• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.2
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• pp.226-234
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• 2011

Purpose: The purpose of this study was to identify the effect of a simulation-based practice on clinical performance and problem solving processes for nursing students. Method: The study used a one group pre-post test design. Students experienced a simulation-based practice that included team base learning, skill training, taking a high-fidelity simulation with SimMan 3G, and also being debriefed for 12 weeks (August 2010 to December 2010). The pre-test and post-test were conducted to compare the differences in knowledge, clinical nursing skills, and problem solving processes. Result: After students had received the simulation-based practice, they showed statistically significant higher knowledge (t=14.73, p<.001) and clinical nursing skills (t=15.47, p<.001) than before. However, there was no significant difference in the problem solving process score (t=1.53, p=.127). Conclusion: This study showed that knowledge and clinical nursing skills were significantly improved by the simulation-based practice. Further research would be required to identify how the problem solving process that uses simulation-based practice could be developed further.

• Journal of Korean Academy of Nursing
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• v.51 no.6
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• pp.648-660
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• 2021

Purpose: This study aimed to develop an emerging infectious disease (COVID-19) simulation module for nursing students and verify its effectiveness. Methods: A one-group pretest-posttest quasi-experimental study was conducted with 78 under-graduate nursing students. A simulation module was developed based on the Jeffries simulation model. It consisted of pre-simulation lectures on disaster nursing including infectious disease pandemics, practice, and debriefings with serial tests. The scenarios contained pre-hospital settings, home visits, arrival to the emergency department, and follow-up home visits for rehabilitation. Results: Disaster preparedness showed a statistically significant improvement, as did competencies in disaster nursing. Confidence in disaster nursing increased, as did willingness to participate in disaster response. However, critical thinking did not show significant differences between time points, and neither did triage scores. Conclusion: The developed simulation program targeting an infectious disease disaster positively impacts disaster preparedness, disaster nursing competency, and confidence in disaster nursing, among nursing students. Further studies are required to develop a high-fidelity module for nursing students and medical personnel. Based on the current pandemic, we suggest developing more scenarios with virtual reality simulations, as disaster simulation nursing education is required now more than ever.

• The Journal of Korean Academic Society of Nursing Education
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• v.19 no.3
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• pp.307-319
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• 2013

Purpose: The purpose of this study was to review nursing studies with regard to simulation- based learning in Korea. Methods: This systematic review examines the literature on simulation in nursing education from 2003 to 2012. The electronic databases reviewed included: RISS, the National Assembly Library, the National Library of Korea, and major nursing journal databases in Korea. The MeSH search terms included nursing, simulation, simulator, and standardized patient. Results: In total, 52 studies were included in the literature review. We included 21 quasi-experimental studies and 25 studies using high-fidelity simulation. They included knowledge and problem-solving ability in the cognitive domain; self efficacy, learning satisfaction, interpersonal relationships and communication, and confidence in the affective domain; and clinical performance ability and learning performance evaluation in the psychomotor domain. This systematic literature review revealed that simulation is useful in nursing education but uncovered a gap in the literature pertaining to the transfer of knowledge to performance and how to learn from cognitive reflection. Conclusions: This result suggests that it is necessary to conduct additional research on the cognitive learning process and transition to performance.

• Child Health Nursing Research
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• v.24 no.1
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• pp.27-36
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• 2018

Purpose: The purpose of this study was to develop a model for handoff education for nursing students based on simulation using video and to identify educational effects of a simulated situation in pediatric care units. Methods: Data were collected from May 1 to 30, 2016. Participants were 84 senior nursing students in Seoul (video group: 43, simulation group: 41). Both groups were given a lecture and pre-briefing on handoff education. The simulation group had nursing practice on resolving health issues for respiratory distress using a high-fidelity baby simulator. The video group watched a video recording of a scenario based simulation, and used a summarized handoff situation to practice patient handoff to another student. Results: There was no significant difference between the two groups for handoff self-confidence, problem solving ability, handoff competence (self-assessment of students), or learning satisfaction. Self-confidence increased significantly in both groups. Handoff competency evaluated by the instructor was higher in the video group compared to the simulation group (t=2.33, p=.022). Conclusion: Nursing student education for handoff practice utilizing a video in the pediatric unit was more cost effective. Therefore, it could be a useful educational method for students in learning patient handoff practices and helpful for related research.

• Child Health Nursing Research
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• v.29 no.1
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• pp.24-36
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• 2023

Purpose: This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness. Methods: A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta-Analysis program. Results: XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001). Conclusion: Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

• Wind and Structures
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• v.38 no.4
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• pp.295-307
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• 2024

The funnel-shaped vortex structure of tornadoes results in a spatiotemporally varying wind velocity (speed and direction) field. However, very limited full-scale tornado data along the height and radius positions are available to identify and reliably establish a description of complex vortex structure together with the resulting aerodynamic effects on the high-speed train (HST). In this study, the improved delayed detached eddy simulation (IDDES) for flow structures and aerodynamic pressures around an HST under tornado-like winds are conducted to provide high-fidelity computational fluid dynamics (CFD) results. To demonstrate the accuracy of the numerical method adopted in this study, both field observations and wind-tunnel data are utilized to respectively validate the simulated tornado flow fields and HST aerodynamics. Then, the flow structures and aerodynamic pressures (as well as aerodynamic forces and moments) around the HST at various locations within the tornado-like vortex are comprehensively compared to highlight the importance of considering the complex spatiotemporal wind features in the HST-tornado interactions.

• Nuclear Engineering and Technology
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• v.55 no.9
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• pp.3450-3463
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• 2023

In the two-step analysis of Pebble-Bed type High-Temperature Gas-Cooled Reactor (PB-HTGR), the lattice physics calculation for the generation of homogenized cross-sections is based on the fuel pebble. However, the randomly-dispersed fuel particles in the fuel pebble introduce double heterogeneity and randomness. Compared to the deterministic method, the Monte Carlo method which is flexible in geometry modeling provides a high-fidelity treatment. Therefore, the Monte Carlo code NECP-MCX is extended in this study to perform the lattice physics calculation of the PB-HTGR. Firstly, the capability for the simulation of randomly-dispersed media, using the explicit modeling approach, is developed in NECP-MCX. Secondly, the capability for the generation of the homogenized cross-section is also developed in NECP-MCX. Finally, simplified PB-HTGR problems are calculated by a two-step neutronics analysis tool based on Monte Carlo homogenization. For the pebble beds mixed by fuel pebble and graphite pebble, the bias is less than 100 pcm when compared to the high-fidelity model, and the bias is increased to 269 pcm for pebble bed mixed by depleted fuel pebble. Numerical results show that the Monte Carlo lattice physics calculation for the two-step analysis of PB-HTGR is feasible.

• Research in Community and Public Health Nursing
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• v.28 no.3
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• pp.324-333
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• 2017

Purpose: The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training. Methods: The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training. Results: The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education. Conclusion: We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.

• Journal of computational fluids engineering
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• v.20 no.4
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• pp.28-35
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• 2015

BARAM system that means 'wind' in Korean has been established as a virtual wind tunnel system for aircraft design. Its aim is to provide researchers with easy-to-use, production-level environment for all stages of CFD simulation. To cope with this goal an integrated environment with a set of CFD solvers is developed and coupled with an highly-efficient visualization software. BARAM has three improvements comparing with previous CFD simulation environments. First, it provides a new automatic mesh generation method for structured and unstructured grid. Second, it also provides real-time visualization for massive CFD data set. Third, it includes more high-fidelity CFD solvers than commercial solvers.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
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• v.2
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• pp.71-76
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• 2006

With the rapid development of spatial infrastructure in US, Europe, Japan, China and India, there is no doubt that the next generation Global Navigation Satellite System (GNSS) will improve the integrity, accuracy, reliability and availability of the position solution. GNSS is becoming an essential element of personal, commercial and public infrastructure and consequently part of our daily lives. However, the applicability of GPS in supporting a range of location-sensitive applications such as location based services in an urban environment is severely curtailed by the interference of the 3D urban settings. To characterize and gain in-depth understanding of such interferences and to be able to provide location-based optimization alternatives, a high-fidelity 3D urban model of Melbourne CBD built with ArcGIS and large scale high-resolution spatial data sets is used in this study to support a comprehensive simulation of current and future GNSS signal performance, in terms of signal continuity, availability, strength, geometry, positioning accuracy and reliability based on a number of scenarios. The design, structure and major components of the simulator are outlined. Useful time-stamped spatial patterns of the signal performance over the experimental urban area have been revealed which are valuable for supporting location based services applications, such as emergency responses, the optimization of wireless communication infrastructures and vehicle navigation services.