Purpose: This study was conducted to explore Virtual Reality (VR) utilization strategies in scenario-based nursing simulation training. Method: This was an integrative review for the identification of scenario-based VR simulation training applied to nursing undergraduates. The existing literature was searched in electronic databases using RISS, PubMed, and Pro-Quest and the key words were “Scenario based,” “Simulation,” “Virtual reality,” “Virtual training,” and “Nursing.” Finally, five studies were analyzed. Results: All the studies were conducted from 2016 to 2019. One RCT, two quasi-experimental studies, and two mixed method studies were identified. The topics of the scenarios were all different; acute myocardial infarction, management of respiratory system disease with hypoxia, postoperative nursing with appendicitis, teamwork and communication in outpatient and emergency situations, and disaster situation training . The outcome variables that were significant statistically were performance, self-confidence, and learning satisfaction. Conclusion: The findings suggest that virtual simulation in nursing education can potentially improve knowledge, performance, and learning confidence and can increase satisfaction with learning experience among nursing undergraduates. Multidisciplinary cooperation and investment are needed to develop diverse content applying VR in nursing simulation education. The review of the side effects also needs to be performed.

Purpose: The purpose of this study is to investigate the effect of simulation-based disaster nursing education programs on nursing college students’ disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities. Method: This study is similar to an experimental study that applied before-and-after designs for test groups and control groups. It was configured focusing on “earthquakes,” “fires,” “infectious diseases,” and “hospital disaster preparation.” Our simulation-based disaster nursing education program was configured to improve nursing students’ abilities to immediately respond to problems through the integration of nursing courses. Results: The test group that received the simulation-based disaster nursing education program showed a statistically significant increase in disaster nursing knowledge, attitude toward disasters, and basic disaster nursing implementation abilities, compared to the control group. Conclusion: Through the results of this study, simulation-based disaster nursing education programs were found to be effective in improving disaster nursing implementation abilities. Therefore, efforts should be made so that simulation-based disaster nursing educational courses take root to improve the disaster preparedness abilities of college students majoring in nursing.

Purpose: The purpose of this study is to provide basic data for developing strategies to improve the learning effect of simulation by analyzing the reflective journaling after the simulation based learning on the nursing of patients with upper gastrointestinal (UGI) bleeding. Method: From September 19–29, 2016, we conducted a simulation of UGI bleeding patient nursing with fourth-year students in the nursing department of University B in City A, and analyzed the data using content analysis. Results: In this study, reflective journaling can be an effective educational method to strengthen nursing competence, such as the self-reflection of nursing students, evidence-based nursing practice, teamwork, and communication ability. Conclusion: Reflective journaling after practice in simulation-based education is an important process in training critical thinking, situational judgment, and reflection of nursing practice content, and needs to be extended to both on-campus practice and clinical practice.

Purpose: The aim of this study was to examine the effect of prebriefing in the nursing process using video simulations on nurses’ critical thinking, simulation immersion, simulation confidence, clinical performance, and simulation satisfaction. Method: This study was a comparative survey between lectures and adoption of the nursing process with video in pre-briefing. The participants were 128 nursing students who had completed the Korean advanced life support program. Data were analyzed using χ2-test, independent t-test, and paired t-test using the SPSS 22.0 program. Results: Pre-briefing with Chmil’s concept, including theory, nursing process, and outcome, increased the clinical performance (t=2.03, p =.044) and critical thinking (t=2.48, p =.015) in this study. But there was no difference in simulation immersion, simulation confidence, or clinical satisfaction. Conclusion: The results indicate that simulation using Chmil’s concept was an effective educational method to increase critical thinking and clinical performance.

본 연구는 간호학생의 연구수행능력을 파악하고, 간호연구 교과의 교육효과를 확인하여 연구역량을 증진시킬 수 있는 교육과정 개발과 비교과활동을 통해 연구수행능력을 향상시킬 수 있는 프로그램을 개발하는데 기여하고자 하였다. 연구의 대상은 일 대학의 간호학과 3학년 학생 161명이었다. 일반적 특성 에 따른 비판적 사고성향, 문제해결능력 및 간호연구 학습성과는 t-test와 ANOVA를 시행하였으며, 간호 연구 학습성과 관련요인은 Linear regression을 시행하였다. 연구결과 간호연구 교과는 문제해결능력과 비판적 사고성향의 하위요소 중 지적열정, 체계성, 지적공정성을 향상시켰고, 연구계획서 평가와 비판적 사고 성향 중 객관성과 관련이 있는 것으로 나타났다. 본 연구의 결과를 토대로 간호연구수행능력을 향상시키기 위해 연구계획서 작성을 적극적으로 활용할 필요가 있으며, 연구의 전체적인 수행과정을 경험할 수 있는 다양한 교육프로그램 및 교수학습방법을 적용한 운영이 필요하다.

Purpose: The purpose of this study was to examine the effects of simulation-based training applying situation-background-assessment-recommendation on self- efficacy and communication skills in new nurses. Method: This study applied a one group pretest-posttest design, with 88 new nurses in a general hospital in S city, Korea. Data were collected from March to November 2017. The participants completed their simulation education program in 4 weeks. Data were analyzed using paired t-test with SPSS program. Results: After SBAR simulation education, self- efficacy (t=-2.40, p=.014) and communication skills (t=-5.24, p<.001) significantly improved. Conclusion: This suggests that simulation-based training applying SBAR, improved self- efficacy and communication skills in new nurses.

Purpose: The purpose of this study was to investigate the effectiveness of pre-briefing in simulation-based learning on nursing students’ satisfaction with simulation. Method: A quasi-experimental post-test study was applied with 174 senior nursing students at a private university in South Korea. The experimental group (n=88) underwent a pre-briefing program, whereas the control group (n=86) did not. During pre-briefing, students had time to study simulation scenarios, discuss nursing processes related to simulation scenarios, and experience a simulation environment before simulation practice. Satisfaction scores were measured using the Satisfaction with Simulation Experience scale(SSE). Results: The mean scores in satisfaction with simulation were higher in the experimental group than in the control group, and the difference was statistically significant (t=-4.23, p<.001). Conclusion: This study emphasizes that pre-briefing in simulation-based learning is important in increasing students’ satisfaction and should be included in the planning of simulation-based learning programs.

Purpose: The purpose of this study was to explore the use of virtual simulations to improve knowledge, performance, self-efficacy, satisfaction and confidence of nursing students. Method: This study used a quasi-experimental design with 34 nursing students in one university. All the participants were forth grade students and received education on topics related to medical-surgical nursing. The experimental group participated in virtual and high-fidelity simulations. The control group participated in high-fidelity simulation. Collected data were analyzed using Chi-square, t-test and independent t-test using the WIN SPSS 23.0 program. Results: The experimental group who had participated in the virtual simulation education indicated significantly higher performance scores (t=-6.166, p=<.000) and confidence levels (t=-2.284, p=.031) as compared to the control group who had participated in traditional high-fidelity education for acute heart disease patients, However, the differences in knowledge (t=-.808, p=.425), education satisfaction (t=-.425, p=.653), and self-efficacy (t=-1.592, p=.121) were not significant differences. Conclusion: The results indicate that virtual simulation education is an effective learning method to improve nursing performance and confidence. Further study is needed to identify the effects of various clinical situations of virtual simulation-based care.

본 연구는 당뇨환자의 시뮬레이션기반 간호교육이 간호대학생의 당뇨지식, 임상수행능력, 실습 만족도 및 의사소통능력에 미치는 효과를 확인하기 위해 시도되었다. 이 연구는 시뮬레이션 교육 전과 후에 당뇨지식, 임상수행능력, 실습만족도 및 의사소통능력을 파악하기 위해 2013년 10월 21부터 11월 1까지 자료수집을 하였으며, 간호대학생 3학년 75명이 연구대상자로 참여하였다. 연구의 결과는 시뮬레이션 교육을 받은 후 교육 전에 비해 당뇨지식(t=-9.684, p＜.001), 임상수행능력(t=-4.173, p＜.001), 의사소통 능력(t=-7.685, p＜.001) 점수가 높게 나타나 통계적으로 유의하게 나타났으나, 실습만족도(t=-1.144, p=.256)의 변화는 통계적으로 유의하지 않았다. 이상의 연구결과를 토대로 시뮬레이션기반 교육은 대상자의 간호지식, 임상수행능력과 의사소통능력을 강화할 수 있으며, 다양한 교육과정에도 적용될 수 있을 것이다.

Purpose: This study was tried to identify the effects of simulation practice education on the clinical competence, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Methods: This study was one group pre-post test design, participants are 50 new graduated nurses with less than 3 month of working experience. The simulation practice education applied the first semester of the third grade, over 15 weeks with 1 credit per 2 hours per week by two instructors with four scenarios. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Result: There was a significant difference simulation practice education on the clinical competence and critical thinking disposition in the new graduated nurses. There was a correlation between clinical competence and critical thinking disposition. Conclusion: New nurses' capacity can be strengthened by applying simulation practice education that improve the clinical performance by enhance the critical thinking Disposition.

Purpose: This study aimed to evaluate differences in nursing performance of nursing college students following simulator training or video-based training for patients with respiratory distress. Methods: The study used a two-group post-intervention design. The simulator group was trained using a high-fidelity simulator and the video group with a best practices video. Nursing ability was evaluated by video recording participants during a dyspnea simulation exercise. The collected data was analyzed with a t-test using SPSS 21. Results: The simulator group showed lower scores than the video group in the preparation (t = -4.60, p < .001) and nursing intervention (t = -2.41, p = .033) categories. Conclusion: Video training is effective for simulation education in cases of dyspnea.

Purpose: This study aimed to clarify the effects of simulation-based practice using a standardized patient on nursing students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance. Methods: We adopted a one-group pretest–posttest experimental design. We examined changes in the students’ problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance before and after simulation-based practice and after clinical practicum. Results: The scores for problem-solving capacity increased from 159.28 before simulation-based practice to 263.02 after it and 161.99 after clinical practicum, but there was no statistical significance(p=.775, p=.339). The scores for self-efficacy for therapeutic communications rose with statistical significance from 120.78 before simulation-based practice to 126.30 after it (p= .017), but fell to 120.52 after clinical practicum. The scores for confidence in clinical performance increased with statistical significance from 54.98 before simulation-based practice to 59.42 after it (p=.008) and 58.50 after clinical practicum (p<.001). Conclusion: We confirmed that simulation-based practice with a standardized patient offers students hands-on experience of a clinical situation and, thereby, enhances their problem-solving capacity, self-efficacy for therapeutic communications, and confidence in clinical performance.

본 연구의 목적은 간호대학생을 대상으로 시뮬레이션교육의 디브리핑과 직업기초능력과의 관계를 규명하고, 직업기초능력 향상에 필요한 기초자료를 제시하고자 시도되었다. 연구대상자는 J도에 소재하는 K 대학의 간호학 전공 4학년 학생 203명이었다. 연구결과, 시뮬레이션교육 디브리핑은 직업기초능력과 정적인 상관관계이었으며, 직업기초능력에 영향을 미치는 디브리핑은 ‘토론유도’가 유의미한 영향을 미치는 것으로 나타났다. 연구결과를 바탕으로 직업기초능력을 강화하기 위해 시뮬레이션교육의 토론활동을 향상시킬 수 있는 프로그램이 필요하다.

본 연구의 목적은 간호대학생이 임상실습 기간 동안 경험하는 감정노동과 임상실습 스트레스 간의 관계를 규명하는 것이다. 아울러 간호대학생들이 실습교육과정에서 겪게 되는 감정노동 및 스트레스를 경감시키고 관리할 수 있는 프로그램 마련을 돕는 것이다. 즉 임상실습 스트레스와 감정노동을 경감시킬 수 있는 교육 프로그램을 개발하는 데 기초자료를 제공하고자 한다. 본 연구는 서울지역 A 대학의 간호대 학생 170명을 대상으로 진행되었으며, 감정노동과 임상실습 스트레스에 관한 내용으로 설문조사를 실시 하였다. 연구결과, 간호대학생은 임상실습 기간에 높은 스트레스를 경험하고, 감정노동을 강하게 경험하 는 것으로 나타났으며, 감정노동과 임상실습 스트레스 간에는 유의미한 상관관계가 있는 것으로 나타났 다. 이 같은 연구결과를 토대로 본 연구는 간호대학생 대상의 ‘감정노동･임상실습스트레스 관리 프로그램’이 조속히 도입되어야 한다고 주장한다.

Purpose: This study was conducted to evaluate simulation-based asthma pediatric care among nursing students. Methods: One group post design was utilized. A total of 148 nursing students were recruited as participants. The data were collected from February 22to June10, 2016. Seven hours of simulation-based asthma pediatric care was conducted. Results: The total mean knowledge score for asthma pediatric care was 3.8, and simulation-based performance score was 8.0. In simulation-based performance, the highest mean score was 2.4 for “oxygenation” category and the lowest mean score was 1.5 for “nursing recording.” There was no statistically significant difference in the level of clinical performance using simulation for the upper, middle, and lower groups according to the theoretical knowledge level. Additionally, no statistically significant correlation was found between the theoretical knowledge score and simulation-based clinical performance score. Conclusion: The findings suggest that simulation-based care involving various scenarios and integrated evaluation tools for clinical nursing performance are required to improve asthma pediatric care among nursing students.