Purpose: The purpose of this study was to examine the impact of a problem-based simulation
education program on nursing student’s academic achievement, academic efficacy, and clinical
performance skills. Methods: This study examined a group of nursing students using the
pretest-posttest test design. Second year pediatric nursing students studying the practical
subject Integrated Simulation at S University in K region were asked to complete a
self-administered questionnaire before and after using a problem-based simulation education
program. In addition to using SPSS/WIN 21.0 for descriptive analysis, the data was analyzed
using independent t-test, repeated measures ANOVA and Pearson- correlation. Results: After
completing the simulation education program, participants showed statistically higher academic
achievement (t = -5.795, p < .001) and clinical performance skills (t = -3.835, p = <.001)
than before. However, there was no significant difference in academic efficacy score(t=-.217,
p=.829). Conclusion: The results from this study indicate that lessons with various methods
and content should be developed to –evaluate both theoretical knowledge and clinical
performance skills. In addition, there is a need to develop a standard evaluation.

ABSTRACT
 Ⅰ. 서론
  1. 연구의 필요성
  2. 연구의 목적
 Ⅱ. 연구방법
  1. 연구설계
  2. 연구대상
  3. 실험처치
  4. 연구도구
  5. 자료수집
  6. 자료 분석 방법
 Ⅲ. 연구결과
  1. 일반적 특성
  2. 아동간호학 수업과 연계한 문제기반시뮬레이션 교육프로그램 전후의학업성취도, 학업 자기효능감, 임상수행능력정도의 차이
  3. 간호학생의 학업성취도, 학업 자기효능감,임상수행능력간의 관계
 Ⅳ. 논의
 Ⅴ. 결론 및 제언
 참고문헌

• 남혜리(강원지역암센터, 암생존자통합지지팀･송곡대학교 조교수) | Nam Hye Ri (kangwon National Univercity Hospital Gang-won Cancer Center, Songgok colleage Department of Nursing)
• 정계아(강원지역암센터, 암생존자통합지지팀･송곡대학교 조교수) | Jeong Gye A (kangwon National Univercity Hospital Gang-won Cancer Center, Songgok colleage Department of Nursing) Corresponding Author