• 한국간호교육학회지
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• 제27권3호
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• pp.227-239
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• 2021

Purpose: This study used an exploratory sequential approach (mixed methods) design to explore essential meaning through comparing and analyzing the experiences of nursing students in virtual simulation practice and high fidelity simulation practice education in parallel. Methods: The study participants were 20 nursing students, and data were collected through focus group meetings from July 17 to August 5, 2020, and via online quantitative data from November 10 to November 15, 2020. The qualitative data were analyzed using Giorgi's phenomenological method, and the quantitative data were analyzed using descriptive statistics, the Mann-Whitney U test, Kruskal-Wallis H test analysis of variance and Spearman's ρ correlation. Results: The comparison between the two simulation training experiences was shown in five contextual structures, as follows: (1) reflection of the clinical field, (2) thinking theorem vs. thinking expansion, (3) individual-centered learning vs. team-centered learning, (4) attitudes toward participating in practical training, (5) metacognition of personal competency as a prospective nurse, and (6) revisiting the method of practice training. There was a positive correlation between satisfaction with the practice and the clinical judgment ability of high fidelity simulation, which was statistically significant (r=.47, p=.036). Conclusion: Comparing the experiences between virtual simulation practice training and high fidelity simulation practice training, which has increased in demand due to the Coronavirus Disease-2019 pandemic, is meaningful as it provides practical data for introspection and reflection on in-campus clinical education.

• 한국간호교육학회지
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• 제23권1호
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• pp.95-107
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• 2017

Purpose: The aim of this study was to assess the efficacy of web-based simulation and high-fidelity simulation on acute heart disease patient care. Methods: The project used a comparative study design with two simulation-based training modalities. A total of 144 nursing students participated in this study: 76 students in a web-based simulation, and 68 students in a high-fidelity simulation. Participants rated their self-efficacy, problem-solving ability, interest in learning, level of stress, satisfaction with the simulation experience, and level of difficulty of the simulation. Results: The scores for self-efficacy, problem-solving ability, and interest in learning including interest in clinical training in the high-fidelity simulation group was higher than in the web-based simulation group. However, there were no significant differences in interest in learning, including interest in nursing knowledge, and in lab training, level of stress, satisfaction with the simulation experience, and level of difficulty of the simulation. Conclusion: A high-fidelity simulation of acute heart disease patient care might be beneficial to developing many more abilities for nursing students than would a web-based simulation. Also, since the web-based simulation improved interest in nursing knowledge, it could be a viable alternative to high-fidelity simulation. Further study is needed to verify the effects of varied levels of simulation-based care with more rigorous outcomes.

• Archives of Plastic Surgery
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• 제40권4호
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• pp.327-329
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• 2013

As a technically demanding skill, microsurgery is taught in the lab, in the form of a course of variable length (depending on the centre). Microsurgical training courses usually use a mixture of non-living and live animal simulation models. In the literature, a plethora of microsurgical training models have been described, ranging from low to high fidelity models. Given the high costs associated with live animal models, cheaper alternatives are coming into vogue. In this paper we describe the use of the chicken aorta as a simple and cost effective low fidelity microsurgical simulation model for training.

• 대한간호학회지
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• 제41권4호
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• pp.433-443
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• 2011

Purpose: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. Methods: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. Results: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was $7.15{\pm}1.35$ (out of 10). Most students became more interested in Women's Health Nursing after SBT. Conclusion: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.

• 여성건강간호학회지
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• 제26권3호
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• pp.240-249
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• 2020

Purpose: This study was conducted to investigate the effects of an education program using a high-fidelity simulator of labor and delivery on nursing knowledge, critical thinking, and clinical performance among nursing students who had not yet experienced clinical practicum. Methods: The development of a 5-week maternity nursing education programs using high-fidelity simulators included modules containing case-oriented scenarios, knowledge, and skills required for maternity care. A randomized controlled study was conducted to verify the effects of the developed program. Data were collected from October 21 to December 9, 2019. The experimental group (n=36) participated in a 5-week high-fidelity simulation program on care for the woman in labor, whereas the control group (n=36) received standard education as lecture and practice with delivery model. The collected data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation), the Chi-square test, Fisher exact test, and t-test. Results: For participants who received education using the high-fidelity simulation program, nursing knowledge (t=2.33, p=.011), critical thinking (t=3.73, p<.001), and clinical performance (t=2.53, p=.006) were significantly higher than in the control group. Conclusion: Even for students with no clinical experience, high-fidelity simulation-based nursing education was effective in improving nursing knowledge, critical thinking, and clinical performance among nursing students. Nurse educators will be able to use this high-fidelity simulator effectively, especially in situations where direct clinical practicum may not be feasible.

• Child Health Nursing Research
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• 제25권4호
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• pp.496-506
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• 2019

Purpose: The purpose of this study was to examine the effects of a virtual reality simulation and a blended simulation on nursing care for children with asthma through an evaluation of critical thinking, problem-solving processes, and clinical performance in both education groups before and after the educational intervention. Methods: The participants were 48 nursing students. The experimental group (n=22) received a blended simulation, combining a virtual reality simulation and a high-fidelity simulation, while the control group (n=26) received only a virtual reality simulation. Data were collected from February 25 to 28, 2019 and analyzed using SPSS version 25 for Windows. Results: The pretest and posttest results of each group showed statistically significant improvements in critical thinking, problem-solving processes, and clinical performance. In a comparison of the results of the two education groups, the only statistically significant difference was found for critical thinking. Conclusion: Simulation-based education in child nursing has continued to involve high-fidelity simulations that are currently run in many programs. However, incorporating a new type of blended simulation, combining a virtual reality simulation and a high-fidelity simulation, into the nursing curriculum may contribute to the further development of nursing education.

• 융합정보논문지
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• 제12권4호
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• pp.67-76
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• 2022

본 연구의 목적은 고충실도 시뮬레이션을 활용한 심정지 응급간호교육을 적용한 후 간호 대학생의 의사소통 자기 효능감, 의사소통능력 및 교육만족도에 미치는 효과를 확인하기 위한 비동등성 대조군 사후 설계이다. 2021년 10월 28일부터 11월 18일까지 4주 동안 A시 소재 대학에 재학 중인 간호 대학생 4학년 42명을 대상으로 하였다. 수집된 자료는 SPSS 22.0 프로그램을 사용하여 빈도, 백분율, 평균과 표준편차, x² test, independent t-test를 통해 분석하였다. 연구결과 고충실도 시뮬레이션 기반 교육 후 간호 대학생의 의사소통 자기 효능감(t=2.87, p=.007), 의사소통능력(t=2.96, p=.005), 교육만족도(t=4.75, p=<.001)는 모두 통계적으로 유의하게 향상된 것으로 나타났다. 고충실도 시뮬레이션을 활용한 심정지 응급간호교육이 간호 대학생의 의사소통 자기 효능감, 의사소통능력, 교육만족도를 향상시키는데 효과적이었다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1993년도 하계학술대회 논문집 A
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• pp.525-528
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• 1993

KEPCO Research Center is carrying out a simulator(full scope replica type) development project for two nuclear power plants(Kori-2, Younggwang-3,4) and one fossil power plant(Poryong-3,4). In this project, we aim not only the installation of high performance simulators at the power plant sites but also the realization of self reliance of power plant simulation technology in Korea. In the course of preparing procurement specification for the 3 simulators, the present status of power plant simulation technology has been surveyed and is presented in this paper. The fidelity of simulation and the automation of simulation model production has been greatly improved due to the ever increasing computing power of today's workstations. The need and importance of the application of high fidelity simulators to the operator training is refocused since the accident at TMI Nuclear Power Plant, U.S.A.

• 한국시뮬레이션학회논문지
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• 제19권4호
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• pp.235-247
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• 2010

군사훈련을 지원하는 워게임 모델은 환경요소가 매우 중요하다. 한국군의 대부분 워게임 모델들은 동일한 기상을 모든 작전지역에 적용하고 있다. 이에 따라 충실도가 높은 모의결과를 도출하지 못하고 있다. 이러한 실정에 비추어 본 연구는 분포형 합성환경 모델링 자료를 군사시뮬레이션에 적용할 수 있는 충실도 높은 워게임을 위한 요소기술을 개발 하는 것이다. 그것은 본 연구를 위해 개발한 2D GIS기반의 "단순 탐지확률 모델"과 이 모델에 지역별로 상이한 분포형 강수량 자료의 적용 기술이다. 이로써 군사시뮬레이션 수행 시 모델 해상도(전구급~공학급), 용도(훈련용, 분석용), 묘사 수준(군단급~대대급)에 따라 다양하게 작전지역별 상이한 국지기상을 반영하는 분포형 합성환경의 제공과 사용이 가능해졌다.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1178-1185
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• 2012

본 연구는 마취과 임상실습을 마친 의전원 4학년 학생들을 대상으로 충실도를 달리한 과정기술 객관구조화 진료시험에서 보여지는 자기평가와 학습동기의 변화 유무를 비교해 보고자 시행되었다. 학생들을 무작위로 두 군으로 나누어 HF군에서는 고충실도의, LF군에서는 저충실도의 과정기술 객관구조화진료시험을 시행하였다. 사례는 기관삽관과 정맥관삽관의 두 주제로 임상술기교육을 맡은 책임교수가 개발한 후 다른 두 교수가 검토, 수정하였다. 두 주제에 대해 고충실도 사례는 실제 수술실에서 in-situ 시뮬레이션으로, 저충실도 사례는 일반 교실에서 단순과업모형을 이용하여 충실도만 달리하여 시행하였다. 학생들은 수행 전 후로 5점 척도로 구성된 설문조사에 응하였고, 자료의 분석은 Man-Whiteney test와 Paired T-test를 이용하였다. 연구 결과, 의전원 4학년 학생들의 술기 수행능력에 대한 자기평가는 저충실도 사례보다 고충실도 사례에서 평가 전에 보여준 자신감보다 낮게 평가되었고, 고충실도 사례 후에 연습의 필요성을 더 느꼈다. 고충실도 사례의 도입은 학생들의 술기연습에 대한 동기 부여에 도움이 될 것으로 여겨지지만 경제적인 효율도 고려해야 할 것이다.