Effects of Virtual Simulation Education on Clinical Competency, Knowledge, Self-efficacy and Critical Thinking Disposition of Nursing Students

February 28, 2023  |  Vol.9, No.2  |  PP. 237-246  | PDF

AUTHORS:

Young Sook Kwon, Department of Nursing, Joongbu University, Korea

KEYWORDS:

Virtual Simulation, Clinical Competency, Knowledge, Self-efficacy, Critical Thinking Disposition

Abstract

As clinical practice is impossible due to the COVID-19 pandemic, virtual simulation is emerging as a non-face-to-face education method. This study was conducted to verify effects of virtual simulation education on clinical competency, knowledge, self-efficacy and critical thinking disposition of nursing students. This research is a one-group pretest-posttest quasi-experimental design. The subjects of this study were 55 fourth-year nursing students from a university located in C-do. They received virtual simulation education and participated in both pre and post surveys. The data collection period is from March 22 to May 7, 2021. The collected data were analyzed by paired t-test using the IBM SPSS Statistics 24.0 program. As results of the study, clinical competency (t=-4.116, p<.001), knowledge (t=-6.413, p<.001) and self-efficacy (t=-2.252, p=.028) of nursing students after virtual simulation education were significantly improved compared to before education. Critical thinking disposition (t=-1.978, p=.053) increased after education than before, but was not statistically significant. It was found that intellectual eagerness/curiosity and systematicity were significantly improved in the sub-domain. These results suggest that virtual simulation education can be used as an alternative to clinical practice. In the future, it is suggested to try diversification of practical education through blended learning with clinical practice or high-fidelity simulation education and conduct research to analyze the effect.

References:

[1] H. S. Lee, E. J. Kim, The Comparison of Stress Coping and Satisfaction with Clinical Practice according to the Grade of Nursing College Student, Journal of East-West Nursing Research, (2008), Vol.14, No.1, pp.5-13.
[2] http://www.kabone.or.kr/reference/refRoom.do, May 30 (2022)
[3] S. J. Shin, E. B. Yang, E. H. Hwang, K. H. Kim, Y. J. Kim, D. Y. Jung, Current Status and Future Direction of Nursing Education for Clinical Practice, Korean Medical Education Review, (2017), Vol.19, No.2, pp.76-82.
DOI: http://dx.doi.org/10.17496/kmer.2017.19.2.76
[4] S. Y. Park, Y. J. Hur, C. Y. Cha, Y. H. Kang, Experiences of Nursing Practicum Using Virtual Simulation among Nursing Undergraduate Students, Journal of Korean Society for Simulation in Nursing, (2021), Vol.9, No.1, pp.1-14.
DOI: http://dx.doi.org/10.17333/JKSSN.2021.9.1.1
[5] https://laerdal.com/kr/products/courses-learning/virtual-simulation/vsim-for-nuursing/, Dec 3 (2022)
[6] M. S. Choi, A Study on the Relationship between Teaching Effectiveness of Clinical Nursing Education and Clinical Competency in Nursing Students, Ewha Womans University, Master Thesis, (2005)
[7] S. J. Kang, E. Y. Jeon, A Study on the Relationships among Korea Collegiate Essential Skills Assessment, Self-efficacy, and Clinical Practice Competency in Nursing Students, Journal of Vocational Education & Training, (2015), Vol.18, No.3, pp.151-178.
DOI: http://dx.doi.org/10.36907/krivet.2015.18.3.151
[8] S. B. Bayram, N. Caliskan, Effect of a Game-based Virtual Reality Phone Application on Tracheostomy Care Education for Nursing Students: A Randomized Controlled Trial, Nurse Education Today, (2019), Vol.79, pp.25-31.
DOI: http://dx.doi.org/10.1016/j.nedt.2019.05.010
[9] M. Yu, M. R. Yang, B. R. Ku, J. S. Mann, Effects of Virtual Reality Simulation Program Regarding High-risk Neonatal Infection Control on Nursing Students, Asian Nursing Research, (2021), Vol.15, No.3, pp.189-196.
DOI: http://dx.doi.org/10.1016/j.anr.2021.03.002
[10] N. S. Kim, Y. J. Ko, Relationship between Learning Self-efficacy, Learning Satisfaction, and Transfer Motivation among Nursing Students: Focused on Integrated Simulation Practicum, Journal of Korean Society for Simulation in Nursing, (2020), Vol.8, No.2, pp.15-25.
DOI: http://dx.doi.org/10.17333/JKSSN.2020.8.2.15
[11] S. H. Ki, H. C. Yun, J. H. Ryu, Effects of Emotional Expressions of Virtual Characters on Self-efficacy and Performance in the Immersive Game, Journal of Korean Association for Educational Information and Media, (2021), Vol.27, No.2, pp.559-584.
DOI: http://dx.doi.org/10.15833/KAFEIAM.27.2.599
[12] J. H. Han, The Effect of Virtual Simulation Game-based Practicum on Nursing Student’s Knowledge, Self-efficacy, and Clinical Performance, Ewha Womans University, Master Thesis, (2022)
[13] M. S. Chu, Y. Y. Hwang, Effects of Web-based Simulation and High-fidelity Simulation of Acute Heart Disease Patient Care, The Journal of Korean Academic Society of Nursing Education, (2017), Vol.23, No.1, pp.95-107.
DOI: http://dx.doi.org/10.5977/jkasne.2017.23.1.95
[14] M. R. Han, J. H. Lee, Effects of Psychiatric Nursing Practice Education Using Virtual Simulation for Nursing, Journal of The Korea Convergence Society, (2021), Vol.12, No.10, pp.333-342.
DOI: http://dx.doi.org/10.15207/JKCS.2021.12.10.333
[15] J. Yoon, Development of an Instrument for the Measurement of Critical Thinking Disposition: In Nursing, The Catholic University of Korea, Doctoral Dissertation, (2004)
[16] D. H. Kim, Y. J. Lee, M. S. Hwang, J. H. Park, H. S. Kim, H. G. Cha, Effects of a Simulation-based Integrated Clinical Practice Program(SCIPP) on the Problem Solving Process, Clinical Competence and Critical Thinking in a Nursing Student, The Journal of Korean Academic Society of Nursing Education, (2012), Vol.18, No.3, pp.499-509.
DOI: http://dx.doi.org/10.5977/jkasne.2012.18.3.499
[17] K. O. Park, S. K. Chung, The Influence of Online Psychiatric Practicum including Virtual Simulation on Goal Commitment, Self-efficacy, Critical Thinking Disposition and Problem-solving Ability, Journal of Convergence for Information Technology, (2021), Vol.11, No.10, pp.60-67.
DOI: http://dx.doi.org/10.22156/CS4SMB.2021.11.10.060
[18] S. J. Park, E. S. Ji, A Structural Model on the Nursing Competencies of Nursing Simulation Learners, Journal of Korean Academy of Nursing, (2018), Vol.48, No.5, pp.588-600.
DOI: http://dx.doi.org/10.4040/jkan.2018.48.5.588
[19] thepoint.lww.com, Mar 2 (2021)
[20] A. S. Jung, A Study on the Relations Between a Health Promoting Behaviors and Self-efficacy in General Hospital Nurse, Hanyang University, Master Thesis, (2007)
[21] M. K. Kim, S. H. Kim, W. S. Lee, Effects a Virtual Reality Simulation and a Blended Simulation of Care for Pediatric Patient with Asthma, Child Health Nursing Research, (2019), Vol.25, No.4, pp.496-506.
DOI: http://dx.doi.org/10.4094/chnr.2019.25.4.496
[22] J. H. Lim, The Effect a Virtual Reality Simulation Education on Nursing Process Competency, Journal of Digital Convergence, (2021), Vol.19, No.9, pp.401-409.
DOI: http://dx.doi.org/10.14400/JDC.2021.19.9.401
[23] K. J. Kim, Y. S. Ha, Y. K. Park, The Effects of Virtual Simulation Program based Convergence Action Learning on Problem-Solving, Critical Thinking, Communication Skills, and Clinical Competency of the Nursing Students, Journal of the Korea Convergence Society, (2022), Vol.13, No.5, pp.489-499.
DOI: http://dx.doi.org/10.15207/JKCS.2022.13.05.489
[24] E. H. Kim, Y. J. Na, M. J. Choi, Effects of Online Virtual Simulation Education on Problem Solving, Critical Thinking and Clinical based Convergence Action Learning on Problem-Solving, Critical Thinking, Communication Skills, and Clinical Competence in Nursing Students, Journal of the Korean Data & Information Science Society, (2022), Vol.33, No.4, pp.691-702.
DOI: http://dx.doi.org/10.7465/jkdi.2022.33.4.691
[25] S. M. Lim, Y. R. Yeom, The Effect of Education Integrating Virtual Reality Simulation Training and Outside School Clinical Practice for Nursing Students, Journal of Convergence for Information Technology, (2020), Vol.10, No.10, pp.100-108.
DOI: http://dx.doi.org/10.22156/CS4SMB.2020.10.10.100
[26] K. A. Kim, D. W. Choi, The Effect of Virtual Simulation in Nursing Education: An Application of Care for Acute Heart Disease Patients, Journal of Korean Society for Simulation in Nursing, (2018), Vol.6, No.2, pp.1-13.
DOI: http://dx.doi.org/10.17333/ JKSSN.2018.6.2.1

Citations:

APA:
Kwon, Y. S. (2023). Effects of Virtual Simulation Education on Clinical Competency, Knowledge, Self-efficacy and Critical Thinking Disposition of Nursing Students. Asia-pacific Journal of Convergent Research Interchange (APJCRI), ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, 9(2), 237-246. doi: 10.47116/apjcri.2023.02.19

MLA:
Kwon, Young Sook, “Effects of Virtual Simulation Education on Clinical Competency, Knowledge, Self-efficacy and Critical Thinking Disposition of Nursing Students.” Asia-pacific Journal of Convergent Research Interchange, ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, vol. 9, no. 2, 2023, pp. 237-246. APJCRI, http://fucos.or.kr/journal/APJCRI/Articles/v9n2/19.html.

IEEE:
[1] Y. S. Kwon, “Effects of Virtual Simulation Education on Clinical Competency, Knowledge, Self-efficacy and Critical Thinking Disposition of Nursing Students.” Asia-pacific Journal of Convergent Research Interchange (APJCRI), ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, vol. 9, no. 2, pp. 237-246, February 2023.