Abstract
The purpose of this study was to assess the effect of a simulation nursing education program in terms of clinical reasoning, problem-solving process, self-efficacy, and clinical competency using the Outcome-Present State-Test (OPT) model in nursing students. The participants comprised 45 undergraduate nursing students recruited from two universities in Korea. The number of nursing students assigned to the experimental group and control group were 25 and 20, respectively. For a period of two weeks, the experimental group received a simulation nursing education program using the OPT model, while the control group received a traditional clinical practicum. The data were analyzed using prior homogeneity tests (Fisher’s exact test and paired t-test); ANCOVA was performed to investigate the differences in dependent variables between the two groups. There was a significant improvement in clinical reasoning (F = 10.59, p = 0.002), problem-solving process (F = 30.92, p < 0.001), and self-efficacy (F = 36.03, p < 0.001) in the experimental group as compared to the control group (F = 10.59, p = 0.002). Moreover, the experimental group showed significantly higher scores in clinical competency than the control group (F = 11.07, p = 0.002). This study demonstrates that the simulation nursing education program using the OPT model for undergraduate students is very effective in promoting clinical reasoning, problem-solving processes, self-efficacy, and clinical competency.
Highlights
Medical education and healthcare institutions have been facing several problems because of the COVID-19 pandemic, such as halting field placements, considering the safety of students
We propose the experimental experimental group group who who participated in the simulation nursing education program using the model will show the simulation nursing education program using the Outcome-Present State-Test (OPT) model will show better better clinical clinical reasoning, and clinical reasoning, problem-solving problem-solving process, process, self-efficacy, self-efficacy, and clinical competency competency compared compared with with the control group who participated in clinical traditional practicum
This study examines whether clinical reasoning, problem-solving processes, selfefficacy, and clinical competency are improved on account of the simulation nursing education program using the OPT model
Summary
Medical education and healthcare institutions have been facing several problems because of the COVID-19 pandemic, such as halting field placements, considering the safety of students. It involves materializing a clinical environment that is similar to actual conditions, thereby facilitating nursing practice in a safe, virtual environment; currently, alternative practical training using simulation is being widely used across nursing schools, as field placements have been disrupted due to the pandemic [2]. Practical simulation training is known to improve nursing skills among nursing school students in addition to improving their confidence, satisfaction, anxiety, stress, and academic motivation [3,4,5]. Despite these advantages, nursing school students may be unable to apply in practice the skills they acquire in practical simulation training [6]
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