Purpose: The purpose of this study was to explore the use of virtual simulations to improve knowledge, performance, self-efficacy, satisfaction and confidence of nursing students. Method: This study used a quasi-experimental design with 34 nursing students in one university. All the participants were forth grade students and received education on topics related to medical-surgical nursing. The experimental group participated in virtual and high-fidelity simulations. The control group participated in high-fidelity simulation. Collected data were analyzed using Chi-square, t-test and independent t-test using the WIN SPSS 23.0 program. Results: The experimental group who had participated in the virtual simulation education indicated significantly higher performance scores (t=-6.166, p=<.000) and confidence levels (t=-2.284, p=.031) as compared to the control group who had participated in traditional high-fidelity education for acute heart disease patients, However, the differences in knowledge (t=-.808, p=.425), education satisfaction (t=-.425, p=.653), and self-efficacy (t=-1.592, p=.121) were not significant differences. Conclusion: The results indicate that virtual simulation education is an effective learning method to improve nursing performance and confidence. Further study is needed to identify the effects of various clinical situations of virtual simulation-based care.

ABSTRACT
 Ⅰ. 서 론
  1. 연구의 필요성
  2. 연구목적
  3. 연구 가설
  4. 용어 정의
 Ⅱ. 연구방법
  1. 연구설계
  2. 연구대상
  3. 연구도구
  4. 연구 진행 절차
  5. 자료 수집 방법
  6. 연구의 윤리적 고려
  7. 자료 분석 방법
 Ⅲ. 연구결과
  1. 대상자의 일반적 특성 및 동질성 검증
  2. 가설 검증
 Ⅳ. 논의
 Ⅴ. 결론 및 제언
 참고문헌

• 김경아(인천가톨릭대학교 간호학과) | Kim Kyung Ah (Nursing College of Incheon Catholic University)
• 최동원(인천가톨릭대학교 간호학과) | Choi Dong Won (Nursing College of Incheon Catholic University) Corresponding Author