Purpose: This study examined the effects of simulation-based education for high-risk maternity on evaluating problem-solving process, self-leadership, critical thinking disposition, and selfefficacy of nursing students. Method: This study was a one-group pretest-postest test design with 81 junior nursing students as participants. Data were collected from September 4 to December 11, 2019, after students completed their simulation practice class. Students completed a survey on their problem-solving process, self-leadership, critical thinking disposition, and self-efficacy at the beginning and end of the class. Data were analyzed using descriptive statistics, paired t-test, and Pearson’s correlation coefficients using the SPSS WIN 21.0 program. Results: Students’ problem-solving process (t=-7.06, p<.001), self-leadership (t=-3.08, p=.003), critical thinking disposition (t=-2.12, p=.037), and self-efficacy (t=-6.01, p<.001) showed significant improvement after the simulation-based education for high-risk maternity. There was a positive relation between problem-solving process and self-leadership (r=.52, p<.001), critical thinking disposition (r=.39, p<.001), and self-efficacy (r=.53, p<.001). Conclusion: There is a need to supplement the limitations of clinical practice education by providing a simulation-based education environment similar to a hospital since the experience of clinical practice alone is not sufficient to improve students' knowledge and skills. Results of this study may be used as a basic data for efficiently performing simulation-based education on high-risk maternity.

The purpose of this study was to investigate preferences and satisfaction levels in maternity and nursing brassiere. A questionnaire was conducted on 302 women from their 20s to 40s who had breastfeeding experience. The questionnaire included questions on participant demographics, purchase behavior, and design preference and satisfaction levels. The majority(98.0%) of the participants had had experience using maternity/nursing brassieres. More than 90% of the participants agreed with the need for maternity/nursing brassieres distinct from regular ones. Shopping online was the most common means of purchasing them. The most and second-most owned fastener types were the detachable shoulder belt type and inside-cup type, respectively. The most selected reason for purchasing or wearing a maternity/nursing brassiere was the convenience of donning and doffing the brassiere during breastfeeding. Participants had lower satisfaction levels with how well maternity/nursing brassieres support and center the breasts, and with the variety of designs available on the market. Respondents indicated that fasteners for breastfeeding should be developed to provide comfort and convenience for breastfeeding. Wearing comfort was reported as the most important factor in purchasing selection, both during the pregnancy and breastfeeding periods. No-wire, back closure, full-cup, U-shape wing, and skin color were the most preferred design styles.

The purpose of this study was to investigate preferences and satisfaction levels in maternity and nursing brassiere. A questionnaire was conducted on 302 women from their 20s to 40s who had breastfeeding experience. The questionnaire included questions on participant demographics, purchase behavior, and design preference and satisfaction levels. The majority(98.0%) of the participants had had experience using maternity/nursing brassieres. More than 90% of the participants agreed with the need for maternity/nursing brassieres distinct from regular ones. Shopping online was the most common means of purchasing them. The most and second-most owned fastener types were the detachable shoulder belt type and inside-cup type, respectively. The most selected reason for purchasing or wearing a maternity/nursing brassiere was the convenience of donning and doffing the brassiere during breastfeeding. Participants had lower satisfaction levels with how well maternity/nursing brassieres support and center the breasts, and with the variety of designs available on the market. Respondents indicated that fasteners for breastfeeding should be developed to provide comfort and convenience for breastfeeding. Wearing comfort was reported as the most important factor in purchasing selection, both during the pregnancy and breastfeeding periods. No-wire, back closure, full-cup, U-shape wing, and skin color were the most preferred design styles.

Purpose: This study was to identify relationship between instructor and learner's evaluation in the simulation-based maternity nursing. Methods: The simulation-based nursing education program was taken by 112 fourth year nursing students. 30 item clinical practice competency evaluation tool has been developed for instructor. And 30 item clinical practice competency scale(self reported form) was used for students. Result: The critical items of the simulation-based maternity nursing were suggested in this study. Mean score for clinical practice competency are as follows: student's evaluation 4.0(on a 5-point scale), instructor's evaluation 76.7(on a total 90-point). There was a positive correlation between instructor and learner's evaluation score. Conclusion: These findings will be useful guideline in development direction of qualitative simulation-based nursing education program.

Purpose: The purpose of this study is to analyze the level of satisfaction and clinical competence on simulation-based practice in woman’s hospital and to figure out the factors that level of satisfaction affect to clinical competence. Method The subjects in the experimental group were 93 students who did simulation-based practice and subjects in the control group were 70 students who practiced in woman’s hospital. Data was analyzed using ex post factor experimentation during second semester in 2013. Results: There was statistically no significant difference between the two groups, but positive correlation between the main variables. The most significant affecting factors to clinical competence in experimental group were satisfaction of contents and duration(R2=.24). The most significant affecting factors to clinical competence in control group were satisfaction of evaluation and practice stressor (R2=.32). Conclusion Since there was no difference between the two groups, once the difficult part in clinical practice of maternity nursing is practiced repeatedly, student’s competence can be improved. Hence the continual study was required.

Purpose: This study examined the effects of simulation-mixed maternity nursing practicum on learning attitude, learning satisfaction and clinical practice performance in nursing students. Methods: One group, pre-post design, was utilized with 64 students. The simulation-mixed maternity nursing practicum consisted of intrapartum and postpartum care. Results: The learning attitude and learning satisfaction scores in maternity nursing care showed a significant change in the post-test (t=-5.92, p <.001, t=-7.35, p <.001) and enhanced clinical practice performance. Conclusion: The simulation-mixed maternity nursing practicum was useful in improving the learning attitude and learning satisfaction and clinical practice performance for maternity nursing practicum in nursing students. In conclusion, We recommend for simulation-mixed maternity nursing practicum to increase clinical practice performance of the students.

Purpose: This study examined the effects of simulation-based education on knowledge, self-confidence and satisfaction about maternity core nursing practicum in senior nursing students. Methods: One group, pre-post design, was utilized with 77 students. The simulation -based maternity core nursing practicum that consisted of two sessions each 2 hours long for intrapartum and postpartum care was provided to 6 small groups. Core items of knowledge about and self-confidence in maternity core nursing practicum were measured with 18 items before and after the sessions. Results: The knowledge, self-confidence and satisfaction scores in maternity nursing care showed a significant change in the post-test (t=-13.99, p<.001, t=-21.14, p<.001). Conclusion: The simulation-based maternity core nursing practicum was useful in improving the knowledge, self-confidence and satisfaction scores for childbirth and postpartum care in nursing students. In conclusion, We recommend for maternity core nursing practicum to empower the competency of the students.