title: Development of a simulation-based assessment to evaluate the clinical competencies of Korean nursing students.
abstract: OBJECTIVE
  To describe a simulation-based assessment (SBA) to evaluate the clinical competencies of nursing students in children's health and to compare its results with grade point average (GPA), self-efficacy, topic-specific knowledge, and self-reported clinical competency using the Six-D Scale.
  
  
  METHODS
  This cross-sectional, descriptive study recruited nursing students from a children's health clinical practicum. Students were assigned to either an asthma (n=55) or a type 1 diabetes (n=48) care scenario conducted on a high-fidelity simulator. Clinical competencies were assessed using the global rating scale (GRS) and a checklist.
  
  
  RESULTS
  Data on 103 students were analyzed. The SBA-GRS indicated that 64.6%-87.3% of students passed. The SBA-GRS showed a statistically significant positive association with the SBA checklist in both the asthma (rho=.763, p<.001) and the type 1 diabetes (rho=.475, p=.001) group. In the asthma group, the SBA-GRS and checklist showed statistically significant associations with GPA (rho=.413, p=.002 vs. r=.508, p<.001) and the Six-D Scale (rho=.266, p=.049 vs. r=.352, p=.008); in the diabetes group, only the SBA checklist showed a statistically significant association with self-efficacy (r=.339, p=.018) and the Six-D Scale (r=.373, p=.009). Four groups by SBA-GRS had statistically significant differences in scores on the SBA checklist in both groups (F=25.757, p<.001 in the asthma group; F=4.790, p=.006 in the diabetes group) and GPA only in the asthma groups (F=6.095, p<.001).
  
  
  CONCLUSIONS
  SBA was found to be feasible for nursing students. The GRS and checklist were reasonably correlated with other evaluation methods of student competency, but correlations were better with easier scenarios.
authors.affiliation: Department of Nursing, Far East University, Eumseong, Republic of Korea.
authors.forename: Kyongok
authors.initials: K
authors.lastname: Park
authors.affiliation: Department of Nursing, Inha University, Incheon, Republic of Korea.
authors.forename: Youngmee
authors.initials: Y
authors.lastname: Ahn
authors.affiliation: Department of Nursing, Inha University, Incheon, Republic of Korea.
authors.forename: Narae
authors.initials: N
authors.lastname: Kang
authors.affiliation: Department of Nursing, Inha University, Incheon, Republic of Korea. Electronic address: sohnmin@inha.ac.kr.
authors.forename: Min
authors.initials: M
authors.lastname: Sohn
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D006801:Humans; D056910:Republic of Korea; D013338:Students, Nursing; D055815:Young Adult
keywords: Asthma; Diabetes; Global rating scale; Nursing students; Simulation