First experiences of high-fidelity simulation training in junior nursing students in Korea.
OBJECTIVE
This study was conducted to explore first experiences of high-fidelity simulation training in Korean nursing students, in order to develop and establish more effective guidelines for future simulation training in Korea.


METHODS
Thirty-three junior nursing students participated in high-fidelity simulation training for the first time. Using both qualitative and quantitative methods, data were collected from reflective journals and questionnaires of simulation effectiveness after simulation training. Descriptive statistics were used to analyze simulation effectiveness and content analysis was performed with the reflective journal data.


RESULTS
Five dimensions and 31 domains, both positive and negative experiences, emerged from qualitative analysis: (i) machine-human interaction in a safe environment; (ii) perceived learning capability; (iii) observational learning; (iv) reconciling practice with theory; and (v) follow-up debriefing effect. More than 70% of students scored high on increased ability to identify changes in the patient's condition, critical thinking, decision-making, effectiveness of peer observation, and debriefing in effectiveness of simulation.


CONCLUSIONS
This study reported both positive and negative experiences of simulation. The results of this study could be used to set the level of task difficulty in simulation. Future simulation programs can be designed by reinforcing the positive experiences and modifying the negative results.
Red Cross College of Nursing, Chung-Ang University (CAU), CAU Healthcare System, Seoul, Korea.
Suk Jeong
SJ
Lee
Red Cross College of Nursing, Chung-Ang University (CAU), CAU Healthcare System, Seoul, Korea.
Sang Suk
SS
Kim
Ansan College of Nursing, Ansan, Korea.
Young-Mi
YM
Park
D004506:Education, Nursing / Q000458:organization & administration*; D006801:Humans; D007858:Learning; D008328:Man-Machine Systems; D016544:Patient Simulation; D015397:Program Evaluation; D056910:Republic of Korea; D013338:Students, Nursing / Q000523:psychology*
Korea; nursing education; nursing student; patient simulation