Purpose: This study aims to identify the effects of integrated practice applying core nursing skills among nursing students. Method: Methods: The study employs a single-group time-series design. The data were collected from 118 nursing students of S university in D city between from March and June 2019 and analyzed using paired t-tests and SPSS 23.0. Results: The findings reveal that critical thinking disposition (t=-7.70, p<.001), confidence in performing core fundamental nursing skills (t=-6.32, p<.001), learning attitude (t=-3.29, p<.001), class satisfaction (t=-12.95, p<.001), and confidence of integrated practice (t=-13.49, p<.001) show statistically significant improvements. Conclusion: Results: Conclusion: Integrated practices applying core nursing skills improve the knowledge, skills, and attitudes of nursing students. The results indicate a need to develop practice education strategies such as well-designed subjects and apply fundamental nursing skills to increase the confidence of nursing students.

Purpose: This is a group pretest-posttest design study that aim to examine the effect of smart problem-based learning (PBL) teaching method using flipped learning to meta-cognition, academic self-efficacy, and satisfaction level of nursing students. Method: The subjects were 76 students who took basic nursing practice, which is a major subject, from August 29 to December 13, 2018. A questionnaire was used to measure meta-cognition in web-based self-directed learning. The self-efficacy measurement used a scale consisting of self-regulating efficacy, task difficulty preference, and confidence. The measurement of practical satisfaction is a 5-point Likert scale that employs a questionnaire. Flipped learning uploaded a 10-minute lecture video, and the subjects learned through PC or smartphone. PBL teaching was developed in two modules: gavage and indwelling urinary tract. Results: Result showed a significant improvement of meta-cognition after education than before education (t=3.21, p=.043). Academic self-efficacy was not significantly changed before and after education. Practice satisfaction was significantly improved after training than before training (t=-2.19, p=.032). Conclusion: The smart PBL teaching method using flipped learning is an effective teaching and learning strategy for nursing majors. Nursing students with high meta-cognition will be able to perform well in their learning outcomes; therefore, this positive performance experience will enhance self-efficacy.

Purpose: The purpose of this research was to explore same-age-tutoring experiences for fundamental nursing practice in peer learners. Method: Content analysis was performed on the collected data. Participants were 14 nursing students. Data were collected from September 19, 2018 to November 2, 2018. Results: Three theme clusters were extracted as follows: 1) autonomous learning environment 2) meeting learning needs 3) motivation to learn. Conclusion: The results can contribute to understanding peer learners’ same-age-tutoring education experiences. Further, they can provide foundational data for establishing same-age tutoring education strategies to improve nursing skills and knowledge, helping nursing students adapt to clinical practice.