Purpose This study aimed to develop and evaluate a simulation-based autotransfusion device training program to enhance the clinical performance, performance confidence, and educational satisfaction of post-anesthesia care unit (PACU) nurses. Methods: A single-group pretestposttest study was conducted with 30 PACU nurses. The program, based on the ADDIE model, included orientation, simulation training, and debriefing. Data were collected using validated tools before and after the program and analyzed using the Wilcoxon signed-rank test. Results: Clinical performance improved from a median of 30.00 to 43.00 (Z =−4.78, p < .001). Performance confidence increased from 31.00 to 47.50 (Z =−4.71, p < .001), while educational satisfaction rose from 26.00 to 40.00 (Z =−4.73, p < .001). Conclusions: The simulation-based program effectively enhanced the clinical performance, performance confidence, and education satisfaction of PACU nurses. These findings underscore the value of simulation-based training for enhancing nurses’ competence in using complex, high-risk medical devices.

ABSTRACT
Ⅰ. 서 론
    1. 연구의 필요성
    2. 연구의 목적
    3. 연구 가설
Ⅱ. 연구 방법
    1. 연구 설계
    2. 연구 대상
    3. 연구도구
    4. 시뮬레이션 기반 자가수혈장치 교육프로그램개발 및 운영 절차
    5. 자료분석방법
    6. 윤리적 고려
Ⅲ. 연구 결과
    1. 대상자의 일반적 특성
    2. 임상수행능력, 수행자신감, 교육만족도에미치는 효과
    3. 일반적 특성에 따른 시뮬레이션 기반자가수혈장치 교육프로그램 적용 효과
Ⅳ. 논 의
Ⅴ. 결론 및 제언
참고문헌
Supplementary 1. Simulation process

• 이정희(분당서울대학교병원 간호본부 수술간호팀장) | Lee Jeong Hee (Head of Perioperative Nursing Team, Department of Nursing, Seoul National University Bundang Hospital) Corresponding author
• 노현지(분당서울대학교병원 간호본부 간호사) | Noh Hyeon Ji (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 김태균(분당서울대학교병원 간호본부 간호사) | Kim Tae Gyun (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 은정수(분당서울대학교병원 간호본부 간호사) | Eun Jeong Su (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 한솔(분당서울대학교병원 간호본부 간호사) | Han Sol (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 진혜민(분당서울대학교병원 간호본부 간호사) | Jin Hye Min (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 김혜림(분당서울대학교병원 간호본부 간호사) | Kim Hye Rim (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 이지윤(분당서울대학교병원 간호본부 간호사) | Lee Ji Yoon (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 양법은(분당서울대학교병원 간호본부 간호사) | Yang Beop Eun (RN, Department of Nursing, Seoul National University Bundang Hospital)
• 문지혜(분당서울대학교병원 간호본부 책임간호사) | Moon Jee Hye (Charge Nurse, Department of Nursing, Seoul National University Bundang Hospital)