Abstract

Objectives The purpose of this study was to identify the affecting proactivity in problem-solving of nursing students who participated in the team-based simulation.
 Methods Participants were 86 senior nursing students at one University in B city. Data were collected using structured questionnaires including demographic characteristics, flow during simulation, anxiety, and proactivity of problem-solving from December 1 to December 31, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression by SPSS 25.0 program.
 Results The affecting factors of nursing students’ proactivity in problem-solving were flow during simulation and anxiety. The factor that had the greatest influence on proactivity in problem-solving was flow during simulation (β=.46, p<.001), followed by anxiety (β=-.21, p=.026). The regression equation was statistically significant (F=18.84, p<.001), and the power of explanation was 29.6%.
 Conclusions To improve the problem-solving activity of nursing students in team-based simulation, the instructor should design to increase flow during the simulation and minimize anxiety. In future studies, it is necessary to research the effect of increased proactivity in problem-solving on problem-solving competency.

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