title: Development and evaluation of a clinical simulation for new graduate nurses: A multi-site pilot study.
abstract: BACKGROUND
  New nursing graduates have revealed that they perceive a gap between theory and practice with reference to their education and the real workplace setting. Additionally, many nurses experience a reality shock when they participate in clinical practice.
  
  
  OBJECTIVE
  The purpose of this study was to develop and test the effects of a scenario-based simulation training program on new graduate nurses' competency, critical thinking dispositions, and interpersonal communication skills.
  
  
  METHODS
  This pilot multi-site study used a pretest-posttest control group design. It was conducted at four sites of a university-affiliated simulation center in Korea. Participants were recruited utilizing a convenience sample from four tertiary hospitals in Korea. Twenty-four new graduate nurses participated in this study.
  
  
  RESULTS
  At the three-month follow-up, the levels of communication skills used in practice among the intervention group were statistically significantly higher than those of the control group participants (U=151.50, p=.005). However, there were no significant differences between the groups in changes in nursing competency (U=287.50, p=.992) or critical thinking disposition scores (U=269.50, p=.702). The participants' mean rating scores concerning the objectives, intentions, and recommendations for other nurses were positive and high.
  
  
  CONCLUSIONS
  The involvement of current practicing of nursing in certain scenarios and the implementation of simulation learning could enhance the readiness of new graduate nurses.
authors.affiliation: College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea. Electronic address: dyjung@ewha.ac.kr.
authors.forename: Dukyoo
authors.initials: D
authors.lastname: Jung
authors.affiliation: Department of Nursing, Korea National University of Transportation, 61 Daehak-ro, Jeungpyeong-gun, Chungbuk, 368-701, Republic of Korea. Electronic address: nhlee@ut.ac.kr.
authors.forename: Soon Hee
authors.initials: SH
authors.lastname: Lee
authors.affiliation: College of Nursing, Ewha Womans University, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea. Electronic address: sookjungkang@ewha.ac.kr.
authors.forename: Sook Jung
authors.initials: SJ
authors.lastname: Kang
authors.affiliation: Department of Clinical Nursing, College of Nursing, The Catholic University of Korea, 222, Banpodae-ro, Seocho-gu, Seoul 06591, Republic of Korea. Electronic address: jhee90@catholic.ac.kr.
authors.forename: Jung-Hee
authors.initials: JH
authors.lastname: Kim
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D006801:Humans; D009726:Nurses / Q000523:psychology* / Q000592:standards; D009741:Nursing Staff, Hospital / Q000193:education; D016544:Patient Simulation; D010865:Pilot Projects; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation / Q000379:methods*; D056910:Republic of Korea; D011795:Surveys and Questionnaires
keywords: Communication skills; Nurse; Simulation; Training