Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Nursing Students' Anxiety during Simulation Training on Personal Satisfaction of Simulation, Self-efficacy, Clinical Competence

간호대학생의 시뮬레이션 교육 시 발생하는 불안정도가 시뮬레이션 교육만족도, 자기효능감, 임상수행능력에 미치는 영향

  • Received : 2016.07.19
  • Accepted : 2016.11.16
  • Published : 2016.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study were to identify nursing students' levels of anxiety in simulation based nursing education and to understand the relationship of anxiety and personal satisfaction of simulation, self-efficacy, and clinical competence during simulation. Methods: This study was a descriptive study with 84 senior nursing students at a private university in South Korea. Level of anxiety was measured with STAI (the State- Trait Anxiety Inventory) prior to the stimulation practice. After the debriefing, satisfaction scores were measured with SSE (Satisfaction with Simulation Experience scale), self-efficacy scores with the modified measurement developed by Roh and Park, and scores for clinical skills with a scale developed by the Korea Association of Cardiopulmonary Resuscitation. Results: Nursing students exhibited moderate to severe anxiety in simulation practice (Mean 49.51, SD 8.60). Self-efficacy was negatively correlated to anxiety (r=-.25, p=.022). Conclusion: Decreasing students' anxiety levels needs to be addressed to increase the self-efficacy of the simulation practice.

Keywords

References

  1. Oermann MH, Gaberson KB. Evaluation and testing in nursing education. NY: Springer Publishing Company; 2009.
  2. Kim JH, Park IH, Shin S. Systematic review of Korean studies on simulation within nursing education. Journal of Korean Academic Society of Nursing Education. 2013;19(3):307-319. http://dx.doi.org/10.5977/jkasne.2013.19.3.307
  3. Cho MH, Kwon IS. A study on the clinical practice experiences on nursing activities of nursing students. Journal of Korean Academy of Nursing education. 2007;13(2):143-154.
  4. Lee SO, Eom M, Lee JH. Use of simulation in nursing education. Journal of Korean Academy of Nursing Education. 2007;13(1):90-94.
  5. Park KO, Ahn YM, Kang NR, Lee MJ, Sohn M. Psychometric evaluation of a six dimension scale of nursing performance and student nurse stress index using an objective structured clinical examination-Modules for asthma and type 1 diabetes. Child Health Nursing Research. 2013;19(2):85-93. http://dx.doi.org/10.4094/chnr.2013.19.2.85
  6. Gardner R, Raemer DB. Simulation in obstetrics and gynecology. Obstetrics and Gynecology Clinics of North America. 2008;35(1):97-127. http://dx.doi.org/10.1016/j.ogc.2007.12.008
  7. Wilford A, Doyle TJ. Integrating simulation training into the nursing curriculum. British Journal of Nursing. 2006;15(17):926-930. http://dx.doi.org/10.12968/bjon.2006.15.17.21907
  8. Meyer MN, Connors H,Hou Q, Gajewski B. The effect of simulation on clinical performance: A junior nursing student clinical comparison study. Simulation in Healthcare. 2011;6(5):269-277. http://dx.doi.org/10.1097/SIH.0b013e318223a048
  9. Lee SJ, Park YM, Noh SM. The effects of simulation training with hybrid model for nursing students on nursing performance ability and self confidence. Korean Journal of Adult Nursing. 2013;25(2):170-182. http://dx.doi.org/10.7475/kjan.2013.25.2.170
  10. Hur HK, Roh YS. Effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. Korean Journal of Adult Nursing. 2013;25(5):574-584. http://dx.doi.org/10.7475/kjan.2013.25.5.574
  11. Lee WS, Kim M. Effects and adequacy of high-fidelity simulation-based training of obstetrical nursing. Journal of Korean Academy of Nursing. 2011;41(4):433-443. http://dx.doi.org/10.4040/jkan.2011.41.4.433
  12. Willhaus J, Averette M, Gates M, Jackson J, Windnagel S. Proactive policy planning for unexpected student distress during simulation. Nurse Educator. 2014;39(5):232-235. http://dx.doi.org/10.1097/NNE.0000000000000062
  13. Lasater K. High-fidelity simulation and the development of clinical judgment: Students' experiences. Journal of Nursing Education. 2007;46(6):269-276.
  14. Lee JH, Kim SS, Yeo KS, Cho SJ, Kim HL. Experiences among undergraduate nursing students on high-fidelity simulation education: A focus group study. Journal of Korean Academic Society of Nursing Education. 2009;15(2):183-193. http://dx.doi.org/10.5977/JKASNE.2009.15.2.183
  15. Lee Y, Joeng, J. The relationships with academic self efficacy and test anxiety among high school students. Educational research. 2015;38:57-75.
  16. Yum SC, Park HJ. How perfectionism relates to test anxiety: Testing a mediation model of academic self-efficacy in girls' high school students. Korean Journal of School Psychology. 2005;2(1):19-35.
  17. Ha YJ, Ha JH. The mediating effect of learning flow among learning motivation and learning satisfaction, achievement on a base of e-learning environment. Journal of Korean Association for Educational Information and Media. 2011;17(2):197-217.
  18. Yucha CB, Kowalski S, Cross C. Student stress and academic performance: Home hospital program. Journal of Nursing Education. 2009;48(11):631-637. http://dx.doi.org/10.3928/01484834-20090828-05
  19. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Medical Journal. 1978;21(11):69-75.
  20. Glozman J. Communication disorders and personality. Netherland: Springer; 2004.
  21. Quek KF, Low WY, Razack AH, Loh CS, Chua CB. Reliability and validity of the Spielberger State-Trait Anxiety Inventory (STAI) among urological patients: A Malaysian study. Medical Journal of Malaysia. 2004;59(2):258-267.
  22. Levett-Jones T, McCoy M, Lapkin S, Noble D, Hoffman K, Dempsey J, et al. The development and psychometric testing of the satisfaction with simulation experience scale. Nurse Education Today. 2011;31(7):705-710. http://dx.doi.org/10.1016/j.nedt.2011.01.004
  23. Roh YS, Issenberg SB, Chung HS, Kim SS. Development and psychometric evaluation of the resuscitation self-efficacy scale for nurses. Journal of Korean Academy of Nursing. 2012;42(7):1079-1086. http://dx.doi.org/10.4040/jkan.2012.42.7.1079
  24. Park JM. The effectiveness of competency and retention in cardiopulmonary resuscitation through self-directed learning [dissertation]. Daegu: Kyungpook National University; 2006.
  25. de Souza Teixeira CR, Kusumota L, Alves Pereira MC, Merizio Martins Braga FT, Pirani Gaioso V, Mara Zamarioli C, et al. Anxiety and performance of nursing students in regard to assessment via clinical simulations in the classroom versus filmed assessments. Investigacion y Educacion en Enfermeria. 2014;32(2):270-279. http://dx.doi.org/10.1590/S0120-53072014000200010
  26. Elfrink VL, Nininger J, Rohig L, Lee J. The case for group planning in human patient simulation. Nursing Education Perspectives. 2009;30(2):83-86.
  27. Hutchinson TL, Janiszewski Goodin H. Nursing student anxiety as a context for teaching/learning. Journal of Holistic Nursing. 2013;31(1):19-24. http://dx.doi.org/10.1177/0898010112462067
  28. Sung JH, Lee YS, Lee KH. Individual and socioenvironmental factors affecting test anxiety in adolescents. Journal of the Korean Neuropsychiatric Association. 1999;38(3):571-582.
  29. Kim YH. Relationship of self efficacy, self-directedness and practice satisfaction to clinical practice education in nursing students. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(3):307-315.

Cited by

  1. Psychological Safety in Nursing Simulation vol.44, pp.2, 2019, https://doi.org/10.1097/NNE.0000000000000571
  2. Effects of Simulation-based Education Combined Team-based Learning on Self-directed Learning, Communication Skills, Nursing Performance Confidence and Team Efficacy in Nursing Students vol.24, pp.1, 2016, https://doi.org/10.7739/jkafn.2017.24.1.39
  3. Stress, Interpersonal Relationship, Learning Perception and Self-Efficacy of Nursing Students in Team Based Learning Simulation Practice vol.22, pp.11, 2016, https://doi.org/10.9708/jksci.2017.22.11.073
  4. Stress, Interpersonal Relationship, Learning Perception and Self-Efficacy of Nursing Students in Team Based Learning Simulation Practice vol.22, pp.11, 2016, https://doi.org/10.9708/jksci.2017.22.11.073
  5. 기본간호학 주사실습에서 간호대학생의 찔림사고 현황, 불안 및 경험 vol.25, pp.4, 2016, https://doi.org/10.7739/jkafn.2018.25.4.231
  6. 간호 대학생의 임상 시나리오를 적용한 기본간호학실습 프로그램 효과에 대한 융합 연구 -자기효능감, 의사소통능력, 간호 술기 능력 중심으로- vol.9, pp.11, 2016, https://doi.org/10.15207/jkcs.2018.9.11.479
  7. 간호대학생의 시뮬레이션 실습경험에 관한 질적 메타합성 연구 vol.25, pp.3, 2016, https://doi.org/10.5977/jkasne.2019.25.3.300
  8. Debriefing Model for Psychological Safety in Nursing Simulations: A Qualitative Study vol.17, pp.8, 2020, https://doi.org/10.3390/ijerph17082826
  9. 표준화 환자 시뮬레이션 실습교육기반의 간호교육에서 사전브리핑을 활용한 팀 기반 학습 효과 vol.18, pp.8, 2016, https://doi.org/10.14400/jdc.2020.18.8.271
  10. 표준화 환자 시뮬레이션 실습교육기반의 간호교육에서 사전브리핑을 활용한 팀 기반 학습 효과 vol.18, pp.8, 2016, https://doi.org/10.14400/jdc.2020.18.8.271
  11. Effects of Simulation Practicum Using Flipped Learning for Korean Nursing Students vol.17, pp.18, 2016, https://doi.org/10.3390/ijerph17186829
  12. Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students vol.33, pp.4, 2016, https://doi.org/10.7475/kjan.2021.33.4.322
  13. Effects of a Clinical Simulation Course about Basic Life Support on Undergraduate Nursing Students’ Learning vol.18, pp.4, 2016, https://doi.org/10.3390/ijerph18041409
  14. Nursing students' Psychological Safety in High fidelity Simulations: Development of a new scale for psychometric evaluation vol.105, pp.None, 2016, https://doi.org/10.1016/j.nedt.2021.105017