Purpose: To identify effective teaching strategies for cultivating ethical sensitivity and judgment in undergraduate nursing, given the daily ethical dilemmas of clinical practice and the continued reliance on lecture-based ethics education in Korea. Methods: A systematic review of international studies (2015–2025) was conducted using PubMed, CINAHL, Embase, and the Cochrane Library. Eligible studies addressed undergraduate nursing ethics education, reported learning outcomes, and detailed instructional strategies. Data were extracted on strategy type and outcome measures, and synthesized narratively with attention to comparators. Results: Twenty-five studies frequently employed simulation (e.g., standardized patients, ethics committees with structured debriefing), problem-based learning, e-learning, and blended formats. Across studies, these active approaches improved ethical awareness, empathy, moral sensitivity, decision-making, and judgment, with greater gains where scenarios were authentic, feedback was structured, and interaction was high. Lecture-only formats rarely produced comparable effects. Few studies reflected Korean programs, where pedagogical variety remains limited. Conclusion: Active, practice-oriented strategies show advantages over lectures for developing ethical competence in nursing students. Korean curricula should diversify pedagogy, invest in faculty development for simulation/debriefing and case facilitation, and adopt structured evaluation tools aligned with clinical ethics. Future work should standardize measures and test feasibility in local contexts.

Purpose: This study aimed to identify the educational needs that should be considered in developing a simulation-based program to enhance patient safety competency among nursing students. Methods: The participants included 38 nursing students and 38 practicing nursing professionals. Data were collected from March 5 to 19, 2025, using a structured self-report questionnaire. The data were analyzed using SPSS 19.0, employing descriptive statistics, paired t-tests, Importance–Performance Analysis (IPA), and Borich’s needs assessment. Results: A significant difference was observed between the current and required levels of educational needs across all items related to developing a simulation-based program to enhance patient safety competencies among nursing students and professionals. According to the results of the IPA and Borich needs assessment, “Clinical reasoning” and “Medication safety” emerged as the highest priority for nursing students and professionals, respectively. Conclusion: These findings are expected to provide foundational evidence for developing a simulation-based program aimed at enhancing patient safety competencies in nursing students.

Purpose: This study aimed to evaluate the effects of a simulation-based Room of Errors patient safety education program on patient safety-related nursing activities and critical reflection competency of new nurses. Method: A randomized controlled pretest–posttest design was used. A total of 63 new nurses participated, with 32 assigned to the experimental group and 31 to the control group. The experimental group received a team-based simulation intervention, with participants collaboratively identifying and addressing patient safety hazards within Room of Errors scenarios. Results: In the experimental group, patient safety-related nursing activity scores increased significantly after the intervention (t = 2.70, p = .011), while the control group showed no significant change (t = 0.23, p = .816). Additionally, critical reflection competency scores improved significantly in the experimental group (t = 3.66, p < .001), with no significant change observed in the control group (t = -0.53, p = .603). The between-group difference in change scores for critical reflection competency was statistically significant (t = 2.77, p = .007). Conclusion: The simulation-based Room of Errors education program effectively enhanced patient safety-related nursing activities and critical reflection competency among new nurses, suggesting its value as a training method for developing essential competencies in clinical practice.

Purpose: This study aims to examine the characteristics and educational outcomes of immersive virtual reality (VR)-based nursing simulation using the integrative review method developed by Whittemore and Knafl. Methods: Data were collected between December 30, 2023, and January 15, 2024. Studies published in English or Korean were included without restrictions of publication year. Searches were conducted in PubMed, Web of Science, EMBASE, CINAHL, RISS, KISS, DBpia, and KoreaMed using combinations of the keywords “‘nursing”, “student*”, “simulation”, “SIM”, “education”, “VR”, and “Virtual reality” to identify relevant articles. Results: Of the 237 studies identified, 11 were included in the analysis, with most conducted in Korea (n=7). In most studies, scenario-based VR was used; the Oculus platform (n=4), the HTC Vive (n=2), and a mobile HMD (n=1). Six studies incorporated handheld controllers, and three haptic sensors. VR groups showed greater improvements in knowledge, engagement, self-confidence, and skill performance than the control groups. Usability ratings were high for accessibility and realism; however, challenges were observed in device operation, especially without technical support. Reported adverse effects included visual fatigue, headache, dizziness, motion sickness, and discomfort when wearing glasses. Conclusions: Immersive VR simulation offers realistic, customizable learning environments, enhancing nursing education, supporting advanced instructional methods, and improving clinical safety and patient-centered competencies. Ongoing efforts in technological standardization, program development, and curricular integration are recommended.

Purpose: This study examined the effectiveness of an integrated nursing simulation practicum in enhancing readiness for practice and self-confidence in clinical decision-making among nursing students. Methods: A quasi-experimental design with a nonequivalent control group and preand post-test measurements was employed. The participants were 51 fourth-year nursing students enrolled in a simulation practicum. The integrated simulation program comprised six scenarios covering adults, women’s health, and pediatric nursing, totaling 30 instructional hours. Data were analyzed using SPSS version 26.0, with paired and independent t-tests, Fisher’s exact test, and the Mann-Whitney U test. Results: The experimental group showed significant improvements in readiness for practice (t=-3.55, p=.002) and self-confidence in clinical decision-making (t=-7.40, p<.001) compared to pre-intervention scores. A statistically significant difference in readiness for practice was observed between the experimental and control groups (p=.048). However, the difference in self-confidence in clinical decision-making between the groups was not statistically significant. Conclusion: Nursing education should equip nursing students to effectively transition into clinical practice as new graduate nurses. The integrated simulation practicum can be considered an effective strategy for enhancing nursing students’ readiness for practice.

본 연구는 시뮬레이션 교육을 받은 간호대학생을 대상으로 셀프리더십과 감성지능 및 학습몰입 간의 관계를 확인하고, 셀프리더십과 감성지능이 학습몰입에 미치는 영향을 파악하기 위한 서술적 조사 연 구이다. 연구대상자는 시뮬레이션 실습 교육을 경험한 J도 소재 대학의 간호학과 학생 167명이며, 자료는 2025년 4월 7일부터 26일까지 온라인으로 설문을 진행하였다. 수집된 자료는 SPSS/WIN 24.0 프로그램을 사용하여, 기술통계, Cronbach‘s α, independent t-test, ANOVA, Pearson‘s correlation coefficients 및 Scheffé test, multiple regression으로 분석하였다. 연구결과 셀프리더십과 감성지능 및 학습몰입 간의 상관 관계는 모두 유의한 양의 상관관계가 있는 것으로 나타났으며 감성지능과 셀프리더십이 학습몰입에 영향 을 미치는 요인으로 나타나, 스스로 책임지고 행동하는 자기 관리능력 개발과, 다양한 갈등 상황과 정서적 문제를 건설적으로 해결하는 감성지능을 향상함으로써 시뮬레이션 교육의 학습효과 증진이 필요함을 알 수 있다.

본 연구는 국내 간호교육 현장에서 AI를 활용한 교육프로그램의 적용 양상과 성과를 파악하고, 향후 연구 및 교육현장 적용을 위한 방향을 제시하기 위해 수행되었다. Arskey와 O’Malley의 방법론적 기 틀[8]에 근거하여, 발표 시기에 제한을 두지 않고 한국어와 영어로 출판된 문헌을 대상으로 주제범위 문헌 고찰을 실시하였다. 최종 분석에는 총 6편의 연구가 포함되었으며, 이론, 실습, 시뮬레이션 등 다양한 교육 맥락에서 AI가 활용되었다. 학습 성과는 주로 인지적 영역에 집중되어 있었다. 본 연구는 국내 간호교육 맥 락에서 AI 기반 교육프로그램의 연구 범위와 동향을 체계적으로 제시함으로써 향후 연구방향 설정에 기여 한다는 점에서 의의가 있다. 아울러 표준화된 평가 프레임 개발과 프로그램의 지속가능성에 대한 체계적 검증 연구를 제언한다.

본 연구는 간호대학생의 간호전문직 자아개념, 임상실습 교육환경, 임상실습 시 경험한 무례함, 진로정체감 정도를 파악하고, 진로정체감에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. G 광역시 소재 2개 대학 간호학과 3, 4학년을 대상자로 선정했다. SPSS 27.0 프로그램으로 기술통계, t-test, ANOVA, Pearson correlation coefficient, multiple regression으로 자료를 분석하였다. 연구 결과, 간호전 문직 자아개념 및 임상실습 교육환경은 진로정체감과 양의 상관관계가 있었고, 임상실습 시 경험한 무례함 은 진로정체감과 음의 상관관계가 있었다. 진로정체감에 영향을 미치는 요인은 간호전문직 자아개념, 임상 실습 교육환경, 무례함, 전공만족도, 임상실습만족도였으며 설명력은 31.7%였다. 따라서 간호대학생의 진 로정체감 향상을 위해 간호전문직 자아개념 강화와 질 높은 실습 환경 조성, 무례함 예방 및 심리적 지지 프로그램 개발이 필요하다.

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.

Purpose: This study aimed to examine the effects of a disaster nursing education program using the Korean Triage and Acuity Scale (KTAS) on nursing students’ competency in emergency patient triage, core competencies, confidence in disaster nursing, and self-efficacy in disaster response. Methods: This study utilized a nonequivalent control group design. The experimental group (n=25) participated in a disaster nursing education program that incorporated the KTAS, whereas the control group (n=27) did not receive any intervention. Data were analyzed using descriptive statistics and t-tests. Results: The two groups differed significantly in both competency in emergency patient triage (t=3.47, p=.001) and confidence in disaster nursing (t=2.51, p=.015). Conclusions: This study indicates that a disaster nursing education program using the KTAS, a tool currently employed in clinical practice, rather than theory-based instruction alone, contributed to enhancing nursing students’ practical competencies. Such training can improve the emergency patient triage and confidence in disaster nursing required in emergency situations, ultimately enabling future nurses to better protect the lives and health of individuals affected by disasters.

Purpose: This study aimed to evaluate the effects of simulation education in patient safety nursing on nursing students’ attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement. Methods: The study was conducted from April to May 2022 with 69 nursing students enrolled in a fundamental nursing practice course. Two simulation scenarios were developed to enhance the patient safety competencies. Each scenario was implemented in two sessions, each lasting 90 minutes. Data were collected using self-report questionnaires, which measured attitudes toward patient safety, confidence in patient safety, academic self-efficacy, and academic engagement before and after the simulation education. Data were analyzed by employing descriptive statistics and paired t-tests using SPSS Statistics Version 26.0. Results: After participating in the simulation program, students showed statistically significant improvements in their attitudes toward patient safety (t=9.11, p<.001), confidence in patient safety (t=15.66, p<.001), academic self-efficacy (t=6.03, p<.001), and academic engagement (t=9.28, p<.001). Conclusion: The findings suggest that simulation education in patient safety nursing is an effective nursing education strategy. The study highlights the need to develop and expand diverse simulation-based learning programs in nursing education.

Purpose: This study aimed to develop and implement a multi-patient simulation (MPS) program for nursing students with no prior clinical practice experience. It also examined the effects of the program on the students’ communication competence and clinical reasoning ability. Methods: A one-group pretest-posttest design was used. The MPS program, consisting of four patient scenarios was applied to second-year nursing students with no prior clinical practice experience. Communication competence, clinical reasoning ability, and the perceived effectiveness of the multi-patient simulation program were measured using structured tools before and after the program. Results: Communication competence significantly improved after the MPS program, whereas clinical reasoning did not show a statistically significant difference. Perceived effectiveness of the MPS program was generally high, with the debriefing component scoring the highest. Confidence scores were relatively low, suggesting the need for level-appropriate scenario. Conclusion: The MPS program was effectively enhanced communication competence among preclinical nursing students. Although clinical reasoning scores did not improve significantly, the study highlights the importance of introducing realistic simulation experiences early in nursing education. Future research should focus on developing suitable clinical reasoning assessment tools for early year students and conducting randomized controlled trials to validate the effectiveness of customized MPS programs.

Purpose: This study aimed to develop and evaluate a simulation-based nursing education program for respiratory emergencies in critically ill, extremely low birth weight infants (ELBWIs). Methods: A single-arm quasi-experimental study was conducted with 32 neonatal intensive care unit (NICU) nurses. The program was developed systematically using the ADDIE model, incorporating needs assessment, real-case scenario development, and pilot testing. Data were collected before and after the intervention and were analyzed using paired and independent t-tests, as well as a one-way analysis of variance (ANOVA) with Scheffé post-hoc tests. Results: The results showed statistically significant improvements in participants’ problemsolving ability (t = -3.49, p = .001), clinical performance confidence (t = -4.64, p < .001), and overall clinical performance competency (t = -13.79, p < .001) following the training. The clinical relevance and feasibility of the program were supported by pilot testing and positive evaluations of the practicality and educational usefulness of the simulation scenarios. Conclusion: These findings suggest that the simulation-based program was effective in enhancing NICU nurses’ clinical competence in managing respiratory emergencies in ELBWIs and can be used as a practical alternative to traditional on-the-job training.

Purpose: This study was conducted to confirm the effects of patient safety simulation education on nursing students’s attitude of patient safety, confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control, and nursing professionalism. Methods: In this study, 89 students from the 4th grade of the nursing department at one university participated, and the data collection period was from August 20 to August 30, 2023. The collected data were analyzed using R 4.3.2 version and by descriptive statistics, independent t-test, Pearson’s correlation coefficients. Results: After education, the subjects' nursing professionalism(t=-5.95, p<.001), attitude of patient safety(t=-3.59, p<.001), confidence in performance of patient safety(t=-3.90, p<.001), and confidence in performance multidrugresistant bacterial infection control(t=-5.55, p<.001) increased statistically significantly. After education, there was a positive correlation between nursing professionalism, attitude of patient safety(r=.43, p<.001), confidence in performance of patient safety(r=.64, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.41, p=<.001). The relationship between attitude of patient safety, confidence in performance of patient safety(r=.47, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.37, p=<.001) showed a positive correlation. Confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control(r=.80, p<.001) showed a positive correlation. Conclusion: Through this study, in order to strengthen effective patient safety management behavior, it is necessary to find ways to increase immersion and proactiveness in education by developing and applying various scenarios related to patient safety in nursing management simulation education.

Purpose: This study employed a non-equivalent controlled pre-post experimental design to create educational content on basic cardiopulmonary resuscitation(CPR) and defibrillators using augmented reality smart glasses and determine its impact on nursing students' clinical competence, self-efficacy, and satisfaction. Method: The participants were nursing students from “S” University. The experimental and control groups comprised 33 and 29 participants, respectively. The dependent variables are clinical competence, self-efficacy, and satisfaction. The experimental group utilized augmented reality smart glasses, while the control group watched videos on a tablet PC. The collected data were analyzed using t-tests, -tests, and ANCOVA through the SPSS 25 program. Results: Clinical competence was significantly higher in the experimental group (1.86±0.01) than in the control group (1.75±0.01; F=31.76, p<.001). Self-efficacy was significantly higher in the experimental group (9.00±0.11) than in the control group (7.94±0.12; F=39.04, p<.001). Similarly, satisfaction was significantly higher in the experimental group (4.95±0.09) than in the control group (4.69±0.30; t=4.494, p<001). Conclusion: Augmented reality-based CPR and defibrillation training is effective in Improving nursing students’ clinical competence, self-efficacy, and satisfaction.

Purpose: This study aimed to explore the effects of immersion, satisfaction, and confidence in nursing competence after simulation practice. Methods: A descriptive survey was administered to 138 senior nursing students. Data were analyzed using descriptive statistics, Pearson’s correlation, stepwise multiple regression, and Cronbach’s alpha coefficient using SPSS/WIN 27.0. Results: Immersion, satisfaction, confidence, and nursing competence scored 85% of the overall scores. Nursing competence was positively correlated with immersion, confidence, and satisfaction. Only immersion had a significant effect on nursing competence, explaining 55.8% of variance. Conclusion: The level of immersion must be increased to enhance nursing competence in simulation. Further studies are needed to examine the effects of immersion on nursing competencies.

Purpose: This study aimed to identify the need for simulation education to strengthen patient safety competencies in nursing practice field experience and explore and analyze improvements in simulation education. Methods: Data were collected through focus group interviews with 31 participants from four groups of fourth-year nursing students and one group of new nurses from August 7, 2023 to February 11, 2024. Interview data were systematically reviewed by qualitative content analysis. Results: Five major themes were identified; (1) awareness of patient safety competencies among nursing students and new nurses, (2) awareness of patient safety education among nursing students and new nurses, (3) simulation education topics for strengthening patient safety competencies, (4) interfering factors of simulation education for strengthening patient safety competencies, and (5) facilitating factors of simulation education to strengthen patient safety competencies. Accordingly, 15 categories were derived, and the current status of simulation education for patient safety, educational needs, and improvements were reported. Conclusion: This study attempted to reflect on the needs of learners before developing a simulation education program and derive educational content to strengthen patient safety competencies.

Purpose: This single-group pre-post experimental study aimed to develop and apply a simulation-based infection control education program for neonatal intensive care unit (NICU) nurses to verify its effectiveness and provide baseline educational materials to strengthen NICU nurses’ infection control competencies. Methods: The educational program was developed according to the five phases of analysis, design, development, implementation, and evaluation models, with scenarios based on the educational needs of NICU nurses. To verify the program’s effectiveness, a study was conducted on 28 NICU nurses of general and tertiary hospitals. NICU nurses’ infection control knowledge, performance confidence, critical thinking disposition, and satisfaction with the education were surveyed after applying the education program. Results: The simulation-based NICU infection control educational program was effective for NICU nurses’ infection control knowledge (t=−7.35, p < .001), performance confidence (t=−6.30, p < .001), and critical thinking disposition (t=−5.12, p < .001). Conclusions: The infection control educational program can contribute to infection prevention and patient safety by improving the NICU nurses' infection control competencies and be used as a baseline educational material for infection control education.

Purpose: This study aimed to develop a program using the Room of Errors (ROE) technique to enhance the patient nursing student’s safety competencies and determine the effectiveness of simulation-based education. Methods: We conducted a methodological study using the ADDIE model for program development (Molenda, 2003). During the ROE activities, students identified errors that threatened patient safety. The program's effectiveness was evaluated in the implementation phase by measuring students' confidence in patient safety using a one-group pretest-posttest design. Results: Participants' satisfaction with the ROE program was 4.90 ± 0.36 on a 5-point Likert scale. The pre- and post-ROE program patient safety confidence scores (H-PEPSS) were statistically significant, increasing from 3.62 ± 0.54 to 4.19 ± 0.60. Participants' subjective evaluations were generally positive, indicating increased insight, confidence, and vigilance in error prevention. Conclusion: Based on this study’s significant findings, it would be beneficial to encourage students and healthcare providers to utilize ROE programs to enhance patient safety competencies.

Purpose: This study aimed to analyze the overall trends and characteristics of emergency response training programs for newly graduated nurses, with a focus on identifying the educational directions necessary to enhance their capabilities in managing emergencies. Methods: We conducted a scoping review using Arksey and O’Malley’s 5-step framework, with a total of six databases searched from April 1—10, 2024. Results: This study identified nine articles published from 2010–2023. The articles’ educational content focuses on various emergencies, prominently featuring cardiopulmonary resuscitation and responses to patients’ conditions. Simulations served as the primary instructional method. The outcomes indicated notable improvements in participants’ performance capabilities and knowledge levels. Conclusion: Emergency response training programs for newly graduated nurses can be designed to provide staged interventions suitable for various patient conditions, with an emphasis on effectively utilizing simulation education. Furthermore, it is essential to diversify program evaluation metrics beyond knowledge and performance skills to include behavioral and outcome evaluations.