J Korean Acad Soc Nurs Educ.  2019 Aug;25(3):289-299. 10.5977/jkasne.2019.25.3.289.

Effects of Simulation-Based Education before Clinical Experience on Knowledge, Clinical Practice Anxiety, and Clinical Performance Ability in Nursing Students

Affiliations
  • 1Research Assistant, Doctoral Student in Graduate School, Hallym University, Korea.
  • 2Associate Professor, School of Nursing, Research Institute of Nursing Science, Hallym University, Korea. ejerkim@hallym.ac.kr

Abstract

PURPOSE
This study aimed to examine the effects of simulation-based education on nursing knowledge, anxiety, and clinical performance ability in nursing students before their first clinical practice.
METHODS
Third-year university students who had not yet entered their first clinical practice were recruited to participate in the study. Nineteen students formed the experimental group and participated in simulation-based education for 7 sessions. The 19 students in the control group were provided with clinical practice orientation in the form of traditional lectures. Outcome measures assessed nursing knowledge, clinical practice anxiety, and clinical performance ability. Data were collected before and immediately after the simulation-based education and after six weeks of clinical practice.
RESULTS
Nursing knowledge and clinical anxiety were not statistically significant between the groups. However, there was a significant improvement in the clinical performance abilities of the experimental group. Among the subcategories, the ability to apply the nursing process and the ability to educate and cooperate were shown to maintain significant differences from the control group by the end of the six weeks of clinical practice.
CONCLUSION
The simulation prior to nursing students' first clinical practice could be useful to improve clinical performance ability. Nursing educators should consider building programs to reduce anxiety and improve performance ability through simulations.

Keyword

Nursing students; Simulation; Knowledge; Anxiety; Clinical competence

MeSH Terms

Anxiety*
Clinical Competence
Education*
Humans
Lectures
Nursing Process
Nursing*
Outcome Assessment (Health Care)
Students, Nursing*
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