychological safety (r = 0.516, p = 0.001). The variables affecting satisfaction were psychological safety (t = 3.021, p = 0.005) and post-confidence (t = 1.936, p = 0.061). These variables accounted for 27.6% of the satisfaction according to a regression analysis. The simulation education may be the new effective paramedic education strategy of emergency childbirth. Repetitive simulation learning with further development of various scenarios, more education time, and more faculties will be able to train field compatible paramedics.

• Journal of Digital Convergence
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• v.19 no.12
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• pp.605-616
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• 2021

This study examined the effect of using home health practical education program applying simulation for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 60 nursing college students. The home health practical education program applying simulation program was carried out for 2 weeks. The data collection period was from March 29, 2021 to May 7, 2021. Collected data were analyzed using SPSS PC+ 19.0. The experimental group had significantly different in knowledge related home health nursing, problem-solving ability, and clinical competency in comparison to the control group. This suggests that the home health practical education program applying simulation can be applied as a way to increase nursing students' knowledge related home health nursing, problem-solving ability, and clinical competency.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.4
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• pp.463-473
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• 2017

Purpose: The purposes of study was to evaluate the effect of debriefing using reflection questions and writing on the critical thinking disposition, self-efficacy, and clinical judgement ability in simulation of post-operative care of abdominal surgery. Methods: The research method was a nonequivalent control group no-synchronized design. The study period was from August 22 to 30, 2016. The subjects were comprised of 34 people in the experimental group and 36 in the control group. In a simulation session for post-operative care of abdominal surgery, the treatment of the experimental group was to debrief for 30 minutes using Lasater's reflection questions and writing. For the control group, a typical debriefing was conducted in the same environment. Results: Critical thinking disposition, self-efficacy, and clinical judgement were significantly higher in the experimental group than the control group. Conclusion: To enhance the critical thinking disposition, self-efficacy, and clinical judgement of nursing students in simulation, it is recommended to debrief using reflection questions and writing.

• Journal of Korean Biological Nursing Science
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• v.21 no.1
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• pp.1-11
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• 2019

Purpose: The purpose of this review was to evaluate the effects of emergency nursing simulation program on nursing students and nurses. Methods: This systematic review was performed as per the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and using the R program meta package (version 4.9-2). RISS, KISS, and DBpia Library databases were searched for studies published between June 2000 and August 2018 using the following key words: ($Emerge^*$ OR nursing) AND ($nurs^*$ OR simulation). Selected studies were assessed for methodological quality using Risk of Bias for Non randomized Studies. Results: 7 studies were identified and all of them met the inclusion criteria. The outcome variables were significant clinical performance, self-efficacy except knowledge, and problem-solving ability. Conclusion: This review provides updated evidence of the simulation-based education program in emergency nursing. Further studies are required to increase generalizability using randomized population, research design and controlled trials with sufficient sample size. Moreover, valid measurements are needed to assess the main outcomes.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.3
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• pp.330-340
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• 2017

Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.