Virtual reality (VR) simulation in nursing education, especially in the teaching of VR simulations just prior to clinical practice, has the potential to enhance the effectiveness of clinical practice and better prepare nursing students for patient care. The aim of this study was to evaluate the effect of a preclinical VR simulation education program on the development of critical thinking, self-efficacy, problem-solving ability, and perceived clinical competency among undergraduate nursing students. The study was conducted between May and June 2021 using a pretest-posttest design with a control group. A total of 42 nursing students were recruited through convenience sampling from two separate classes. The intervention group participated in VR simulation education, while the control group engaged in lecture-based education, before beginning clinical practice. Assessments were conducted before preclinical education and after completing clinical practice using structured questionnaires. The data was analyzed using chi-square tests, independent t-tests, and ANCOVA. The findings indicated that the intervention group had a significantly higher score in perceived clinical competency compared to the control group (F = 5.25, p = 0.029) after controlling for pretest scores. However, there were no statistically significant differences in critical thinking, self-efficacy, or problem-solving abilities between the two groups. These findings suggest that preclinical VR simulation education is partially effective in preparing nursing students for their clinical practice, underscoring the need for a balanced educational approach that integrates VR with clinical practice to develop a full spectrum of nursing skills and knowledge.
Purpose: To identify the effects of delivery-nursing simulation education using team-based learning on the delivery nursing knowledge, self-efficacy, and clinical competence of nursing students. Methods: The study used a nonequivalent, control group, quasi-experimental design. The team-based learning was applied to the experimental group, while the individual learning was applied to the control group. Data were collected from October 12 to December 7, 2016, and analyzed using the SPSS/WIN 22.0 program. Results: Comparison between the experimental and control group showed no significant difference in delivery-nursing knowledge (t=-0.33, p=.741) or self-efficacy (t=-0.65, p=.515). However, a significant difference (t=-2.09, p=.048) in the nursing-skills aspect of clinical competence was found between the experimental and control groups after the practical simulation education. Conclusion: Delivery-nursing simulation education using team-based learning was more effective in improving the nursing-skills aspect of nursing competence than was delivery-nursing simulation education based on individual learning.
Purpose: Nursing in Korea was started by foreign nurse missionaries. This study was intended to recognize the foreign nurse missionaries contribution with the development of Yonsei nursing education in Korea. Method: This study used an historical study approach. The study target was foreign nurse missionary contributions during 1895~1917. The data was collected from the existing historical nursing studies and Korean Mission Field. Result: Since A.P. Jacobson, the first nurse missionary from the North Mission branch in America in 1895, there were 16 missionaries sent to Korea. Among them, 14 missionaries worked for Severance Hospital Nurse Training School. 7 missionaries served less than 10 years and 5 missionaries stayed in Korea more than 20 years. E.L. Shields served the longest time with 42 years in Korea. They contributed not only in nursing education and services in the hospital, but also public health in the community. Conclusion: Foreign nurse missionaries were a cornerstone for nursing development in Korea. They contributed by not only starting nursing education, but also giving women freedom into Korean society. The historical research regarding foreign nurse missionaries during early 1900s helped to recognize their effort for Korean nursing and society.
Purpose: The study was conducted to develop the Nursing Practice Capacity scale for evaluating achievement of education objectives among students in nursing school. Methods: This was a methodological study. The scale development process included generation of initial items, verification of content validity, selections of secondary items, preliminary study, and extraction of final items. The participants were five graduates 1 to 4 years after graduation (for the preliminary study) and 125 graduates 1 to 4 years after graduation from the nursing school at A University, South Korea. Item analysis, criterion validity, and internal consistency were used to analyze the data. Results: Twenty-six items were selected for the final scale. The scores on the scale were significantly correlated with the Nursing Competency Scale(r=.62, p<.001) and Nursing Performance Scale(r=.63, p<.001). Chronbach's alpha coefficient for the 26 items was .87. Conclusion: The Nursing Practice Capacity scale for evaluating achievement of nursing education objectives has good validity and reliability. The measurement scale can be useful for evaluating the nursing practice capacity of nurses as well as measuring the extent to which graduates have achieved the established education objectives in the education fields.
Purpose: This study aimed to understand the keywords and major topics of the educational goals and objectives of nursing educational institutions in South Korea. Methods: From May 10 to May 20, 2022, the educational goals and objectives of all 201 nursing educational institutions in South Korea were collected. Using the NetMiner program, degree and degree centrality, semantic structure, and topic modeling were analyzed. Results: The top keywords and semantic structures of educational goals included 'respect for human (life)-spirit-science-based on, global-competency-professional nurse-nursing personnel-training, professional-science-knowledge-skills, and patients-therapeutic care-relationship.' The educational goals' major topics were clients well-being based on science and respect for human life, a practicing nurse with capabilities and spirit, fostering a nursing personnel with creativity and professionalism, and training of global nurses. The top keywords and semantic structures of the educational objectives included 'holistic care-nursing-research-action-capability, critical thinking-health-problem solving-capability, and efficiency-communication-collaboration-capability.' The educational objectives' major topics were 'nursing professionalism, communication and problem-solving capability; a change of healthcare environments and a progress of nursing practices; fostering professional nurses with creativity and global capability; and clients' health and nursing practice.' Conclusion: Educational goals in nursing presented specific nursing values and concepts, such as respect for human life, therapeutic care relationships, and the promotion of well-being. Educational objectives in nursing presented the competencies of nurses as defined by the Korean Accreditation Board of Nursing Education (KABONE). Recently, the KABONE announced new program outcomes and competencies, which will require the revision of educational goals. To achieve those educational objectives, it is suggested that the expected level of competencies be clearly defined for nursing graduates.
Purpose: This study was conducted to develop and test the effects of a coronavirus disease 2019 (COVID-19) education program for nursing students. Methods: This study used a non-equivalent control group pretest-posttest design. A total of 71 undergraduate nursing students who had completed a fundamental nursing course and were in their third or fourth year of university participated in this study (experimental group n=38, control group n=33). The COVID-19 education program was developed according to the stages of analysis, design, development, implementation, and evaluation. The program consisted of three weekly sessions that each lasted about two hours. The data were collected from February 26 to March 26, 2022 and were analyzed using the chi-squared, Fisher's exact, and independent t-tests. Results: Knowledge about COVID-19, knowledge about personal protective equipment and attitudes toward COVID-19 were not significantly different between the experimental and control groups. However, significant differences were found between the experimental and control groups regarding their confidence in COVID-19 patient nursing care (t=3.02, p=.004). Conclusion: It was confirmed that the developed program was effective in enhancing the confidence of nursing students in performing nursing for COVID-19. Therefore, it is proposed that the education program developed in this study be used as part of an infection control education program to improve nursing students' abilities to respond to emerging infectious diseases, including COVID-19.
Purpose: The purpose of this paper was to analyze research papers using movies and to introduce a practical instruction in cinema education for nurse educators in Korea. Method: The computerized database of PubMed, Google scholar, NDSL, CINAHL, and PsychINFO were used to generate relevant literature. Sixteen studies were published between 1990 and 2011 and were included in this review. These papers were analyzed using the matrix method suggested by Garrad (2007). Results: The first paper using movies in nursing education was performed in 1995. There were 16 studies on this issue and classified into one qualitative and 15 quantitative research. Because psychiatric mental health nursing was the main course, movies relating to mental illness were mainly considered. Most papers used questionnaires developed by researchers and discussions regarding the course. The key findings in these papers were all positive. Conclusion: The critics and syntheses in these papers emerged into seven overarching merits of cinema education and that lead to conduct cinema education to deepen students' understanding and to evoke empathy, critical thinking, entertainment, and intimacy. In addition, cinema education was safe and economical. This study recommends discovering suitable films and developments in both instruction process and educational evaluation tools.
Purpose: This study was conducted to exam the effect of a biomedical ethics education program on the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition in nursing students. Method: A quasi-experimental research design and repeated measured ANOVA were used. The participants were divided into an experimental group (n=148) and a control group (n=169). Each group underwent freshman university nursing training in two major cities. The mean age was 21.3 years and the time of providing the biomedical ethics education program was 15 hours for 15 weeks. The experimental group was provided biomedical ethics education during the semester; the control group was not provided any biomedical ethics education. Results: The consciousness of biomedical ethics was increased significantly in the experimental group (t=-4.724, p<.001). Moral sensitivity was increased significantly in the experimental group (t=-2.021, p<.004). Critical thinking disposition was increased significantly in the experimental group (t=-5.775, p<.001). Conclusion: The results of the study show that providing biomedical ethics education to nursing students is an effective method to increase the consciousness of biomedical ethics, moral sensitivity and critical thinking disposition.
Purpose: This study was done to develop a measurement tool for evaluation of continuing nursing education programs and to verify its validity for effective management and quality of education programs. Methods: The draft of the evaluation measurement was developed from consultation with professionals, focus group interviews targeting groups of nurses, and individual interviews with education program planners. After 6 professionals examined content validity, 46 items were retained. A pilotsurvey was conducted to confirm the time required to complete the questionnaire and the level of understanding of general content and each item in the questionnaire. Construct validity was verified through exploratory factor analysis of data from a survey with 44 items completed by 452 nurses and 59 education program planners. Results: The final evaluation measurement for continuing nursing education programs consisted of 6 evaluation factors and 36 evaluation items. The 6 evaluation factors included identifying program goals and target groups, program planning, performance, operation and management, program outcomes, and program effectiveness. Conclusion: The evaluation measurement for continuing nursing education programs developed in this study is considered suitable to utilize as an evaluation measurement of the quality of continuing education programs for nurses.
Purpose: This study aimed to develop a self-assessment tool to evaluate program outcomes of nursing students in Korean nursing undergraduate education. Methods: The instrument development process consisted of literature review, focus group interviews, and item validation. A total of 117 items were analyzed through content validity testing. Data was gathered from 302 nursing students in Korea and analyzed using SPSS 21.0. Results: To construct validity, principal component analysis and Varimax rotation were used, and 12 factors, with a cumulative explanatory variance of 69.16%, were determined from 79 items. For internal consistency and reliability, Cronbach's ${\alpha}$ was .91. The half-split reliability results were .84 and .85, and the ROC curve showed an optimal cutpoint at 227. A five-point Likert scale was used for scoring. Conclusion: This instrument was found to have fair validity and reliability as a self-assessment tool for nursing student learning outcomes. Therefore, it can be used to evaluate program outcomes indirectly in nursing schools.
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