J Korean Acad Soc Nurs Educ.  2024 May;30(2):113-123. 10.5977/jkasne.2024.30.2.113.

The impact of clinical simulation learning motivation on nursing student learning achievement: The mediating effect of learning immersion

• Ko EJ
• Kim EJ

• KMID: 2556114
• DOI: http://doi.org/10.5977/jkasne.2024.30.2.113

Abstract

Purpose
This study aimed to examine the mediating effect of learning immersion in clinical simulations on the relationship between nursing student learning motivation and achievement in clinical simulation.
Methods
This study was conducted using a cross-sectional survey with 184 nursing students from two universities who participated in clinical simulation between September and December 2022. The participants completed a self-administered questionnaire, and the collected data were analyzed using independent an independent t-test, Mann–Whitney U-test, one-way ANOVA, Pearson’s correlation coefficient, and multiple regression analysis to identify the mediating effects of learning immersion on the relationship between nursing student learning motivation and achievement.
Results
Among the subvariables of nursing student learning motivation, task value and self-efficacy for learning and performance had a significant effect on learning immersion (respectively, β=.36, p=.001; β =.31, p<.001) and learning achievement (respectively, β=.48, p<.001; β=.38, p<.001). With the input of learning motivation variables, the direct effect of learning immersion on learning achievement was significant (β=.20, p=.003), and the effects of learning motivation and task value and self-efficacy on learning achievement was reduced after controlling for learning immersion, which is a mediating variable (respectively, β=.41, p<.001; β=.32, p<.001). The bootstrapping test to confirm the mediating effect of learning immersion was also significant (task value 95% confidence interval [95% CI], 0.02~0.20; self-efficacy 95% CI, 0.01~0.12).
Conclusion
The results of this study suggest that simulation educators should consider learners’ motivation and immersion when organizing and operating clinical simulations.

Keyword

Achievement, Motivation, Nursing students, Simulation training; 성취도, 학습동기, 간호학생, 시뮬레이션 훈련