Purpose: This study investigated the mediating effect of simulation confidence on the relationship between simulation immersion and clinical reasoning among nursing students. Methods: A total of 166 participants who had completed adult nursing courses and participated in simulation training were included. Results: Participants reported high satisfaction with their majors, practicums, and college life. The average immersion score was 3.71 out of 5, indicating a moderately high level of engagement. No significant differences in clinical reasoning were found based on demographic factors; however, satisfaction with one’s major, practicum, and college life showed significant associations with clinical reasoning. Simulation immersion, confidence, and clinical reasoning were all positively correlated. PROCESS Macro Model 4 revealed that both the direct and indirect effects of simulation immersion on clinical reasoning through confidence were statistically significant, even after controlling for satisfaction-related covariates. Conclusion: These findings suggest that simulation immersion is a key factor in enhancing clinical reasoning and is partly mediated by increased confidence. Therefore, simulation-based education should therefore incorporate strategies that promote learner immersion and self-efficacy in order to optimize cognitive learning outcomes.

ABSTRACT
Ⅰ. 서 론
    1. 연구의 필요성
    2. 연구목적
Ⅱ. 연구방법
    1. 연구설계
    2. 연구대상
    3. 연구도구
    4. 자료수집 및 분석
    5. 윤리적 고려
Ⅲ. 연구 결과
    1. 일반적 특성, 시뮬레이션 몰입, 시뮬레이션자신감, 임상추론
    2. 일반적 특성에 따른 임상추론
    3. 시뮬레이션 몰입, 시뮬레이션 자신감, 임상추론간의 상관관계
    4. 시뮬레이션 몰입과 임상추론과의 관계에서시뮬레이션 자신감의 매개효과
    5. 시뮬레이션 자신감의 간접효과 유의성 검정
Ⅳ. 논 의
Ⅴ. 결론 및 제언
참고문헌

• 최은희(영남이공대학교 간호학과 교수) | Eun-Hee Choi (Professor, Department of Nursing, Yeungnam University College, Daegu) Corresponding author