Journal of Korean Academy of Nursing

Research Papers

Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students: Se-Young Jung, Eun-Young Kim; J Korean Acad Nurs 2024;54(4):563-576. Published online October 14, 2024; DOI: https://doi.org/10.4040/jkan.24054

Abstract PDF ePub: Purpose
This study aimed to develop and verify a progressive simulation education program aimed at enhancing nursing students’ medication safety competency.
Methods
A non-equivalent control group pretest-posttest design was adopted. The participants were 40 third-year nursing students with no prior simulation education experience, comprising 20 each in the experimental and control groups. The experimental treatment utilized a hybrid simulation approach incorporating both full-body mannequins and standardized patients and was, conducted over three sessions with durations of 65, 80, and 95 minutes for the first, second, and third sessions, respectively, for a total of 240 minutes. The program was constructed based on Jeffries’ simulation model.
Results
The levels of medication safety competencies, communication self-efficacy, learning self-efficacy, and problem-solving abilities of the experimental group were significantly higher than that of the control group.
Conclusion
Our results confirm that the program effectively improves nursing students’ medication safety competence, communication self-efficacy, learning self-efficacy, and problem-solving ability. Therefore, this program can serve as a basis for developing educational strategies related to medication safety for nursing education institutions. Furthermore, the program is anticipated to have a positive impact on novice nurses’ education and practice in clinical settings.

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Effectiveness of Simulation-Based Education for Caring Patients with COVID-19: Lee, Min Hye , Noh, Eun-Young; J Korean Acad Nurs 2023;53(4):397-411. Published online August 31, 2023; DOI: https://doi.org/10.4040/jkan.22151

Purpose
The role of medical staff gained immense significance in the context of the prolonged coronavirus disease (COVID-19) pandemic. However, few studies had explored the impact of simulation-based education on the ability of nursing students to care for the patients of COVID-19. This study provided nursing students with simulation-based education in caring for the patients of COVID-19 and confirmed its effectiveness.
Methods
This study used a non-equivalent control group pretest-posttest design. The participants were recruited from the nursing departments of two universities in Korea through convenience sampling. A total of 79 participants were included: 37 in the intervention group and 42 in the control group. The intervention group received four sessions of simulation training based on the National League for Nursing Jeffries simulation theory.
Results
The intervention group showed an improvement compared to the control group in terms of knowledge related to coronavirus, confidence in performing infection control skills, and perception of preparedness for caring for the patients of COVID-19, with a high-level of satisfaction and self-confidence in learning. There was no significant difference between the two groups in terms of anxiety.
Conclusion
This simulation is expected to be a significant strategy for alleviating the global burden in terms of staff safety and patient outcomes by improving the competencies of prospective medical staff in responding to pandemics.

Citations

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Nursing Students’ Perceptions of a Novel Education Approach to Prevention and Control of Healthcare-Associated Infections: Insights from PrevInf Pilot Study
Paulo Santos-Costa, Filipe Paiva-Santos, João Graveto
Nursing Reports.2024; 14(2): 1494. CrossRef

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Effects of a Nursing Simulation Learning Module on Clinical Reasoning Competence, Clinical Competence, Performance Confidence, and Anxiety in COVID-19 Patient-Care for Nursing Students: Kim, Ye-Eun , Kang, Hee-Young; J Korean Acad Nurs 2023;53(1):87-100. Published online February 28, 2023; DOI: https://doi.org/10.4040/jkan.22130

Abstract PDF

Purpose
This study aimed to develop a nursing simulation learning module for coronavirus disease 2019 (COVID-19) patient-care and examine its effects on clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient care for nursing students.
Methods
A non-equivalent control group pre- and post-test design was employed. The study participants included 47 nursing students (23 in the experimental group and 24 in the control group) from G City. A simulation learning module for COVID-19 patient-care was developed based on the Jeffries simulation model. The module consisted of a briefing, simulation practice, and debriefing. The effects of the simulation module were measured using clinical reasoning competence, clinical competence, performance confidence, and anxiety in COVID-19 patient-care. Data were analyzed using χ² -test, Fisher’s exact test, t-test, Wilcoxon signed-rank test, and Mann– Whitney U test.
Results
The levels of clinical reasoning competence, clinical competence, and performance confidence of the experimental group were significantly higher than that of the control group, and the level of anxiety was significantly low after simulation learning.
Conclusion
The nursing simulation learning module for COVID-19 patient-care is more effective than the traditional method in terms of improving students’ clinical reasoning competence, clinical competence, and performance confidence, and reducing their anxiety. The module is expected to be useful for educational and clinical environments as an effective teaching and learning strategy to empower nursing competency and contribute to nursing education and clinical changes.

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Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
Research in Nursing & Health.2025; 48(2): 234. CrossRef
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Yuehai Yu, Yuanjing Qiao, Yaoyao Zhu, Hao Pei, Yuting Wang, Qingyang Zhu, Shuo Liu
Nurse Education in Practice.2024; 80: 104132. CrossRef
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Kyeng-Jin Kim, Joonyoung Lee, Moon-Ji Choi
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Hyeongsuk Lee, Hye Jin Yoo, Chao Gu
PLOS ONE.2024; 19(1): e0296914. CrossRef

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Effectiveness of the Infectious Disease (COVID-19) Simulation Module Program on Nursing Students: Disaster Nursing Scenarios: Hwang, Won Ju , Lee, Jungyeon; J Korean Acad Nurs 2021;51(6):648-660. Published online December 31, 2021; DOI: https://doi.org/10.4040/jkan.21164

Abstract PDF

Purpose
This study aimed to develop an emerging infectious disease (COVID-19) simulation module for nursing students and verify its effectiveness.
Methods
A one-group pretest–posttest quasi-experimental study was conducted with 78 under-graduate nursing students. A simulation module was developed based on the Jeffries simulation model. It consisted of pre-simulation lectures on disaster nursing including infectious disease pandemics, practice, and debriefings with serial tests. The scenarios contained pre-hospital settings, home visits, arrival to the emergency department, and follow-up home visits for rehabilitation.
Results
Disaster preparedness showed a statistically significant improvement, as did competencies in disaster nursing. Confidence in disaster nursing increased, as did willingness to participate in disaster response. However, critical thinking did not show significant differences between time points, and neither did triage scores.
Conclusion
The developed simulation program targeting an infectious disease disaster positively impacts disaster preparedness, disaster nursing competency, and confidence in disaster nursing, among nursing students. Further studies are required to develop a high-fidelity module for nursing students and medical personnel. Based on the current pandemic, we suggest developing more scenarios with virtual reality simulations, as disaster simulation nursing education is required now more than ever.

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The development of disaster preparedness education for public: a scoping review
Ling Guo, Mingwang Fang, Li Liu, Haiyan Chong, Wen Zeng, Xiuying Hu
BMC Public Health.2025;[Epub] CrossRef
Development and Implementation of a Mobile-Integrated Simulation for COVID-19 Nursing Practice: A Randomized Controlled Pretest–Posttest Experimental Design
Sun-Hwa Lee, Jeong-Sil Choi
Healthcare.2024; 12(4): 419. CrossRef
Development and Effect of a Simulation-Based Disaster Nursing Education Program for Nursing Students Using Standardized Patients
Yeon Mi PARK, Won Ju HWANG
Journal of Nursing Research.2024; 32(1): e314. CrossRef
Enhancing Disaster Triage Competencies through Simulation-Based Training: An Interventional Study among Undergraduate Nursing Students
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Sustainability.2023; 15(21): 15513. CrossRef
Development and testing effectiveness of a simulation program to control COVID-19 infections in nursing students
Kino Kang, Mihae Im, Miyoung Jang, Jaewoon Lee, Okjong Lee
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Implementation and Evaluation of a Virtual Reality-Based Cognitive Assessment and Rehabilitation Simulation Course in Undergraduate Nursing Students: A Pre-Post Study
Guichen Li, Lan Gao, Huiru Yin, Yong Jia, Xueyan Zhang, Huimin Tian, Lufang Zheng, Yiming Qiu, Xin Li, Li Chen
Clinical Simulation in Nursing.2023; 81: 101430. CrossRef
Effectiveness of Simulation-Based Education for Caring Patients with COVID-19
Min Hye Lee, Eun-Young Noh
Journal of Korean Academy of Nursing.2023; 53(4): 397. CrossRef
Effectiveness of multiple scenario simulations of acute and critical care for undergraduate nursing students: A quasi-experimental design
Yu-Ling Chang, Ming-Ju Hsieh, Tsui-Hsia Feng, Shu-Ting Shang, Yun-Fang Tsai
Nurse Education Today.2022; 118: 105526. CrossRef
Systematic Bibliometric Analysis of Research Hotspots and Trends on the Application of Virtual Reality in Nursing
Junqiang Zhao, Yi Lu, Fujun Zhou, Ruping Mao, Fangqin Fei
Frontiers in Public Health.2022;[Epub] CrossRef
Fourth Industrial Revolution and Nursing Research
Young Whee Lee
Journal of Korean Academy of Nursing.2022; 52(1): 1. CrossRef

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Development and Effects of Head-Mounted Display-Based Home-Visits Virtual Reality Simulation Program for Nursing Students: Ahn, Min Kweon , Lee, Chong Mi; J Korean Acad Nurs 2021;51(4):465-477. Published online August 31, 2021; DOI: https://doi.org/10.4040/jkan.21051

Abstract PDF

Purpose
This study aimed to evaluate the effects of head monted display based home-visits virtual reality simulation (HVRS) program developed for undergraduate nursing students.
Methods
A nonequivalent control group with a non-synchronized design was utilized and 84 participants (experimental group, 44; control group, 40) were recruited from August 31, 2020 to November 8, 2020 in Gwangju metropolitan city. The HVRS program consisted of scenarios of three nursing cases, hypertension, diabetes mellitus, and stroke. Data were analyzed SPSS version 25.0 for Windows.
Results
At the completion of HVRS, significant differences were found between groups in knowledge of home-visits (t = 4.73, p < .001), self-confidence (t = 6.63, p < .001), self-efficacy (t = 3.13, p = .002), and clinical competency (t = 4.13, p < .001). No significant difference was shown between groups in nursing knowledge about strokes, a subcategory of knowledge pertaining to home visits.
Conclusion
The HVRS program developed for undergraduate nursing students is effective in improving knowledge of home-visits, self-confidence, self-efficacy, and clinical competency for nursing students.

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Comparison between virtual reality and traditional lecture methods in educating respiratory therapy on pediatric airway diseases
Wen-Jing Hsu, Yi-Hsuan Tang, Wei-Chih Chen, Yu-Sheng Lee, Pei-Chen Tsao, Wei-Yu Chen, Ying-Ying Yang, Hsin-Kuo Ko, Sheng-Wei Pan, Yu-Fen Ting, Shih-Hsing Yang, Mei-Jy Jeng
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Original Articles

A Comparative Study on Learning Outcomes according to the Integration Sequences of S-PBL in Nursing Students: Randomized Crossover Design: So Young Yun, Ja Yun Choi; J Korean Acad Nurs 2019;49(1):92-103. Published online February 28, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.92

Abstract PDF

Purpose

This study aimed to compare the effects of simulation integrated with problem based learning (S-PBL) according to the sequences of problem-based learning (PBL) and high fidelity simulation training (HFS) on knowledge, clinical performance, clinical judgment, self-confidence, and satisfaction in fourth-grade nursing students.

Methods

In this randomized crossover design study, four S-PBLs on medical-surgical nursing were applied alternatively to two randomly-assigned groups of 26 senior nursing students for 8 weeks. The collected data were analyzed using an independent t-test.

Results

The method of administering PBL prior to HFS led to significantly higher scores on knowledge (t=2.28, p=.025) as compared to the method of administering HFS prior to PBL. However, the latter method led to significantly higher scores on clinical performance (t=−6.49, p<.001) and clinical judgment (t=−4.71, p<.001) as compared to the method of administering PBL prior to HFS. There were no differences in the effect of the two methods on self-confidence (t=1.53, p=.128) and satisfaction (t=1.28, p=.202).

Conclusion

The integration sequences of S-PBL was associated with different learning outcomes. Therefore, when implementing S-PBL, it is necessary to consider the educational goal to executes an appropriate sequence of integration.

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Effectiveness of the Patient’s Severity Classification Competency Promotion Virtual Reality Program of Nursing Students during the COVID-19 Pandemic Period
Eunju Lee, Gyuli Baek, Yeonhui Hwang
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The Effect of Mixed Reality-based HoloPatient in Problem-based Learning Contexts
Yun Kang, Insook Lee
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A Literature Review of Simulation-Based Nursing Education in Korea
Sumee Oh, Jungmin Park
Nursing Reports.2023; 13(1): 506. CrossRef
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Wei-Ting Lin, Ching-Yun Yu, Fan-Hao Chou, Shu-Yuan Lin, Bih-O. Lee
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SoMi Park, Hea Kung Hur, ChaeWeon Chung
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The intervention effect of a nursing-media studies convergence problem-based learning (PBL) program to improve nurses’ public image: Changed perceptions of program participants and students attended a PBL presentation
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The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 59. CrossRef
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Jeongim Lee, Hae Kyoung Son
International Journal of Environmental Research and Public Health.2021; 18(4): 1765. CrossRef
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A Structural Model on the Nursing Competencies of Nursing Simulation Learners: Soo Jin Park, Eun Sun Ji; J Korean Acad Nurs 2018;48(5):588-600. Published online October 31, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.5.588

Abstract PDF

Purpose

The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory.

Methods

Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs.

Results

The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability.

Conclusion

In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.

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The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
Eun-Kyung Lee, Eun-Joo Ji
BMC Nursing.2024;[Epub] CrossRef
Factors Influencing Students’ Self-confidence in Simulation Learning Based on National League for Nursing/Jeffries Simulation Framework
Jung-Suk Kim
Journal of Korea Society for Simulation in Nursing.2024; 12(1): 73. CrossRef
The Development and Evaluation of the Online Respiratory Infectious Disease Nursing Simulation Course for Nursing Students
Jisu Lee, Hye Won Yoon
Journal of Korea Society for Simulation in Nursing.2023; 11(2): 91. CrossRef
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Hee-Young Choi, Jeung-Im Kim
Korean Journal of Women Health Nursing.2023; 29(3): 219. CrossRef
Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students
Kyung-In Cheon, Hea Kung Hur
Korean Journal of Adult Nursing.2021; 33(4): 322. CrossRef
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Aeri Jang, Miok Song, Suhyun Kim
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So Young Yun, Ja Yun Choi
Journal of Korean Academy of Nursing.2019; 49(1): 92. CrossRef

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Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial: Kyung In Jeong, Ja Yun Choi; J Korean Acad Nurs 2017;47(6):842-853. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.842

Abstract PDF

Abstract Purpose

This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.

Methods

Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students’ skill training, and evaluators’ training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.

Results

ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups.

Conclusion

This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

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Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
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Haena Lim, Yeojin Yi
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Sunyoung Son, Deulle Min, Suhee Kim
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Sook Hyun Park, Jung Eun Lee, Yu-Jin Jung, Ha Neul Yoo, Yeon Su Kim, Young Hee Yi
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Cynthia J. Mosher, Perman Gochyyev, Adam Cheng, Alex Morton, Jabeen Fayyaz, Susan E. Farrell, Janice C. Palaganas
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Deborah Byrne, Stephanie Blumenfeld, Maureen Szulewski, Rita Ann Laske
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