Purpose: This study evaluated the impact of a nursing simulation learning module for caring for patients with chronic obstructive pulmonary disease (COPD) on nursing knowledge, clinical competence, team psychological safety, and learning satisfaction among nursing students. Methods: A non-equivalent control-group pretest–posttest quasi-experimental design was used with 36 students (18 per group) assigned to either a simulation group or a lecture group. Data collected from June 8 to July 13, 2024, were analyzed using SPSS 27.0. Results: Nursing knowledge showed no significant between-group difference (F=1.32, p=.260) but improved over time (F=8.24, p=.007). Clinical competence showed a significant group-by-time interaction (F=58.33, p<.001). Team psychological safety (t=2.70, p=.012) and learning satisfaction (t=2.27, p=.030) were higher in the simulation group. Conclusion: These findings provide foundational data for developing simulation-based educational strategies in nursing curricula. The module may also be applied to the training of novice nurses in clinical settings, thereby contributing to enhanced nursing education and improved clinical practice.

Purpose: This study aimed to examine the effects of a disaster nursing education program using the Korean Triage and Acuity Scale (KTAS) on nursing students’ competency in emergency patient triage, core competencies, confidence in disaster nursing, and self-efficacy in disaster response. Methods: This study utilized a nonequivalent control group design. The experimental group (n=25) participated in a disaster nursing education program that incorporated the KTAS, whereas the control group (n=27) did not receive any intervention. Data were analyzed using descriptive statistics and t-tests. Results: The two groups differed significantly in both competency in emergency patient triage (t=3.47, p=.001) and confidence in disaster nursing (t=2.51, p=.015). Conclusions: This study indicates that a disaster nursing education program using the KTAS, a tool currently employed in clinical practice, rather than theory-based instruction alone, contributed to enhancing nursing students’ practical competencies. Such training can improve the emergency patient triage and confidence in disaster nursing required in emergency situations, ultimately enabling future nurses to better protect the lives and health of individuals affected by disasters.

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.

Purpose: This study examined the effects of clinical nurses' communication skills, critical reflection, and professional self-efficacy on medication safety competency. Methods: The participants were 150 clinical nurses with at least 12 months of experience in a tertiary hospital. Validated scales for assessed communication skills, critical reflection, professional self-efficacy, and medication safety competency. Data were analyzed using SPSS 29.0 with descriptive statistics, t-tests, ANOVA, correlation, and regression analyses. Results: The mean medication safety competency score was 4.24 ± 0.49, with the highest subscale scores observed in crisis management, patient-centered medication management, and problem-solving. Nurses aged 36 years and older and with over 6 years of experience demonstrated significantly higher medication safety competency. Medication safety competency showed positive correlations with communication skills (r = .68, p <. 001), critical reflection (r = .70, p < .001), and professional self-efficacy (r = .61, p <. 001). Regression analysis revealed these factors as significant predictors, collectively accounting for 57.5% of the variance. Conclusion: Communication skills, critical reflection, and self-efficacy significant determinants of nurses’ medication safety competency. Educational programs targeting theses domains are essential to improve medication safety. Further research is needed to assess and refine such interventions, thereby supporting continuous professional development and improved patient outcomes.

Purpose: This study aimed to develop and implement a multi-patient simulation (MPS) program for nursing students with no prior clinical practice experience. It also examined the effects of the program on the students’ communication competence and clinical reasoning ability. Methods: A one-group pretest-posttest design was used. The MPS program, consisting of four patient scenarios was applied to second-year nursing students with no prior clinical practice experience. Communication competence, clinical reasoning ability, and the perceived effectiveness of the multi-patient simulation program were measured using structured tools before and after the program. Results: Communication competence significantly improved after the MPS program, whereas clinical reasoning did not show a statistically significant difference. Perceived effectiveness of the MPS program was generally high, with the debriefing component scoring the highest. Confidence scores were relatively low, suggesting the need for level-appropriate scenario. Conclusion: The MPS program was effectively enhanced communication competence among preclinical nursing students. Although clinical reasoning scores did not improve significantly, the study highlights the importance of introducing realistic simulation experiences early in nursing education. Future research should focus on developing suitable clinical reasoning assessment tools for early year students and conducting randomized controlled trials to validate the effectiveness of customized MPS programs.

Purpose: This study was conducted to confirm the effects of patient safety simulation education on nursing students’s attitude of patient safety, confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control, and nursing professionalism. Methods: In this study, 89 students from the 4th grade of the nursing department at one university participated, and the data collection period was from August 20 to August 30, 2023. The collected data were analyzed using R 4.3.2 version and by descriptive statistics, independent t-test, Pearson’s correlation coefficients. Results: After education, the subjects' nursing professionalism(t=-5.95, p<.001), attitude of patient safety(t=-3.59, p<.001), confidence in performance of patient safety(t=-3.90, p<.001), and confidence in performance multidrugresistant bacterial infection control(t=-5.55, p<.001) increased statistically significantly. After education, there was a positive correlation between nursing professionalism, attitude of patient safety(r=.43, p<.001), confidence in performance of patient safety(r=.64, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.41, p=<.001). The relationship between attitude of patient safety, confidence in performance of patient safety(r=.47, p<.001), confidence in performance multidrug-resistant bacterial infection control(r=.37, p=<.001) showed a positive correlation. Confidence in performance of patient safety, confidence in performance multidrug-resistant bacterial infection control(r=.80, p<.001) showed a positive correlation. Conclusion: Through this study, in order to strengthen effective patient safety management behavior, it is necessary to find ways to increase immersion and proactiveness in education by developing and applying various scenarios related to patient safety in nursing management simulation education.

본 연구는 Q방법론을 활용하여 간호대학생들이 간호사의 전문직 정체 성에 대해 가지는 인식 유형을 탐구하였다. 연구의 목적은 첫째, 간호대 학생들이 간호사의 전문직 정체성을 어떻게 인식하는지 유형화하는 것이 며, 둘째, 간호사의 핵심 역할에 대한 인식을 분석하는 것이다. 연구 결 과, 간호대학생들이 인식하는 간호사의 전문직 정체성은 세 가지 주요 유 형으로 분류되었다. 첫째, 환자 중심 및 전문적 지식과 기술 중심형은 간 호사가 환자와의 신뢰 관계 형성, 정서적 지지, 전인적 접근을 강조하면 서도 최신 의료 기술과 전문적 지식 습득에 중점을 두는 유형이다. 둘째, 환자 중심형은 간호사가 환자와의 신뢰 관계를 구축하고, 효과적인 의사 소통을 통해 공정하고 평등한 간호를 제공하는 데 초점을 둔다. 셋째, 환 자 중심 및 윤리와 가치관 중심형은 간호사의 윤리적 책임, 환자 권리 보 호, 공정한 간호 제공을 중시하며, 간호사가 사회적 책임을 수행해야 한 다는 점을 강조하는 유형이다. 본 연구는 간호대학생들이 간호사의 전문 직 정체성을 어떻게 이해하고 있으며, 각 역할을 어떻게 인식하는지를 체 계적으로 분석함으로써 간호 교육과정에서 환자 중심 접근, 전문적 지식 과 기술 습득, 윤리적 가치관 함양을 균형 있게 반영할 필요성을 제시하 였다. 연구 결과는 간호 교육 및 임상 실습 과정에서 간호사의 핵심 역할 을 효과적으로 강화할 수 있는 방향을 마련하는 데 기여할 것이다.

본 연구는 해외 단기 연수 프로그램에 참여한 간호대학생들의 연수 경 험과 그들이 인식하는 교육적 효과를 탐색하고, 이를 바탕으로 해외 단 기 연수 프로그램이 나아가야 할 방향을 조명하는 데 목적이 있다. 이를 위해 해외 단기 연수에 참여한 간호대학생들을 대상으로 포커스 그룹 인 터뷰와 개별 인터뷰를 병행하였다. 포커스 그룹 인터뷰는 4명의 학생으 로 구성된 그룹을 대상으로 진행되었으며, 모든 인터뷰는 반구조화된 질 문을 기반으로 진행되었으며, 참여자들의 자유로운 발화를 유도하여 그 들의 경험을 심층적으로 탐색하였다. 연구 결과, 총 6개의 주제와 17개 의 의미가 도출되었다. 학생들은 해외에서의 전공 연수에 대한 기대감과 계획적인 준비 과정을 통해 더 넓은 세상을 바라보게 되었으나, 영어 실 력 부족으로 인해 원활한 의사소통에 어려움을 겪으며 아쉬움을 느꼈다. 또한, 한국에서의 바쁜 학업과 비교하여 자유롭고 여유로운 현지 학생들 의 생활 방식에 부러움을 느끼고, 다양한 문화 체험을 통해 오랜만에 여 유를 즐길 수 있었다. 이번 연수를 통해 학생들은 자신의 새로운 가능성 을 발견하고, 더 나은 세상을 향해 나아가고자 하는 열망이 강하게 형성 되었으며, 이는 삶에 대한 태도의 변화를 유발하고 새로운 목표 설정으 로 이어졌다. 또한, 현지인들의 친절함과 순수함을 경험하면서 문화적 차 이를 이해하고 수용하는 태도를 함양하는 계기가 되었다. 본 연구 결과 를 종합해 볼 때, 해외 단기 연수 프로그램은 학생들에게 긍정적인 변화 를 유도하는 중요한 경험으로 작용하며, 열망, 동기부여, 자신감 향상 등 의 측면에서 긍정적인 영향을 미치는 것으로 나타났다.

Purpose: This study aimed to understand the meaning and essence of college life experiences of mature-aged male nursing students. Methods: Data were collected between November 2024 and December 2024 through in-depth, face-to-face interviews with ten older male nursing students. Data were analyzed using Colaizzi’s seven-step phenomenological analysis method. Results: The results comprised four theme clusters and 17 themes. Participants experienced “A tough start,” “Multidimensional obstacles,” “Source of strength,” and “Turning point in life.” Participants entered nursing school after overcoming challenging entrance exams in pursuit of stable employment during periods of economic instability and job scarcity. Additionally, they encountered dual barriers, both in terms of age and gender over the study period. They struggled because of their financial instability, academic stress, conflicts in social relationships, and insufficient university support services. However, despite these hardships, they persisted in their academic journey, encouraged by the joy of learning, with informal social support from family and friends and determined to complete their college courses. Ultimately, they perceived college life as a transformative phase through positive change, growth, and professional development in their journey toward becoming nurses. Conclusion: It is necessary to identify the individual needs of older male nursing students and provide university support services from a gender-equity perspective.

In April 2023, the Ministry of Health and Welfare announced a plan to address the nursing workforce shortage by introducing the Accelerated Bachelor of Science in Nursing (ABSN) program. This accelerated program, designed to shorten the traditional three-year nursing bachelor's degree program to two years, allows individuals with prior bachelor's or master's degrees in another field to earn the nursing license. While the number of nursing professionals is increasing, there is still a shortage compared to the OECD average, particularly in clinical settings. The ABSN program offers the advantages of supplying nursing workforce rapidly and cultivating interdisciplinary nursing professionals who can easily adapt to the demands of the Fourth Industrial Revolution. However, there are also drawbacks, including an increased academic workload due to differences from the regular curriculum and confusion over academic identity. Moreover, given the limited availability of clinical practice sites and the ongoing shortage of clinical nurses, concerns remain about whether the ABSN program can effectively achieve its goal of training high-quality nursing professionals. To address these concerns, it is recommended to conduct a comprehensive evaluation of the ABSN program and clarify its objectives, distinguishing it from the current bachelor's transfer system.

Purpose: This study aimed to measure the level of patient advocacy (the core attribute), nursing professionalism and ethical climate perceived by hospital nurses in Korea, and to identify factors influencing patient advocacy (the core attribute). Method: This study was conducted on 234 full-time nurses who had been working for more than 1 year at a general hospital located in a provincial city in Korea. Data were collected from November 15 to 30, 2024, using questionnaires. The collected data were analyzed using IBM SPSS/WIN 27.0. Results: Among patient advocacy, ‘safeguarding patients’ autonomy’ was explained by 30.0% by professional self-concept, patients, and professional identity in nursing, ‘acting on behalf of patients’ was explained by 34.0% by professional self-concept, role of nursing practice, patients, originality of nursing, and professional identity in nursing, and ‘championing social justice’ was explained by 36.0% by professional self-concept, patients, and managers. Conclusion: In order to improve patient advocacy of hospital nurses, it could be concluded that improving professional self-concept among the sub-factors of nursing professionalism and improving patients among the sub-factors of ethical climate are very effective. Therefore, nursing managers need to make managerial efforts to improve nurses’ professional self-concept and awareness of patients.

This study aims to examine whether social support has a mediating effect on the relationship between optimism and learning flow as a strategy to promote learning flow in nursing students. The subjects of the study were first-, second-, third-, and fourth year students enrolled in the department of nursing at a four-year university located in city G. Data collection was conducted from September to October 2024. The data were analyzed using descriptive statistics, Pearson correlation coefficient, and Baron and Kenny's regression analysis. The results of the correlation analysis between the variables in this study are as follows. Optimism and social support (r=.372, p<.001), social support and learning flow (r=.445, p<.001), and optimism and learning flow (r=.437, p<.001) all showed positive correlations. The results of the mediating effect of social support on the relationship between optimism and learning flow according to Baron and Kenny's regression analysis are as follows. In step 1, optimism showed a positive effect on social support (β=.372. p<.001). In step 2, optimism showed a positive effect on learning flow (β=.437. p<.001). In step 3, social support showed a partial mediating effect between optimism and learning flow (β=.315. p<.001, β=.328. p<.001). Overall, these findings suggest that strategies that promote optimism and social support are needed to enhance learning flow among nursing students.

본 연구는 G시의 간호학과 학생을 대상으로 비판적 사고성향과 사회적 지지가 학습몰입에 미치 는 영향을 확인하기 위하여 시행된 서술적 조사연구이다. 본 연구의 자료 분석은 기술적 통계, t검증, ANOVA, Pearson 상관계수, 회귀분석을 실시하였다. 본 연구결과는 다음과 같다. 비판적 사고성향(β =.578, p<.001)와 사회적 지지(β=.464, p<.001) 모두 학습몰입에 정적인 영향을 나타냈으며, 연구모형은 학습몰입을 42.7% 설명하는 것으로 나타났다. 이러한 연구 결과는 간호대학생의 학습몰입 증진을 위해 비 판적 사고성향과 사회적 지지를 증진시키기 위한 방안들이 필요함을 시사한다.

본 연구는 간호대학생의 게임 기반 시뮬레이션 학습 경험을 분석하여 그 의미를 도출한 질적 연구이다. 연구 참여자는 총 18명으로, 게임 기반 시뮬레이션 수업에 참여한 간호대학생이었다. 연구 자료 는 2023년 6월부터 7월까지 포커스 그룹 인터뷰를 통해 수집되었으며, 질적 내용분석 방법을 사용하여 분 석하였다. 연구 결과, 재미, 몰입, 경쟁, 협력, 학습성과 총 5개 주요 영역에서 10개의 범주와 18개의 유의 미한 진술이 도출되었다. 결론적으로, 게임 기반 시뮬레이션 수업은 간호학생들의 재미를 통해 학습 몰입 과 동기 부여를 높이고, 실제적 협력을 경험하게 하며, 다각적인 학습성과를 거두게 하였다. 따라서 본 연 구는 간호교육에서 게임 기반 시뮬레이션을 기존 시뮬레이션 학습의 대안으로 활용할 가능성을 제시하며, 게임 기반 학습성과를 심층적으로 검증하기 위한 후속 연구를 제언한다.

본 연구는 간호대학생의 자기결정성과 진로포부와의 관계에서 간호전문직관의 매개효과를 규명 하기 위해 시행되었다. 연구 대상자는 J도와 G시에 소재한 3개 대학교의 간호학과 재학생 4학년 180명이 다. 수집된 자료는 SPSS 27.0 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨 상관계수 및 회귀분 석을 시행하였고, 매개효과 검증을 위해 Sobel test를 실시하였다. 연구결과, 간호전문직관은 자기결정성과 진로포부 사이에서 부분매개효과를 나타냈고(Z=2.81, p=.005), 자기결정성(β.=.38, p<.001)과, 간호전문 직관(β=.25, p<.001)이 높을수록 진로포부 수준이 높아지며, 진로포부를 설명하는 설명력(R2)은 30%이었 다. 따라서 간호대학생의 진로포부를 향상시키기 위한 방안으로 자기결정성과 간호전문직관의 함양을 위한 실제적인 전략이 필요함을 시사한다.

본 연구는 자연치유 진단을 위한 대상자의 간호 진단 중재를 적용한 사례 연구로, 대상자의 치유 과정을 이해하고 지원하기 위한 접근 방식이다. NANDA(North American Nursing Diagnosis Association, 북미간호진단 협회)의 간호 진단 분류 체계를 기반으로 한 간호 과정을 수행하고 평가하는 시스템을 통해 자연치유를 선택하는 대상자들의 건강을 돕고자 하였다. 이 사례를 통해 자연치유 진단, 자연치유 수행, 결과, 평가까지 도출하는 과정을 서술적 보고 형식으로 제시하였다. 연구 대상자가 겪고 있는 건강 문제인 불 안에 대해 주관적 및 객관적인 사정 자료를 통해 파생된 건강 문제들을 간 호 진단, 요인 분석, 대상자의 행동 특성 등으로 분류하고, 중재 목표를 설 정하였다. 목표에 대한 결과를 도출하기 위한 중재 요법으로, 몸의 관절 가 동 범위를 넓혀주는 원심도와 싱잉볼 이완 요법을 간호 중재로 선택하여 긍 정적인 결과를 도출하였으며, 이는 앞으로 유사한 환자들에게도 적용할 수 있는 모델이 될 수 있다고 사료된다. 향후 다양한 질환 군에 대한 간호 체계 분류를 적용한 자연치유 중재 효과에 대한 양적 연구의 확대와 장기적인 자 연치유 과정과 그 결과를 평가하기 위한 후속 연구가 필요하다고 보여진다.

Purpose: This study aimed to analyze the reviewers’ evaluations of papers submitted to the Journal of the Korean Society for Simulation in Nursing between 2019 and June 2024. Methods: We analyzed 117 quantitative (69 published and 48 unpublished) and 16 qualitative (11 published and five unpublished) studies. The reviewers’ checklist-based evaluations were analyzed using means and standard deviations. The scope method was used to examine the reviewers’ subjective evaluations. Results: For quantitative studies, the highest average score among published papers was in the “Research Theme” category (3.64±0.73). Contrastingly, the lowest average scores were in the “Discussion” category, with 3.32±0.74 for quantitative studies and 3.23±0.74 for qualitative studies. In rejected papers, the “Discussion” category recorded the lowest scores, at 2.35±0.74 for quantitative studies and 1.92±0.76 for qualitative studies. Conclusion: The results demonstrated the research characteristics of this journal and focus of the review by providing information on the reviewers’ evaluations. Structured scientific research based on these results will contribute to improving the academic quality of journals by reinforcing the openness and systematicity of academic communication.

Purpose: This study employed a non-equivalent controlled pre-post experimental design to create educational content on basic cardiopulmonary resuscitation(CPR) and defibrillators using augmented reality smart glasses and determine its impact on nursing students' clinical competence, self-efficacy, and satisfaction. Method: The participants were nursing students from “S” University. The experimental and control groups comprised 33 and 29 participants, respectively. The dependent variables are clinical competence, self-efficacy, and satisfaction. The experimental group utilized augmented reality smart glasses, while the control group watched videos on a tablet PC. The collected data were analyzed using t-tests, -tests, and ANCOVA through the SPSS 25 program. Results: Clinical competence was significantly higher in the experimental group (1.86±0.01) than in the control group (1.75±0.01; F=31.76, p<.001). Self-efficacy was significantly higher in the experimental group (9.00±0.11) than in the control group (7.94±0.12; F=39.04, p<.001). Similarly, satisfaction was significantly higher in the experimental group (4.95±0.09) than in the control group (4.69±0.30; t=4.494, p<001). Conclusion: Augmented reality-based CPR and defibrillation training is effective in Improving nursing students’ clinical competence, self-efficacy, and satisfaction.

Purpose: This study aimed to identify the need for simulation education to strengthen patient safety competencies in nursing practice field experience and explore and analyze improvements in simulation education. Methods: Data were collected through focus group interviews with 31 participants from four groups of fourth-year nursing students and one group of new nurses from August 7, 2023 to February 11, 2024. Interview data were systematically reviewed by qualitative content analysis. Results: Five major themes were identified; (1) awareness of patient safety competencies among nursing students and new nurses, (2) awareness of patient safety education among nursing students and new nurses, (3) simulation education topics for strengthening patient safety competencies, (4) interfering factors of simulation education for strengthening patient safety competencies, and (5) facilitating factors of simulation education to strengthen patient safety competencies. Accordingly, 15 categories were derived, and the current status of simulation education for patient safety, educational needs, and improvements were reported. Conclusion: This study attempted to reflect on the needs of learners before developing a simulation education program and derive educational content to strengthen patient safety competencies.