Implementation and outcome evaluation of high-fidelity simulation scenarios to integrate cognitive and psychomotor skills for Korean nursing students.
OBJECTIVE
This study is involved in designing high-fidelity simulations reflecting the Korean nursing education environment. In addition, it evaluated the simulations by nursing students' learning outcomes and perceptions of the simulation design features.


METHODS
A quantitative design was used in two separate phases.


METHODS
For the first phase, five nursing experts participated in verifying the appropriateness of two simulation scenarios that reflected the intended learning objectives. For the second phase, 69 nursing students in the third year of a bachelor's degree at a nursing school participated in evaluating the simulations and were randomized according to their previous course grades.


METHODS
The first phase verified the two simulation scenarios using a questionnaire. The second phase evaluated students' perceptions of the simulation design, self-confidence, and critical thinking skills using a quasi-experimental post-test design. ANCOVA was used to compare the experimental and control groups, and correlation coefficient analysis was used to determine the correlation among them.


RESULTS
We created 2 simulation scenarios to integrate cognitive and psychomotor skills according to the learning objectives and clinical environment in Korea. The experimental group had significantly higher scores on self-confidence in the first scenario. The positive correlations between perceptions of the simulation design features, self-confidence, and critical thinking skill scores were statistically significant.


CONCLUSIONS
Students with a more positive perception of the design features of the simulations had better learning outcomes. Based on this result, simulations need to be designed and implemented with more differentiation in order to be perceived more appropriately by students.
Medical Research Collaborating Center, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Republic of Korea. Electronic address: insight09@snuh.org.
Heejung
H
Ahn
College of Nursing, Eulji University, 77 Gyoryong-ro, 771 Beon-gil, Jung-gu, Daejeon 301-746, Republic of Korea. Electronic address: flowhykim@gmail.com.
Hyun-Young
HY
Kim
D000293:Adolescent; D002983:Clinical Competence; D003071:Cognition; D004508:Education, Nursing, Baccalaureate; D004521:Educational Measurement; D006801:Humans; D011597:Psychomotor Performance / Q000502:physiology*; D056910:Republic of Korea; D000066908:Simulation Training; D013338:Students, Nursing / Q000523:psychology*; D011795:Surveys and Questionnaires; D013850:Thinking; D055815:Young Adult
Nursing education; Nursing students; Patient simulations; Program evaluation