Purpose: The purpose of this study was to examine the impact of a problem-based simulation education program on nursing student’s academic achievement, academic efficacy, and clinical performance skills. Methods: This study examined a group of nursing students using the pretest-posttest test design. Second year pediatric nursing students studying the practical subject Integrated Simulation at S University in K region were asked to complete a self-administered questionnaire before and after using a problem-based simulation education program. In addition to using SPSS/WIN 21.0 for descriptive analysis, the data was analyzed using independent t-test, repeated measures ANOVA and Pearson- correlation. Results: After completing the simulation education program, participants showed statistically higher academic achievement (t = -5.795, p < .001) and clinical performance skills (t = -3.835, p = <.001) than before. However, there was no significant difference in academic efficacy score(t=-.217, p=.829). Conclusion: The results from this study indicate that lessons with various methods and content should be developed to –evaluate both theoretical knowledge and clinical performance skills. In addition, there is a need to develop a standard evaluation.

Purpose: The goal of this study was to develop a simulation scenario for patients with increased intracranial pressure(IICP) and a simulation education program based on Goal-based Scenario(GBS). Methods: The first stage of this study was to investigate GBS, based on which a simulation scenario was developed using the modified Bay Area Simulation Collaborative scenario template. A team of experts was asked to evaluate the scenario. Results: The simulation education program was creasted, which included educational goals, missions, scenarios, roles, scenario operations, resources, and feedback. The scenarios were analyzed on the basis of 4 algorithm: initial assessment, neurologic assessment, IICP nursing assessmnet, reassessment of IICP signs, and monitoring vital signs. Conclusion: The simulation scenarios developed in this study can provide students with opportunities to practice nursing for patients with IICP, Further, this scenario may provide instructors with a systematic and sustainable simulation education model for an instructor.

Purpose: This research involved a review of studies that examined the effectiveness of simulation-based nursing for clinical nurses in Korea. Methods: This is a methodological study for the identification of the simulation based educational interventions applied to nurses. Existing literature on simulation-based nursing education was searched using KISS, RISS, and Google Scholar electronic data bases and the keywords were “simulation,” “nurse,” “debriefing,” and “effect.” A total of 6 studies were included in the analysis. Results: Identified studies were conducted between 2010 and January 2017. All of the studies were randomized controlled trials(RCT). Scenario subjects were “communication skill,” and “emergency care.” Information about debriefing was largely absent from the studies. Conclusion: The findings suggest that activation of simulation–based nurse education is required. This study proposed that choice of measurement variables considering objectivity is needed.

Purpose: The purpose of this study was to investigate the effect of simulation training using video debriefing on the self-efficacy, problem solving ability, and learning satisfaction of nursing students. Method: The study design was control group pre-and post-test non-synchronized experimental design. The sample included two teams of 138 nursing students. The experimental group provided feedback after the simulation was run, and then the team was debriefed through the video recorded video in the debriefing room, and the control group performed the oral debriefing. This study was conducted from November 10, 2015 to December 10, 2015, using descriptive statistics, χ²-test and t-test. Results: The scores of the self-efficacy, problem- solving process performance, and learning satisfaction were higher than those of the group who received the video debriefing (experimental group) than those who received the oral debriefing training (control group). Conclusion: It has been found that debriefing using video in the simulation training has a positive effect on self-efficacy, ability to perform problem solving process and improvement of learning satisfaction, so it can be utilized as an effective teaching and learning strategy and also helps strengthen nursing capacity.

Purpose: This study aimed to examine the effects of simulation-based training for nurses on nursing stress and clinical competency of cardio-pulmonary emergency care at general wards. Method: A nonequivalent control group, with a pretest-posttest design was used. The experimental group (n=34) received a lecture and team simulation. The control group (n=36) received only lectures without simulation. Data were analyzed using Chi-square and t-test with SPSS program. Results: The participants in the experimental group reported significantly lower death and dying 13.14±1.50 (t=7.19, p<.001), conflict with physicians 7.06±2.51 (t=5.82, p<.001), inadequate preparation 6.16±4.17 (t=4.49, p<.001), problems with peers 13.33±7.05 (t=4.09, p<.001), problem relating to the supervisor 13.51±4.03 (t=2.09, p=.030), workload 17.08±6.19 (t=5.76, p<.001), uncertainty concerning treatment 12.13±6.45 (t=2.21, p=.020), patients and their families 16.37±6.38 (t=3.34, p<.001), discrimination 5.66±2.79 (t=2.39, p=.013) and higher clinical performance ability (t=5.14, p<.001) compared with the control group. Conclusion: This suggests that simulation-based training for cardio-pulmonary emergencycare for nurses at general wards is useful to decrease nursing stress and improve clinical competency.

Purpose: The purpose of this study was to investigate the effects of communication simulation based on for elderly sensation disorders patient. the elderly population is growing about hearing loss, cataracts on this communication simulation for a nursing student is required. Methods: A nonequivalent control group pretest-posttest design was used. A total of 46 subjects (undergraduate students) participated in they were assigned to two groups: the experimental group(n=24) the control group (n=22). Data - gathering structured questionnaires that included communication competence, academic self-efficacy, and attitude about the elderly. The data were collected and statistical analyses were conducted with x2 test and independent t-test using the SPSS 22.0 program. Results: there was significant improvement in communication competence in the experiment group (t=2.05, =.046) and attitude about the elderly (t=-2.26, p=.033). However, there was no statistically no significant in academic self-efficacy(t=1.17, p=.247) Conclusion: communication Simulation should continue to be developed further for better sensation disorders with elderly patient. Integrated education in particular using a high-fidelity simulator will contribute to improvement in nursing competence.

Purpose: This study was conducted to evaluate outcome-based delivery care with simulation in nursing student. Methods: One group pre-post design was utilized. 155 participants consisting of nursing students was recruited. The data were collected from august 25 to december 5, 2015. Five hours thirty minutes of outcome-based delivery care with simulations was operated. Results: The item showing the lowest mean score was ‘verbal communication’, the highest mean score was ‘core basic nursing skills’. Conclusion: The findings suggest that it would be useful to use the outcome-based delivery care with simulation in nursing students.

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 is to develop a faculty development program for nursing simulation educators. Methods: This study developed one-day education program based on the ADDIE model. Data were collected using self-report questionnaires to investigate learners’ needs and participants’ evaluation of the pilot program. The data were analyzed using EXCEL with descriptive statistics. Results: The participants’ satisfaction with the program showed an overall high level of satisfaction. Two types of faculty development were developed based on the needs assessment. In addition, a review of the existing programs, namely, basic and advanced courses, were conducted based on the learning needs hierarchy. Conclusion: The development and pilot testing of a faculty development program for nursing simulation educators are feasible. Further research should focus on the short- or long-term evaluation of the program using the experimental research design.

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.

Background: Team-based learning (TBL) strategy have been applied in various nursing education as focusing on what students doing in-class and how learning from their experience. The purpose of this study was to develop and apply the TBL approach to teach pain assessment and management for undergraduate nursing students. Methods: Pain management education using TBL was applied in fundamentals of nursing course and consisted of three sessions for 2nd year nursing students. For developing the TBL, instructors redesigned the course before starting the semester and collected the cases reports from clinical environment. TBL on pain management was then applied into fundamentals of nursing course for 3 weeks. After completion the TBL course, satisfaction and self-confidence were collected. Result: We designed activities in four different points of TBL course such as a) before class begins, b) preparation, c) readiness assurance, and d) application. In before class, students can be identified instructional goal of TBL and activities of each point of course with their team member. The scores of students’ satisfaction and self-confidence in learning were high. Most students were positively described their experience of TBL course on pain management. Conclusion: Based on this development process and application, TBL approach will be applicable in various nursing education for enhancing the knowledge and making a clinical decision of nursing students.

Purpose: This study was to identify the effect of siimulation-based educational for delivery nursing program on knowledge, problem solving process and confidence in nursing students. Methods: This study was one group pre-post test design, participants are 51 nursing student. This simulation-based education for delivery nursing program was applied to the subjects from 31th, August to 25th, September, 2015. The program consist of a scenario in which each of the situations presented from first stage of labor to the fourth stage of labor. Data were analyzed using SPSS WIN 19.0 program. Result: There was a significant difference on delivery nursing knowledge, problem solving process and confidence. Conclusion: Therefore, the educational program of labor simulation was effective on improving knowledge, problem solving process and self-confidence among nursing students.

Purpose: The purpose of this study was to identify the difference in problem solving ability and learning flow by team based simulation learning depending on the level of metacognition of nursing students. Methods: This study was one group pre-posttest design. The subjects were 81 students enrolling in the simulation-based practice. Simulation learning included team based pre-discussion, taking a simulation and being debriefed during 4 weeks. Data were collected from May to June, 2015 using a structured questionnaire on metacognition, problem solving ability, and learning flow. Data were analyzed using SPSS win 20.0 program. Result: There were significant positive correlations between metacognition, problem solving ability, and learning flow. The student who had higher metacognition score than other group had scored problem solving ability and learning flow in pre and post program. Conclusion: These results suggest that metacognition has a positive effect on nursing students' learning outcomes. Therefore, it should be considered the metacognition in composing the team based simulation learning in nursing.

Purpose: This study was tried to identify the effects of problem-based learning integrated with simulation education on the critical thinking disposition, problem-solving process and self-confidence of nursing process in nursing students. Methods: This study was one group pre-post test design, participants are 47 senior nursing students. We developed the simulation practice by applying problem based learning taking 2 hours per session, once per week for 15 weeks. Data were analyzed by descriptive statistics, paired t-test, Pearson’s correlation coefficients using the SPSS WIN 18.0 program. Result: There was a significant difference simulation practice by applying problem based learning on the critical thinking disposition, problem-solving process and self-confidence of nursing process of nursing students. There was a correlation between each other variables. Conclusion: Therefore, suggest that the repeated studies to verify the effects of simulation practice by applying problem based learning.

Purpose: The aim of this study was to identify instructor’s experience on debriefing of nursing simulation education Methods: The participants were nine instructors in simulation-based nursing education. Data were collected from May, 2015 to June, 2015, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Three essential themes were extracts that were as follows 1) Instructors’ reflection on their teaching of debriefing in education 2) Determining the effects of debriefing in the simulation-based nursing education 3) Devoting one’s efforts for successful debriefing Conclusion: Debriefing is built on instructors’ reflection of how the debriefing process can be applied in simulation-based nursing education; this process can provide a practical understanding of nursing students, educational contents, and educational environments. Successful debriefing for enhanced nursing competency requires instructors’ effects to identify and deal with educational problems by reflecting on their teaching experience.

Purpose: The purpose of this study was to explore instructor's experience on nursing simulation education Methods: The participants in this study were 10 instructors at a university in Korea. They had teaching experience of simulation education in various parts of curriculum. Data were collected from October, 2014 to December, 2014, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Four essential themes were extracts that were as follows 1) Came across obstacles about use of the simulator 2) Need of instructors’ preparation for the simulation education is required 3) The simulation education conditions are in need of improvement 4) Need of efforts required to strengthen competency as professional nurses Conclusion: Even though at times the education was not carried out smoothly from simultor and education condition, the instructors felt the need for the simulation education in nursing and realized that instructors preparation and simulation education conditions were in need of improvement. Furthermore, the instructors thought the need of further efforts for the students to strengthen their nursing competency as professional nurses. Such understanding of the instructors’ experience, therefore, will be applied to the course of education, which will help maximize the effects of the simulation education and contribute to the necessary improvement required through the curriculum.

Purpose: The purpose of this study was to explore the first learning experiences of undergraduate nursing students in team based high-fidelity simulation. Methods: The participants in this study were 13 undergraduate students at a university in Korea. The students were place in a setting of high-fidelity simulation to manage neurological patients. Data were collected from August, 2013 to September, 2013, through in-depth interviews and were analyzed on the basis of Colaizzi’s phenomenological methodology. Results: Five essential themes were extracts that were as follows 1) Thoughts about patients through the training manikin 2) Feeling of being engaged in practical training 3) Recognition of the importance of the team and teammates 4) Evaluation and analysis of the education content 5) Prospects of improving the capacity for nursing practice. Conclusion: Although the students experienced simulation practicum for the first time, it was noticeable that they tried to actively utilize their theoretical knowledge on the training high-fidelity manikin during simulation practicum. Also, it was observed that they recognized the importance of cooperating with their teammates through team role-playing, assuming a professional attitude as a result. Furthermore, analysis on the content of the education and self-evaluation would help foster the capacity to provide total care for patients.

Purpose: The purpose of this study was to verify the effect of student-generated rubrics on learning motivation and academic achievement in simulation education. Methods: Student-generated rubrics was developed through the negotiation process between teacher and students, content validity has been verified. The participants were 122 undergraduate nursing students recruited from the one university in G city. The participants were given the simulation education for 15 weeks from 2011 to 2012. Experimental group were presented to student-generated rubrics before course starting was not presented to the control group. The data were analyzed by t-test with SPSS win 18.0 program. Results: Student-generated rubrics presented simulation education was to improve learning motivation and academic achievement. Conclusion: Student-generated rubrics with high reliability and validity in a number of areas to be developed and there is a need to be refined and ensure objectification of simulation education.

Purpose: This study was conducted to examine the effects of Clinical practice learning using a web-based e-book on nursing students' learning motivation, knowledge achievement and satisfaction with clinical practice. Methods: The participants in this study were 69 third-year nursing students (34 in the experimental and 35 in the control group) from a C-university in G-city, Korea, who were engaged in one-week clinical practicum in a gastroenterology ward. The data were analyzed by x²-test, Fisher's exact test, and t-test with the SPSS program 20.0. Results: After intervention, compared to the control group, the experimental group reported significant difference in Learning motivation (t=-3.61, p<.001), knowledge achievement(t=-2.92, p<.001), and satisfaction with clinical practice (t=-8.78, p<.001) in the training course using Mosby's nursing skills. Conclusion: These results identified that clinical practice learning using Mosby’s Nursing Skills was effective for the improvement of learning motivation, knowledge achievement and satisfaction with clinical practice. These results indicate that the implementation of an e-Learning needs to be continued as an effective educational tool. Also, it is needed to research more for better ways to implement e-Learning on students’ practicum.