Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.

ABSTRACT
 Ⅰ. 서 론
  1. 연구의 필요성
  2. 연구의 목적
 Ⅱ. 연구방법
  1. 연구설계
  2. 연구대상
  3. 연구도구
  4. 연구 진행 절차
  5. 자료수집 및 윤리적 고려
  6. 자료분석방법
 Ⅲ. 연구결과
  1. 대상자의 일반적 특성
  2. 대상자의 문제해결능력, 치료적 의사소통자기효능감, 임상수행 자신감
  3. 문제해결능력, 치료적 의사소통 자기효능감,임상수행 자신감의 효과
 Ⅳ. 논 의
 Ⅴ. 결론 및 제언
 참고문헌

• 김현정(신성대학교 간호학과 조교수) | Hyun-Jung Kim (Assistant professor, Department of Nursing, Shinsung University)
• 박인희(신성대학교 간호학과 조교수) | Inhee Park (Assistant professor, Department of Nursing, Shinsung University) Corresponding Author