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Effects and Adequacy of High-Fidelity Simulation-Based Training for Obstetrical Nursing
Abstract
PURPOSE: Clinical training for nursing students is limited to rudimentary skills to avoid potential risks. Simulation-Based Training (SBT) can overcome the shortcomings of clinical training. We evaluated the educational effect of SBT for obstetrical nursing students using high-fidelity simulation courses. METHODS: We developed a simulation program for obstetrical nursing students to practice nursing skills that are necessary to provide quality care. The program consisted of four sessions. 1st: An orientation and a preliminary test. 2nd: Learning core skills required in obstetrical nursing. 3rd: Testing each student with scenario. 4th: Providing a debriefing session. At the beginning of the program, students were surveyed about their self-confidence in obstetrical nursing care, and at the end of the program, they were surveyed about the adequacy of SBT as well as self-confidence. RESULTS: Students' self-confidence showed a significant difference before and after simulation. Mean adequacy of SBT was 7.15±1.35 (out of 10). Most students became more interested in Women's Health Nursing after SBT. CONCLUSION: The results from evaluating the effects of simulation-based obstetrical nursing training show that SBT provides invaluable clinical experience for obstetrical nursing students by overcoming the lack of actual clinical involvement in clinical training programs.
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“However, previous studies show that only supplementary materials for understanding and performing EFM are utilized in self-directed learning [12], and education on high fidelity simulation is provided, both of which, are inadequate for developing overall nursing skills [14], thus highlighting the need for various educational methods for nursing students’ education and training.”
From Analysis of the effect of an artificial intelligence chatbot educational program on non-face-to-face classes: a quasi-experimental study (2022) · cites this paper as [14]
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Cited by
Han, J.-W., Park, J., & Lee, H. (2022) · BMC Medical Education · doi:10.1186/s12909-022-03898-3 · Cited by 187
“However, previous studies show that only supplementary materials for understanding and performing EFM are utilized in self-directed learning [12], and education on high fidelity simulation is provided, both of which, are inadequate for developing overall nursing skills [14], thus highlighting the need for various educ…”
BackgroundSystematic Review of Korean Studies on Simulation within Nursing Education
Kim, J.-H., Park, I.-H., & Shin, S. (2013) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2013.19.3.307 · Cited by 91
Kim, H. Y., Ko, E. J., & Lee, E. S. (2012) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2012.18.4.312 · Cited by 49
“There had been only two previous studies on simulation education in the field of maternity nursing and the results showed the educational effects leading to increased confidence among the nursing students in their nursing performance (Chung et al., 2011; Lee & Kim, 2011).”
Hur, H. K., Park, S., Shin, Y. H., Lim, Y. M., Kim, G., Kim, K. K., Choi, H. O., & Choi, J. H. (2013) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2013.19.2.228 · Cited by 47
Perceived Confidence in Practice of Core Basic Nursing Skills of New Graduate Nurses
Kim, Y., Hwang, S. Y., & Lee, A.-Y. (2014) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2014.20.1.37 · Cited by 45
Kim, Y.-J., Noh, G. O., & Im, Y. S. (2017) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2017.06.005 · Cited by 46
Development and Effects of a Simulation-based Education Program for Newborn Emergency Care
Yoo, S. Y. (2013) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2013.43.4.468 · Cited by 38
“이러한 장점 검증과 관련하여 최근 국내에서도 교육과정 개발 및 평가(Lee et al., 2009), 응급간호교육(Kim & Jang, 2011), 중환자 간호교육(Chang et al., 2010), 모아 간호 영역에서의 활용(Lee & Kim, 2011), 응급실 내원한 발열 환아(Kim & Choi) 등 그 연구와 적용이 활발해지고 있으나, 다 른 전공분야에 비해 아동간호학 특히, 신생아의 응급 교육과 관련 된 시뮬레이션 연구는 아직 미비하다.”
First experiences of high‐fidelity simulation training in junior nursing students in K orea
Lee, S. J., Kim, S. S., & Park, Y. (2014) · Japan Journal of Nursing Science · doi:10.1111/jjns.12062 · Cited by 27
Mohammadi, G., Tourdeh, M., & Ebrahimian, A. (2019) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_106_19 · Cited by 26
Jang, S., & Suh, E. E. (2022) · Nurse Education in Practice · doi:10.1016/j.nepr.2022.103458 · Cited by 25
Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing
Kim, S.-A., Lee, S., & Chae, H.-J. (2012) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2012.18.3.180 · Cited by 23
Kim, S.-G. (2015) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2015.16.10.6807 · Cited by 21
“시뮬레이션 교육은 대 학생의 임상술기수행에 대한 자신감을 증진시키며[3,4] 비판적 사고, 문제해결능력 및 학업성취도를 높이고[5], 임상수행능력을 향상시키는 것으로 나타났다[6,7].”
Kim, S., Nam, H., & Kim, M. (2014) · Child Health Nursing Research · doi:10.4094/chnr.2014.20.4.294 · Cited by 20
Self-citationSong, Y. A. (2020) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2020.03.15.1 · Cited by 19
“이는 문제중심학습 의 효과를 검증한 Kim과 Chun [12]의 연구와 유사한 결과를 나타 냈으며, PBL 연계 시뮬레이션 교육 후 문제 해결 적극성이 증가한 연구결과도 있다[13,27].”
InfluentialTransforming Magnetic Resonance Imaging Education through Simulation-Based Training
Elshami, W., & Abuzaid, M. (2017) · Journal of medical imaging and radiation sciences · doi:10.1016/j.jmir.2017.01.002 · Cited by 16
Kim, M. Y., Park, S., & Won, J. (2016) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2016.23.4.411 · Cited by 15
Self-citationExperiences of Arab male nursing students during high fidelity maternity simulation training
Raman, S., Labrague, L. J., Arulappan, J., Zaabi, O. A., Natarajan, J., & Vincent, S. C. (2019) · Nursing Forum · doi:10.1111/nuf.12402 · Cited by 15
Song, Y. A. (2014) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2014.20.4.246 · Cited by 15
“의 시뮬레이션 실습 전과 후에 자신감 정도가 높아졌다고 보 고한 연구 와 일치하였다 또한 분만 시뮬레이션 교육을 받 [26] .”
Current Status of Women's Health Nursing Practicum and Direction
Kim, J., Kang, H.-S., Park, S., & Ahn, S. (2014) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2014.20.2.173 · Cited by 14
“기회를 보충하고 실무적용능력을 함양할 수 있는 다양한 교육 방법을 모색하기 위한 방법으로 분만모형을 활용한 시뮬레이 션 실습이 등장하였고 몇몇 연구에서 시뮬레이션 실습의 운영 성과를 보고하였다[6,11-13].”
Kim, S. H., & Lee, B. G. (2021) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2021.09.13 · Cited by 12
Policy issues in simulation-based nursing education and technology development
Park, H., & Yu, S. (2018) · Health Policy and Technology · doi:10.1016/j.hlpt.2018.06.003 · Cited by 12
Yun, S. Y., & Choi, J. Y. (2019) · Journal of Korean Academy of Nursing · doi:10.4040/jkan.2019.49.1.92 · Cited by 12
Nursing simulation practicum for delivery care: A scoping review
Cha, C., & Jeong, S. (2022) · Nurse Education Today · doi:10.1016/j.nedt.2022.105391 · Cited by 11
Lee, S. H. (2018) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2018.24.2.150 · Cited by 11
“지금까지 이루어진 시뮬레이션 실습교 육은 학생들에게 지식증가[2,10-12], 자신감이나 자기효능감 증진[3,4,10,13,14] 및 임상수행능력 향상[2,3,7,11,12,14-17]은 물론 비판적 사고 또는 문제해결능력이나 임상판단력 향상 [7,13,14,18,19] 등의 결과를 보여 간호실습 교육으로 활발히 활용되고 있다.”
InfluentialKim, M., & SHIN, M. (2012) · CIN Computers Informatics Nursing · doi:10.1097/nxn.0b013e3182701041 · Cited by 11
“We measured the adequacy of the simulation scenarios with the adequacy scale developed by Lee and Kim.(20) It consisted of 20 items reviewing the adequacy of the program: five items about learning process, 11 about the sessions (three for orientation and pretest session, one for training session, four for evaluation s…”
MethodInfluentialSelf-citationOutcomes and Satisfaction of Simulation-based Learning in Nursing of Patient with UGI Bleeding
Ryoo, E.-N., Park, Y. S., & Ha, E. (2013) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2013.14.3.1274 · Cited by 10
“이와 같은 결과는 선행연구결과와도 일치하는 것인데 [9,12,17-19] 이러한 결과는 시뮬레이션-기반 학습이 임상 적 판단에 대한 자신감을 증가시키고[19], 의사결정능력 을 향상시켜 안정감과 자신감을 제공하기[20] 때문이다.”
심정신, 김정효, & 박미경 (2014) · JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH · doi:10.21896/jksmch.2014.18.1.125 · Cited by 10
Jeong, M.-E., & Park, H.-S. (2015) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2015.22.3.308 · Cited by 10
“생들이 임상현장에 대한 충분한 경험과 이해를 제공받지 못 하여 의사결정의 기회가 줄어들고, 학생들의 지식, 기술의 실 무적용 능력개발에 한계를 드러내어 왔고 이는 졸업 후 신규 간호사의 임상실무 수행능력 저하로 연결되어 왔다[7-9].”
Hsu, Y.-Y. A., Nguyen, T. T. B., Yeh, C., Tsai, S.-M., & Tsai, Y.-C. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106815 · Cited by 9
Development and Effects of Simulation Program for Fall Management
Yu, M., Kim, J. K., Kim, S. Y., Cho, S.-H., Kim, M. J., & Seomun, G. (2017) · Journal of Korean Academy of Nursing Administration · doi:10.11111/jkana.2017.23.5.548 · Cited by 9
Self-citationTrends in Acupuncture Training Research: Focus on Practical Phantom Models
Jang, J. E., Lee, Y. S., Jang, W. S., Sung, W.-S., Kim, E., Lee, S.-D., Kim, K. H., & Jung, C. Y. (2022) · Journal of Acupuncture Research · doi:10.13045/jar.2022.00024 · Cited by 9
“As the OSCE evaluation method becomes more common, phantom models have been used in practical education to mimic the patient and these include simulation methods used in nursing colleges [15,16], medical schools [17-19], and veterinary colleges [20].”
MethodKim, S. H., & Choi, Y. (2024) · Journal of Korean Biological Nursing Science · doi:10.7586/jkbns.24.026 · Cited by 9
“The previous study found that prioritization in simulation learning was the most difficult for students [46].”
Lee, J. O. (2014) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2014.20.2.203 · Cited by 8
Han, S. (2014) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2014.15.3.1515 · Cited by 7
“심폐소생술 응급간호 교육[3], 만성폐쇄성 폐질 환과 심근경색증 대상자 간호[7], 호흡곤란 응급관리[5], 급성신부전환자 간호[2], 산과간호영역[8], 임상추론교과 목[9]에 적용한 것 등이 주로 사용된 사례였다.”
Hong, S.-J., & Kim, E. (2014) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2014.15.10.6204 · Cited by 7
“이러한 문제점을 해결하기 위해 모성간호학 실습 과정에서는 표 준화 환자 활용[11], 분만간호에 대한 시뮬레이션 실습 [9-12] 등의 대체방안을 활용하고 있지만, 실제 임상에서 경험할 수 있는 긴박감이나 사실성 등을 그대로 재현하 는 데는 한계가 있다.”
Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students
Park, H. J., & Lee, S. H. (2015) · Child Health Nursing Research · doi:10.4094/chnr.2015.21.4.293 · Cited by 7
“이것은 산과 간호 영역에서의 시뮬레이션 적용 후 임상술기수행에 대한 자신감이 증가한 연구[24], 호흡곤란 응급관리에 대한 시뮬레이 션기반 교육이 수행자신감이 증가한 연구[25]와 유사한 결과이다.”
Kim, A. (2016) · Journal of the Korea Academia-Industrial cooperation Society · doi:10.5762/kais.2016.17.3.177 · Cited by 6
“임상실습이 제한적으로 이루어지고 있는 현 상황에서 국내 모성간호학 분야에서도 시뮬레이 션 실습 교육에 관한 연구가 활발히 이루어지고는 있으 나, 기존의 연구들은 시뮬레이션 교육 효과를 평가함에 있어 학습자가 획득한 학습성과 측면에서 인지적, 정의 적, 심동적 영역 중 일부[26-33] 또는 전체[34,35] 영역 을 다루고 있으나, 학습 과정 측면에서 시뮬레이션 경험 에 대한 학습자의 반응을 포괄하여 시뮬레이션 효과를 통합적으로 평가한 연구는 찾아보기 어려웠다.”
Design and Application of Nursing Simulation using Goal-based Scenario for Nursing Students
Park, S. J. (2017) · The Journal of Korean Academic Society of Nursing Education · doi:10.5977/jkasne.2017.23.2.224 · Cited by 6
A Meta-Analysis of the Effect of Simulation-Based Education for Delivery Nursing in Korea
김미나, 김영아, & 정향인 (2016) · JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH · doi:10.21896/jksmch.2016.20.3.297 · Cited by 6
Effect of Application of Hybrid Simulation for Delivery Nursing Care
Hong, S.-Y., & Kim, M.-Y. (2015) · Advanced science and technology letters · doi:10.14257/astl.2015.116.15 · Cited by 5
“Previous studies of the use of simulation in the field of nursing have utilized highly functional patient simulators and measured knowledge and the effect of clinical competence and problem solving skills in various areas, such as emergency care education[3], critical care nursing education[4], maternal-child nursing…”
BackgroundSelf-citationDevelopment and Effects of Simulation Practice Program about Family centered Delivery Care
Yang, S. H., & Hong, S. (2017) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2017.23.1.52 · Cited by 5
“의시뮬레이션실습및교육에대한연구로는분만과정 분 [11], 만과정과 산욕기 산후출혈 정상산모 간호중 [5,8,12,13], [14], 재 고위험산모의문제해결및간호교육 조기진통분만과 , [15], 정과산후출혈 등을주제로이루어졌다 그런데기존선행 [16] .”
The needs and effects of convergence-based simulation practice for obstetrical nursing
Chae, H.-J. (2015) · Journal of Digital Convergence · doi:10.14400/jdc.2015.13.9.377 · Cited by 4
Kim, H. J., & Chun, I. H. (2018) · Journal of the Korean Chemical Society · doi:10.15207/jkcs.2018.9.7.355 · Cited by 4
Persistence of Integrated Nursing Simulation Program Effectiveness*
Lee, S.-K., Kim, S.-H., & Park, S.-N. (2016) · Journal of Korean Academy of Fundamentals of Nursing · doi:10.7739/jkafn.2016.23.3.283 · Cited by 4
“그러나 이러한 선행연구들은 단일군을 대상으로 시뮬레이션 실습 전후를 비교하여[9,10,17], 시뮬레이션 교육이 전반적으”
Park, J.-O. (2017) · Emergency medical services · doi:10.14408/kjems.2017.21.2.071 · Cited by 4
“Lee와 Kim[6]이 연구 한 시뮬레이션 학습은 실제 임상 상황과 유사한 시 나리오를 바탕으로 신체 반응, 다양한 질병 설정, 생동감 있는 연기 등의 반복을 통해 학생들의 역량 을 평가하는 도구이며, 필기시험보다 학생들의 인 지 기술을 평가하는데 효율적이다.”
Kim, M., & Kim, Y. (2015) · Advanced science and technology letters · doi:10.14257/astl.2015.92.20 · Cited by 4
“Recent study applied simulation practice in Maternity Nursing and nursing students reported increased their self confidence [3], other research applied simulation practice combined Problem Advanced Science and Technology Letters Vol.”
MethodSelf-citationJo, Y. (2020) · Korean Journal of Stress Research · doi:10.17547/kjsr.2020.28.3.167 · Cited by 3
Baek, M.-L. (2014) · Fire science and engineering · doi:10.7731/kifse.2014.28.5.098 · Cited by 3
“시뮬레이션 교육 전 자신감은 10점 만점에 4.37점이었 지만 교육 후 6.22점으로 상승하였다 이는 의과대학생을 대상으로 한 Park 등의 연구 (6) 와 간호학과 학생들을 대상 으로 한 Kim 등의 연구 (14) 와 Lee 등의 연구 (7) 와 Chung 등 의 연구 (8) 에서 병원 분만 실습 시보다 시뮬레이션 교육 시 자신감이 더 상승하는 것으로 나타나 일치된 결과를 보였 다. 이는 A. Abdo와 P. Ravert (15) 의 연구결과처럼 응급분 만 시뮬레이션 교육 시 실제 응급분만현장과 유사하지만 실수를 하여도 환자에게 위해를 주지 않는 더 안전하고 덜…”
InfluentialDoo, H. J., & Lee, Y. J. (2016) · International Journal of Bio-Science and Bio-Technology · doi:10.14257/ijbsbt.2016.8.1.28 · Cited by 3
“Domestically, simulation has been applied to the clinical training of a variety of fields in the clinical setting, such as neonatal emergency care [9], CPR emergency care [10, 11], intensive care [12, 13], maternal and obstetric care [14, 15], patient care for chronic obstructive pulmonary diseases and cardiac infarct…”
BackgroundGürcüoğlu, E. A., Aksoy, M. U., Aksu, S. P., & Erenel, A. Ş. (2018) · Kocaeli Üniversitesi Sağlık Bilimleri Dergisi · doi:10.30934/kusbed.445564 · Cited by 3
The Factor Influencing Problem Solving Ability of Nursing Students in Nursing Simulation Learning
Cho, G.-Y. (2017) · Journal of Fisheries and Marine Sciences Education · doi:10.13000/jfmse.2017.29.4.1083 · Cited by 2
Effect of a simulation-based program for post-operative care of emergency patients
Chae, M.-J., Choi, S.-H., & Kim, J.-S. (2014) · 한국응급구조학회논문지 · doi:10.14408/kjems.2014.18.3.091 · Cited by 2
“선행연구들을 살펴본 결과 연구 설계에서 단일군 전후설계[7,9,11]나 서술적 연구[19]가 많았으며, 실험처치 시 대조군에게 이론 강의만 제공[17]하고 평가하였기에 두 교육방법의 효과비교라고 보기에 는 무리가 있다고 생각되며 더 많은 연구가 필요하 다고 사료된다.”
Oh, H.-K. (2015) · The Korean Journal of Rehabilitation Nursing · doi:10.7587/kjrehn.2015.145 · Cited by 1
HEMŞİRELİK EĞİTİMİ VE OTANTİK ÖĞRENME
Metin, A., & Kulakaç, Ö. (2021) · Samsun Sağlık Bilimleri Dergisi · doi:10.47115/jshs.898818 · Cited by 1
Han, E., & Park, G. (2024) · Asia-pacific Journal of Convergent Research Interchange · doi:10.47116/apjcri.2024.05.36 · Cited by 1
Pokorná, A., & Knight, A. (2015) · Bournemouth University Research Online (Bournemouth University) · Cited by 1
Kim, E., & Jo, S.-H. (2021) · Journal of Digital Convergence · doi:10.14400/jdc.2021.19.1.229
Participation Experience in Simulation Training Using Holographic Standardized Patients
Yun, J.-A., Kim, Y.-J., & Jung, K.-H. (2024) · Journal of Curriculum and Teaching · doi:10.5430/jct.v13n2p333
Metadata
- Authors
- Lee, W. S., & Kim, M.
- Affiliations
- Korean Red Cross (KR)
- Namseoul University (KR)
- ORCID
- Kim, Miok
- Venue
- Journal of Korean Academy of Nursing
- Publisher
- Korean Society of Nursing Science
- Published
- 2011
- Volume
- 41
- Issue
- 4
- Pages
- 433
- ISSN
- 2005-3673 (ISSN-L)
- OpenAlex
- W2159919096
- Cited by
- 58
- References
- 35
- Citations by year
- 2025: 1 · 2024: 3 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 11 · 2013: 4 · 2012: 3
- FWCI
- 3.93
- Type
- journal article
- Language
- ko
- Open access
- closed
- Locations
- Journal of Korean Academy of Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Social Sciences › Education › Innovations in Medical Education
- Keywords
- simulation-based training, high-fidelity simulation, nursing students, self-confidence, debriefing, scenario-based learning, women's health nursing, nursing education
- MeSH terms
- Adult, Attitude of Health Personnel, Clinical Competence, Education, Nursing, Baccalaureate, Female, Humans, Male, Obstetric Nursing, Pregnancy, Students, Nursing, Program Evaluation, Young Adult
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
