• International Journal of Advanced Culture Technology
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• v.11 no.4
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• pp.154-162
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• 2023

The purpose of this study is to understand the effects of simulation-based practice education on critical thinking disposition, clinical performance ability, and self-confidence. Using the method of one-group pretest-posttest experimental research, this study selected total 70 nursing students (3^rd year) as research subjects. The final research subjects were total 63 students excluding seven people with insufficient responses. From March to April 2023, total eight sessions of simulation practice education (4 hours per session) were conducted once a week. In the effects of the program, the critical thinking disposition, clinical performance ability, and self-confidence were measured. Using the SPSS Window Version 25.0, the critical thinking disposition, clinical performance ability, and self-confidence were analyzed through the mean, standard deviation, and paired t-test. In the results of this study, the critical thinking disposition (t=-10.61, p<.001), clinical performance ability (t=-3.06, p=.003), and self-confidence (t=-15.97, p<.001) were statistically significant. In the results of analyzing the correlations of clinical performance ability, and self-confidence after the simulation practice education, the learning satisfaction showed significantly positive correlation with immersion (r= .647, p<.001). The results of this study verified the improvement of critical thinking disposition, clinical performance ability, and self-confidence of nursing students after the simulation-based practice education. Thus, it would be necessary to develop the educational contents for various subjects, and also to expansively apply the simulation practice education.

• Journal of the Korean Applied Science and Technology
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• v.40 no.5
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• pp.1176-1190
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• 2023

The purpose of this study was to clarify the attributes of the concept of clinical performance skills in simulation-based practical training and to organize them in order to establish theoretical foundations for clinical competence. The research method employed was the concept analysis process of Walker and Avant (2011). Papers related to clinical competence published between January 2000 and April 2023 were selected by searching various databases such as PubMed, CINAHL, Ovid-Medline, DBpia, KISS, and others. The attributes of clinical competence were found to be (1) the clinical competence of knowledge, judgment, and skills, (2) Adaptability to Changing Healthcare Environment (3) the ability to perform nursing roles appropriately in response to the demands of nursing subjects. This study is significant as a concept analysis study that recognizes the importance of nursing from a nursing perspective in a situation where research on clinical competence is active in simulation-based training. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them. nursing perspective in a situation where research on clinical competence is active. Based on the results of this study, it is necessary to develop training programs and tools including the attributes of clinical competence in simulation nursing education and to measure the effectiveness of the programs using them.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.141-149
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• 2020

This study was undertaken to analyze the intervening effect of nursing simulation among nursing students. This was a critical review study, and data obtained were reviewed using various data bases, including RISS, KISS, NDSL, DBpia, and KRI. The terminologies entered in the data base were nursing and simulation. Selected studies were assessed for methodological quality; and narrative, descriptive or one group post-test studies were excluded from the analysis. Ed. Notes: Please review for accuracy. I have suggested the edit to the best of my understanding. Finally, 234 studies were included for investigation. Results included studies of nursing simulation intervention in Korea, commencing from 2008. One group pre-post test and two group post test were more designed in journals comparing to master thesis or doctoral dissertation. Clinical practice was the most frequently studied aspect by both the assessor and student in the two groups' pre-post test design. Nursing competences associated with dependent variables during simulation were integrated skills, critical thinking, communication, cooperation, professional recognition and leadership. The two groups pre-post design explored more varied competences as compared to other designs. Considering the results obtained, we conclude that simulation intervention is an effective teaching method for nursing students to help improve their clinical practice. However, further studies are required to assess the impact of critical thinking and problem solving.

• Child Health Nursing Research
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• v.28 no.4
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• pp.280-290
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• 2022

Purpose: This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring. Methods: In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted. Results: Four categories-"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"-and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories. Conclusion: Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring.

• Journal of Convergence for Information Technology
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• v.10 no.1
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• pp.60-74
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• 2020

Nursing education using virtual reality simulation (VRS) has emerged as a new teaching method for improving nursing student's knowledge as well as of competency for clinical nursing skill. The purpose of this study was to analyze the effects of nursing education using VRS through an integrative analysis on quantitative and qualitative research. Through quality assessment on the total 382 studies, 17studies (12 quantitative and 5 qualitative) were finally selected. Contents of the 17 studies were reviewed and those with respect to four aspects were gathered: the condition, knowledge, and attitude for effective education using VRS, and the effects of nursing education using VRS on the practice. Readiness of the use of virtual reality device, mastsering of the platform, and interesting scenario were required condition for effective education. The effects of nursing education adopting virtual reality convergence simulation oin terms of knowledge, attitude, and practice included enhancement of the knowledge and extension of the knowledge, improvement in memorizing the process and sequence of the practice through repetitive education, and development of empathy ability and formation of rapport. Hence, adopting virtual reality to convergence simulation of nursing education can maximize the effect of the education.

• Journal of Digital Convergence
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• v.16 no.5
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• pp.267-276
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• 2018

The purpose of this study was to identify the categories and frequencies of communication of students in nursing simulation using standard patient. Data were collected through questionnaires and video recording of communication process of 41 nursing students in simulation related to pediatric enteritis from March to June, 2017. The data were analyzed the contents and frequencies of completed communication forms by trained researcher based on Interaction Process Analysis. In result, students used communication skills in task area frequently. Communication skills, such as orientation, open question, identification, giving information, opinion, and suggestion, and eye contact, were used frequently. In an uncomfortable atmosphere such as listening to the nursing client's complaints, students showed tension and stiff appearance. Students used high quality communication skills such as empathic understanding and therapeutic touch restrictively. In conclusion, we need education strategies relating to therapeutic communication for nursing professionalism and qualitative improvement of nursing service.

• 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 Korean Academic Society of Home Health Care Nursing
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• v.23 no.2
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• pp.186-194
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• 2016

Purpose: The purpose of this study was to evaluate the effects of standardized patient simulation on nursing students' communication skills, problem-solving skills, critical thinking dispositions, and clinical competency. Methods: A one-group pretest-posttest design was used. Data were collected from a convenient sample of 47 junior nursing students at W University. Scenarios to train SP and checklists to evaluate the students''competence were developed by our research team. The collected data were analyzed with descriptive analysis t-test, Pearson's Correlation Coefficient and Cronbach's ${\alpha}$ using SPSS WIN 21.0 Program. Results: The simulation practicum using a standardized patient was conducted based on four steps, namely, selections of scenario modules, standard patient training, implementation, and evaluation. The differences between the pre and post-test scores of problem-solving skills(t=-2.94, p=.005) and clinical competency(t=-2.84, p=.007) were statistically significant. But communication skill(t=-.32, p=.747) and critical thinking(t=-.68, p=.498) was not different in group. Conclusion: Standardized patient simulation in nursing education may be useful the improvement of problem-solving skills and clinical competency.

• 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.

• The Journal of the Convergence on Culture Technology
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• v.7 no.1
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• pp.151-161
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• 2021

This study is a descriptive qualitative study to understand the virtual reality-based simulation experiences of nursing students. The study recruited 53 students who conducted virtual reality-based simulation while attending the course of Adult Nursing I and II in the third year of the department of nursing at a university. The data was analyzed using a content analysis method from a reflection journal created anonymously by students. The results emerged 5 categories and 12 subcategories. The categories were consisted of "realizing the necessity of nursing competence", "expanding nursing knowledge", "receiving safety psychologically", "thinking focused on problem" and "getting satisfaction". It suggests that virtual reality online program can have a positive effect on thoughts and expansion of knowledge in a safe educational environment. Therefore, it needs to develop various contents for the virtual reality education and training.