Purpose: This study evaluates the clinical judgment levels of nursing school students in simulation practice of diabetic ketoacidosis and score differences in clinical judgment levels based on academic record grades. Methods: The clinical judgment levels of 149 nursing students (3rd grade) who received a lecture on simulation practice for diabetic ketoacidosis simulation were evaluated during the period from March 3 to June 20, 2014. Data were collected and measured for the general characteristics, clinical judgment levels of nursing students in simulation of diabetic ketoacidosis, and difference in scores of clinical judgment levels according to grades. Results: Clinical judgment levels of these test participants was 2.82 points on average out of a full score of 4 points, and it was represented in the order of noticing (3.01), interpretation (2.86), response (2.79), and reflection (2.60) for each area. In addition, score differences in clinical judgment levels based on academic record grades were significantly higher in the upper ranks than in the lower ranks in all the areas. Conclusion: In simulation practice of this study, through observation by rubric education method, an objective recognition could be assessed and the importance of nursing knowledge was implied.

In this study, a survey was conducted among students who received ARPA/radar simulation training in order to verify the effect of training. An effective training method based on the analysis results was also proposed. Furthermore, this study analyzed full mission simulation conducted over one semester, and found that training effect increased as time passed. The survey showed improvement in skills related to radar/ARPA utilization, ARPA decoding, ship handling, and overall skill. Students responded practical skills improved more than theoretical knowledge, and also analysis showed that ship handling skills had a larger effect than radar decoding skills on improving overall skill, therefore proposed that theoretical education regarding the functions of radar and ARPA should be reinforced in ARPA/radar simulation training.

Purpose: The purpose of this study was to identify effect of visiting nursing simulationbased training for community nursing. Methods: Participants for this study were 56 nursing college students in Busan. Data were collected and measured for the general characteristics, students’ responses regarding simulation experience, students’ self-assessment, self-confidence, and problem solving ability. Results: In nursing college students, the scenario experience in community - based nursing simulation training was the most lacking communication area with the subject, so it was necessary to supplement it. The experience of the visiting nursing simulation scenario showed satisfactory results in all areas. The confidence of the nursing college students after learning the simulation training was 7.6 points out of ten. As a result of comparing the degree of problem solving ability before and after the simulation training, the degree of problem solving ability of the nursing college students after the training was increased compared to before the simulation training. Conclusion: Simulation training before clinical practice contributes to improvement of nursing assessment, performance, confidence and problem solving ability. Through simulation training, students will be able to provide qualitative nursing care and coping with problems from an integrated perspective.

Purpose: The purpose of this study was to review the studies that included simulation based learning for nursing students in Korea. Methods: We searched for published and unpublished researches using electronic Korean database such as RISS, KISTI/NDSL, the National Library of Korea, KERIS, KISS, DBpia, Hakjisa, and Google scholar. The term for nursing, simulation, and scenario were entered as key words. Result: Total 42 studies were included and categorized in final. The major subject of simulation based learning was adult nursing for 3rd and 4th grade nursing students using high fidelity simulators. For applying the simulation based learning, 3-6 students were designated as a team. The most evaluation components were knowledge, clinical performance and satisfaction on simulation based learning. Conclusion: The results provide that the main theme or scenarios for simulation based learning in nursing students were varied and detailed according to clinical situation. However, the qualification for instructors should be reported in studies for simulation based leaning in nursing.

Purpose: This study was tried to identify the effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problemsolving process in nursing students. Methods: A nonequivalent control group designed was used. The study was composed of hazard perception training and simulation program. Sixteen teams of a total of 61 nursing students participated in the simulation program using a high fidelity simulator. The collected data were analyzed by descriptive statistics, χ2-test and t-test using PASW 18.0 program. Result: There were statistically signigicant in self-efficacy of patient safety(t=2.55, p=.013), error recovery(t=2.82, p=.007), and problem-solving process(t=3.29, p=.002) in the experimental group. Conclusion: These results indicate that the simulation program by applying hazard perception training is effective in improving self-efficacy of patient safety, error recovery and problem-solving process for nursing students. Further study is recommended to confirm the long-term effects of the simulation program by applying hazard perception training.

In spite of international efforts to control nuclear weapons and chemical, biological, and radiological (CBR) weapons, North Korea obtains and sells CBR weapons illegally. As a result, the worldwide threat of CBR weapons is increasing. Unfortunately, civil defense education and training for CBR weapons have not been adopted for real situations because of the long period of absence of an actual combat. In this study, virtual training scenarios that are applied to the simulation were made in 5 steps to cope with CBR situations. These scenarios are expected to have three effects. First, trainings can be improved with experience and education. Second, the problems and health hazards of CBR weapons and supplies can be solved with CBR virtual training simulation experience. Finally, corresponding effects can be recognized and predicted in real situations through roles and mission procedures of simulation scenario.

목적: 본 연구에서는 양궁선수들의 경기력 향상과 심리기술훈련 지원을 위한 가상현실 훈련 프로그램을 개발하고 적용하는데 목적이 있다. 방법: 실험은 4주간 주 2회 총 8회기 동안 기능적 근적외선 분광장치, 가상현실 기기와 안구움직임 추적 장비와 시뮬레이션 영상을 활용하여 분석하였다. 실험 전반에 걸쳐 배외측전전두피질(DLPFC)에 서 나타나는 집단 및 사전, 사후검사의 차이를 알아보기 위하여 반복측정 분산분석 및 사후분석을 실시하였다. 가상현실 훈련에서 구간별 시선행동패턴 측정에 대한 데이터는 집단에 따른 사전 사후 비교를 위해 구간별 독립 표본 검정을 실시하였다. 결과: 배외측전전두피질의 혈류역학변화를 검증한 결과 실험집단의 우측 DLPFC의 산소 포화도는 사후검사에서 사전검사의 수준을 유지하는 것으로 나타났으나 통제집단은 사후검사에서 감소하였다. 좌 측 DLPFC의 산소포화도는 두 집단 모두 사전검사보다 사후검사에서 감소하였다. 가상현실(VR) 시뮬레이션 훈련 의 효과를 확인하기 위해 시선고정시간을 분석한 결과 실험집단과 통제집단의 사전, 사후 측정에서 차이가 나타 났다. 결론: 이러한 연구 결과 추후 반복적인 VR 시뮬레이션 훈련을 통해 양궁선수들의 시선 처리 안정화와 일 관성을 기대할 수 있을 것으로 생각된다.

본 연구에서는 일반 X선 검사를 대상으로 시뮬레이션 교육 모델을 제시하고 실습 시 발생하는 오류를 분석하고자 하였다. 2012년부터 2018년까지 총 183명 (남자 77명, 여자 106명)의 학생이 참가하였다. 시뮬레이션 X선 시스템은 컴퓨터방사선영상(computed radiography, CR) 시스템을 이용하였다. 환자 보호, X선 검사의 정확성, 영상의 안정성 등의 검사 프로세스에 발생하는 오류 빈도수를 분석하였다. 그 결과 환자 자세 설정 오류, X선 중심선의 정확성 오류, 영상검출판의 크기 및 위치 설정 오류, 그리드 사용의 오류, 마킹의 오류, X선 조사조건 설정 오류, 조사야 설정의 오류, X선 입사각도의 오류, X선 조사거리의 오류 순으로 분석되었다. 이러한 오류를 중심으로 개선된 방사선사 실습 교육이 필요할 것이며 그로 인하여 정밀한 검사와 고품질의 의료서비스를 제공하여 국민들의 보건의료에 조금이나마 기여할 수 있기를 기대한다.