title: Effects of high-fidelity patient simulation led clinical reasoning course: Focused on nursing core competencies, problem solving, and academic self-efficacy.
abstract: OBJECTIVE
  To examine the effects of high-fidelity patient simulation (HFPS) led clinical reasoning course among undergraduate nursing students.
  
  
  METHODS
  A quasi-experimental study of non-equivalent control group pretest-post test design was applied. A total of 49 senior nursing students participated in this study. The experimental group consisted of the students who took the "clinical reasoning" course (n = 23) while the control group consisted of students who did not (n = 26). Self-administered scales including the nursing core competencies, problem solving, academic self-efficacy, and Kolb learning style inventory were analyzed quantitatively using SPSS version 20.0. Data analysis was conducted using one-way ancova due to a significant difference in nursing core competencies between the experimental group and control group.
  
  
  RESULTS
  There was a significant improvement in nursing core competencies in the experimental group (F = 7.747, P = 0.008). The scores of problem solving and academic self-efficacy were higher in the experimental group after the HFPS led clinical reasoning course without statistical difference.
  
  
  CONCLUSIONS
  There is a need for the development of effective instructional methods to improve learning outcomes in nursing education. Future research is needed related to simulation education as well as management strategies so that learning outcomes can be achieved within different students' learning style.
authors.affiliation: Yonsei University College of Nursing, Nursing Policy Research Institute, Seoul, Korea.
authors.forename: JuHee
authors.initials: J
authors.lastname: Lee
authors.affiliation: College of Nursing, Pusan National University, Yangsan, Korea.
authors.forename: Yoonju
authors.initials: Y
authors.lastname: Lee
authors.affiliation: Gangnam Severance Hospital, Seoul, Korea.
authors.forename: Senah
authors.initials: S
authors.lastname: Lee
authors.affiliation: Yonsei University College of Nursing, Seoul, Korea.
authors.forename: Juyeon
authors.initials: J
authors.lastname: Bae
mesh_terms: D000328:Adult; D006801:Humans; D007858:Learning; D009740:Nursing Staff; D016544:Patient Simulation; D011340:Problem Solving; D011361:Professional Competence; D020377:Self Efficacy; D055815:Young Adult
keywords: clinical reasoning; high-fidelity patient simulation; learning styles; nursing education