Effects of a Standardized Patient-Based Home Nursing Simulation on Learning Self-Efficacy, Problem-Solving Process, and Practicum Satisfaction in Nursing Students
Purpose: This study aimed to examine the effects of a standardized patient-based home nursing simulation on nursing students' learning self-efficacy, problem-solving process, and practicum satisfaction among nursing students. Method: A quasi-experimental one-group pretest–posttest design was used. Participants were 63 senior nursing students who had completed community health nursing courses. The simulation scenario involved a frail older adult with hypertension and requiring students to assess health status, identify problems, provide nursing interventions and education, and connect the patiennt with community resources. The program was conducted in pairs and included pre-briefing, simulation performance, and debriefing sessions. Data were collected using structured questionnaires and analyzed using paired t-tests. Results: Learning self-efficacy significantly increased from 52.57±11.85 to 65.02±5.04 (t=12.20, p<.001). Problem-solving process scores improved from 114.54±12.34 to 134.63±11.85 (t=10.27, p<.001), and practicum satisfaction increased from 68.20±7.62 to 80.86±5.83 (t=10.45, p<.001). Conclusion: The findings suggest that standardized patient-based home nursing simulation is an effective educational strategy for enhance nursing students’ competencies for communitybased practice.