title: Comparison of knowledge, confidence in skill performance (CSP) and satisfaction in problem-based learning (PBL) and simulation with PBL educational modalities in caring for children with bronchiolitis.
abstract: BACKGROUND
  In most nursing curricula, simulation and problem-based learning (PBL) are used separately as individual learning methods. Nursing educators are in a unique position to improve students' clinical performance and critical thinking skills by utilizing varied educational modalities.
  
  
  OBJECTIVE
  This study attempted to compare changes in nursing students' knowledge, confidence in skill performance (CSP), and satisfaction resulting from training using three educational modalities.
  
  
  METHODS
  Data from a convenient sample of 205 senior nursing students from three nursing schools in Seoul and Chuncheon, South Korea, was obtained between September 1 and December 10, 2013.
  
  
  METHODS
  This comparison study used three groups: the PBL group, simulation with the PBL group, and the control group. For data analysis, descriptive statistics, paired t-test, one-way ANOVA, and post-hoc tests (Duncan test) were performed.
  
  
  RESULTS
  No significant difference in the students' baseline knowledge of patient care for patients with bronchiolitis was found. There were significant differences in the mean scores of knowledge (F=14.718, p<.001), CSP (F=12.693, p<.001), and students' satisfaction (F=93.471, p<.001) among the three groups.
  
  
  CONCLUSIONS
  The positive impact of PBL and a combined learning method in this study suggests that it can be an effective approach in pediatric nursing practice. These results provide a much-needed template and starting point for educators introducing active learning approaches for pediatric nursing courses.
authors.affiliation: Department of Nursing, Sahmyook University, Seoul, South Korea.
authors.forename: Kyung-Ah
authors.initials: KA
authors.lastname: Kang
authors.affiliation: Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea. Electronic address: sung1024@cau.ac.kr.
authors.forename: Sunghee
authors.initials: S
authors.lastname: Kim
authors.affiliation: Department of Nursing, Hallym University, Chuncheon, South Korea.
authors.forename: Shin-Jeong
authors.initials: SJ
authors.lastname: Kim
authors.affiliation: Department of Nursing, Institute of Health Science, Inje University, Busan, South Korea.
authors.forename: Jina
authors.initials: J
authors.lastname: Oh
authors.affiliation: Yonsei University, The Graduate School, Department of Nursing, Seoul, South Korea.
authors.forename: Myungnam
authors.initials: M
authors.lastname: Lee
mesh_terms: D001988:Bronchiolitis / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D015402:Nursing Education Research; D016544:Patient Simulation; D010549:Personal Satisfaction; D018794:Problem-Based Learning / Q000379:methods*; D056910:Republic of Korea; D013338:Students, Nursing
keywords: Bronchiolitis; Child; Nursing education; Patient simulation; Problem-based learning