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.

본 연구는 요양보호사의 환자안전 지식과 환자안전관리 활동의 관계에서 자기효능감의 매개 효 과를 확인하기 위해 수행된 서술적 조사연구이다. 자료수집은 노인요양시설과 재가센터 소속 요양보호사를 대상으로 2022년 7월 1일부터 7월 29일까지 실시되었으며, 197명의 자료가 최종 분석에 사용되었다. 수집 된 자료는 SPSS 28.0 프로그램을 이용하여 t-test, ANOVA, Scheffé test, Person’s correlation coefficients, Hierarchical multiple regression으로 분석하였다. 연구결과, 요양보호사의 환자안전 지식과 자 기효능감(r=.653, p<.001), 환자안전 지식과 환자안전관리 활동(r=.467, p<.001)은 각각 유의한 양의 상관관 계를 보였다. 또한 요양보호사의 환자안전 지식과 환자안전관리 활동의 관계에서 자기효능감의 완전 매개 효과가 확인되었고, 설명력은 46.8%였다. 따라서 요양보호사의 환자안전관리 활동을 강화하기 위해서는 자기효능감 향상을 위한 체계적인 프로그램 개발과 함께 교육의 기회가 제공되어야 할 것이다.

Purpose: This study was tried to identify the effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problemsolving process in nursing students. Methods: A nonequivalent control group designed was used. The study was composed of hazard perception training and simulation program. Sixteen teams of a total of 61 nursing students participated in the simulation program using a high fidelity simulator. The collected data were analyzed by descriptive statistics, χ2-test and t-test using PASW 18.0 program. Result: There were statistically signigicant in self-efficacy of patient safety(t=2.55, p=.013), error recovery(t=2.82, p=.007), and problem-solving process(t=3.29, p=.002) in the experimental group. Conclusion: These results indicate that the simulation program by applying hazard perception training is effective in improving self-efficacy of patient safety, error recovery and problem-solving process for nursing students. Further study is recommended to confirm the long-term effects of the simulation program by applying hazard perception training.