PURPOSE
The purpose of this study was to examine the effects of the evidence-based clinical practice guidelines on Postoperative Nausea and Vomiting (PONV).
METHODS
The research design was a non-equivalent control group with a non-synchronized design. The participants were the patients undergoing gynecologic laparoscopy. Data were collected from July, 2014 through January, 2015. The participants in the experimental group (n=35) received an assessment of risk factors of PONV, aroma therapy, and P6 acupressure method as recommended in the guidelines. Those in the control group (n=35) received usual nursing care. Data were analyzed by mean, standard deviation, t-test, chi2-test using SPSS/WIN 19.0 program.
RESULTS
The occurrence of nausea and vomiting, the level of nausea and vomiting, and the need for antiemetic medicine in the experimental group were significantly less than those in the control group after surgery. The levels of postoperative pain and the amounts of time for nursing activities in the experimental group were significantly reduced than those in the control group after surgery. The levels of satisfaction were significantly higher in the experiment group than that of the control group.
CONCLUSION
The evidence-based guidelines is recommended for nursing practice as a guidance for managing PONV and helping the recovery of patients after laparoscopic surgery.

PURPOSE
This study was a qualitative study to explore and understand the adaptation experiences of hemodialysis among women with End-Stage Renal Disease (ESRD) and to develop a substantive theory using the grounded theory method.
METHODS
Participants were 15 female patients who underwent hemodialysis for ESRD treatment from three general hospitals. The data were collected through in-depth individual interviews.
RESULTS
The adaptation experience of participants was emerged as a process of taking care and enduring. There were four adaptation stages as a negative, despair, receptive, and maintenance period in reference to hemodialysis. The causal conditions were a vague expectations of recovery and refusal to undergo hemodialysis. The core phenomenon was that of confinement to dialysis machine. The contextual conditions for this phenomenon were the loss of femininity. They used action/interaction strategies such as transition their life with a focus on hemodialysis, seeking information, and learning how to take care of their body. Through this process, they had a strong will to live or had sustained their life.
CONCLUSION
These results indicate that there is a need for nurses to understand the different steps of adaptation experiences of the given patient population. It is necessary for nurses to support them to lead their life as much normal as possible and improve the adaptation experience of ESRD.

Citations

• Progressing the understanding of chronic illness and its treatment: A post-human, ethological understanding of haemodialysis
  Victoria Cluley, Helen Eborall, Katherine Hull, Niamh Quann, James O Burton
  Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine.2024; 28(5): 716.     CrossRef
• Healthy life of Korean patients with chronic kidney failure undergoing hemodialysis: A situation-specific nursing theory
  Jinhyang Yang, Myung-Ok Cho, Haeok Lee
  Applied Nursing Research.2022; 65: 151584.     CrossRef
• Ethnography on the Health Life of Hemodialysis Patients with Chronic Kidney Failure
  Jinhyang Yang, Myung-Ok Cho
  Korean Journal of Adult Nursing.2021; 33(2): 156.     CrossRef
• An Alternative View of a Hemodialysis–Life Balance: Life Reorganization of Korean Patients Undergoing Hemodialysis
  Songsoon Kim, Jinhyang Yang
  Journal of Transcultural Nursing.2021; 32(6): 664.     CrossRef
• The Illness Adaptation Process of Patients Suffering from Atrial Fibrillation: Living a Life Managing the Silent Insurrection of the Heart
  A-Leum Han, Suhye Kwon
  Korean Journal of Adult Nursing.2020; 32(3): 326.     CrossRef
• Gender-based experiences on the survival of chronic renal failure patients under hemodialysis for more than 20 years
  Mi-Kyoung Cho, Gisoo Shin
  Applied Nursing Research.2016; 32: 262.     CrossRef

PURPOSE
The purpose of this study was to examine their levels of knowledge of the kidney, self-efficacy, and kidney function in pre-dialysis patients with chronic renal insufficiency.
METHODS
A total of 142 pre-dialysis patients with chronic renal insufficiency were recruited from a nephrology clinic of a hospital in Korea. Participants' knowledge of the kidney, self-efficacy, and kidney function were measured, and the correlations between these factors were computed.
RESULTS
The levels of knowledge of the kidney were moderate, with a mean score of 12.30+/-5.35. Knowledge level was significantly correlated with age, education level, occupation, income, physical symptoms, and information resources (p<.05). The mean score for self-efficacy was 6.06+/-2.00. Self-efficacy was significantly associated with patients` age, education level, occupation, income, cigarette use, and information resources (p<.05). The mean score for kidney function was 35.66+/-18.68 mL/min/1.73 m2. Kidney function was significantly correlated with use of medications and drinking behavior (p<.05). Knowledge of the kidney was significantly correlated with self-efficacy (r=.31, p<.001), but not with kidney function. There was a significant correlation between self-efficacy and kidney function (r=.30, p<.001). Multiple regression analysis revealed that self-efficacy and drinking behavior accounted for 11% of the variance in kidney function of pre-dialysis patients with chronic renal insufficiency.
CONCLUSION
Nursing interventions are necessary to increase self-efficacy among pre-dialysis patients with chronic renal insufficiency in order to maintain their kidney function.

Citations

• Effects of Telephone-based Self-care Intervention for Gynecologic Cancer Patients Receiving Chemotherapy: A Quasi-Experimental Study
  Boyeon Lee, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 216.     CrossRef
• Self-Care Performance of Middle-Aged Stroke Patients in Korea
  Dong Eun Jang, Juh Hyun Shin
  Clinical Nursing Research.2019; 28(3): 263.     CrossRef

PURPOSE
The purpose of this study was to describe the illness experience of patients with pressure ulcer.
METHODS
A phenomenological methodology was used for the study. The data were collected by individual in-depth interview with seven participants with pressure ulcer during 2013~2014. All interviews were audio-taped and verbatim transcripts were made for the analysis. The data were analyzed using Colaizzi's phenomenological method.
RESULTS
All participants had underlying disease, such as spinal paralysis and diabetes. Average period of having pressure ulcer was 18 months, ranged from 3 to 36 months. A total of seven theme clusters were derived from the analysis; unexpected wound, inherent vulnerability to infection, reversal of the treatment policy, unpleasant and strange feeling of wound, sweeping fear and helplessness, socioeconomic burden, and healing through specific actions and reflection. The participants faced various contradictory and paradoxical situations in managing their pressure ulcers as well as underlying diseases in their everyday life. However, they slowly overcome these situations by strictly practicing concrete action-oriented strategies that they have learned through suffering and appreciating miraculous wound healing.
CONCLUSION
The results of this study can help developing a patient-specific intervention program with sufficient emotional support by providing insights of the paradoxical illness experience of patients with pressure ulcer.

Citations

• Effectiveness of Devices for Prevention and Treatment of Pressure Ulcers: A scoping Review
  Soo Youn Jung, Mina Park, Kyoung Ja Moon
  Korean Journal of Adult Nursing.2022; 34(2): 123.     CrossRef
• Pressure distribution in tilting and reclining wheelchairs with an air cushion: A pilot study
  Hyunwoo Choi, Heymin Lee, Jeongwon Choi, Jisu Moon, Juhyang Jeong, Dohee Joo, Ingyu Yoo
  Biomedical Human Kinetics.2021; 13(1): 121.     CrossRef

PURPOSE
The purpose of this study was to analyze the trend of nursing theories by Korean Journal of Adult Nursing (KJAN) for the last five years and to provide future directions for improvement.
METHODS
The study analyzed data collected from 323 research papers published in KJAN between 2010~2014. Descriptive analysis was conducted with a focus on frequency and percentage for the quantitative analysis. Qualitative analysis was performed for the analysis of nursing theories.
RESULTS
As for research topics, the analysis results based on the meta-paradigm of nursing show that the most frequent factors of analysis were adult patients in the area of human beings, hospitals in the area of environment, depression, anxiety, and suicide in the area of health, and all the influential factors in the area of nursing. The analysis results of uses of nursing theories in the papers reveal that only 4(1.2%) out of total 323 papers used the nursing theories, which indicates that the linkage and utilization of nursing theories in the published papers for the last five years were poor.
CONCLUSION
We needs to make efforts at the society level to activate nursing theory utilization in research which is beloved to connect nursing practice, education, and research.

Citations

• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Essential Role of Theory in Nursing Research for Advancement of Nursing Science
  Soyoung Yu, Ju-Eun Song
  Journal of Korean Academy of Nursing.2021; 51(4): 391.     CrossRef
• Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult women
  Youlim Kim, Hyeonkyeong Lee, Gi Wook Ryu
  Korean Journal of Women Health Nursing.2020; 26(2): 120.     CrossRef
• Trend Analysis of Theory-based Research Published in Asian Oncology Nursing
  Hye-young Lee, Min-Kyeong Kim, Won-jin Seo, Min-jin Lee, Ye-rin Heo, Sanghee Kim
  Asian Oncology Nursing.2019; 19(1): 1.     CrossRef
• Trend Analysis of Research Articles Published in the Korean Journal of Women Health Nursing from 2013 to 2017
  Young Jin Lee, Seo Yun Kim, Saem Yi Kang, Yoo Jeong Kang, Lan Jin, Hee Yoen Jung, Hae Won Kim
  Korean Journal of Women Health Nursing.2018; 24(1): 90.     CrossRef
• Analysis of Theory-applied Research in the Journal of Korean Academy of Nursing Administration (2007~2016)
  Hyunju Ji, Soyun Hong, Yi-Rang Jeong, Kyung Hee Lee
  Journal of Korean Academy of Nursing Administration.2018; 24(2): 130.     CrossRef
• Trend Analysis of Research in the Journal of Korean Gerontological Nursing (2010~2015)
  Yerin Cha, Joeun Kwon, Sunhye Kwon, Kyung Hee Lee, Jiyun An
  Journal of Korean Gerontological Nursing.2017; 19(2): 92.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of emotional labor, somatic symptoms, and emotional support on quality of life among middle-aged women workers.
METHODS
The study design was a descriptive survey research. Data were collected from October 2013 to January 2014 in Korea. A self-reported questionnaire was administerd in a convenience sample of 264 middle aged women in various working places. The survey included socio-demographic and job-related factors, and the questionnaires about emotional labor, somatic symptoms, emotional support, and quality of life. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that somatic symptoms had the greatest effect on quality of life (beta=-1.65, p<.001), followed by emotional support (beta=0.67, p<.001), and job satisfaction (beta=3.98, p<.001). And these variables accounted for 52% of quality of life among middle-aged women workers (F=97.14, p<.001).
CONCLUSION
These results suggest for clinical nurses to take somatic symptoms, emotional support, and job satisfaction into special account in order to improve the middle aged women worker's quality of life. Ultimately, a health promotion program focusing on these influential variables in workplace need to be developed for the given population.

Citations

• Determinants of Quality of Life (QoL) in Female Caregivers in Elderly Care Facilities in Korea
  Hee-Kyung Kim, Hye-Suk Oh
  Behavioral Sciences.2024; 14(1): 53.     CrossRef
• The Effects of Emotional Labor and Workplace Violence on the Somatic Symptoms of Customer Service Employees in Department Stores
  Bongsoon Ryu, Bo Hyun Park
  Research in Community and Public Health Nursing.2023; 34: 61.     CrossRef
• Somatic Symptoms and Quality of Life in Adults: Moderating Effect of Spiritual Well-being
  Youngrye Park, Hee Moon
  The Korean Journal of Rehabilitation Nursing.2018; 21(2): 132.     CrossRef
• Experiences in Self-leading Leisure Activities of Middle-aged Office Workers
  Jeong-Soo KIM
  Journal of Fisheries and Marine Sciences Education.2016; 28(5): 1348.     CrossRef

PURPOSE
The purpose of this study was to explore the experience of workplace violence among intensive care unit nurses.
METHODS
The participants of this research were twelve registered nurses who work in the intensive care units (ICU) at the hospitals in Seoul and Gyunggido. Data were collected by individual in-depth interviews and analyzed using the phenomenological methodology by Colaizzi.
RESULTS
From significant statements, five theme clusters emerged as follow; 1) vulnerable young women to violence, 2) my own reflection was bruised and exhausted, 3) a hopeless everyday, 4) seeking a solution in relation, 5) establishing one's status as a professional nurse.
CONCLUSION
This study provides a profound understanding on the experiences of workplace violence among ICU nurses. The hospitals are suggested to provide a safe environment by developing programs and policies to prevent and cope with hospital workplace violence for ICU nurses.

Citations

• Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures
  Sebastian Berger, Pascale Grzonka, Anja I. Frei, Sabina Hunziker, Sira M. Baumann, Simon A. Amacher, Caroline E. Gebhard, Raoul Sutter
  Critical Care.2024;[Epub]     CrossRef
• Factors Related to Post-traumatic Stress Disorder Symptoms Among Intensive Care Unit Nurses
  SuHee Kim, YeoJin Im
  Asian Nursing Research.2024; 18(2): 159.     CrossRef
• The Moderating Role of Perceived Social Support in the Relation between Type D Personality and PTSD Symptoms among ICU and ER Nurses
  Sohyeon Kim, Myung-Ho Hyun
  STRESS.2023; 31(4): 197.     CrossRef
• Effects of Personality Traits and Mentalization on Workplace Bullying Experiences among Intensive Care Unit Nurses
  Sun Joo Jang, Eunhye Kim, Haeyoung Lee, Amanda Jane Henderson
  Journal of Nursing Management.2023; 2023: 1.     CrossRef
• Clinical nurses’ experiences of workplace verbal violence: a phenomenological study
  Min Soo Woo, Hyoung Suk Kim, Jeung-Im Kim
  Korean Journal of Women Health Nursing.2022; 28(2): 154.     CrossRef
• Validity and reliability of the gender equity scale in nursing education
  Sunhee Cho, So‐Hi Kwon, Sun Joo Jang
  Nursing & Health Sciences.2022; 24(2): 447.     CrossRef
• Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
  Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
  Journal of Korean Critical Care Nursing.2022; 15(2): 50.     CrossRef
• Mediating Effects of Psychological States on Work Performance of Visiting Nurses According to COVID-19 Workplace Quarantine Measures: A Multi-Group Path Analysis Study
  Jee-Hyun Hwang
  International Journal of Environmental Research and Public Health.2021; 19(1): 444.     CrossRef
• Health-Related Symptoms and Working Conditions on Vulnerability to Presenteeism Among Nurses in South Korea
  Jee-Seon Yi, Eungyung Kim, Hyeoneui Kim
  Asia Pacific Journal of Public Health.2021; 33(8): 880.     CrossRef
• The Moderating Effect of Supervisor's Support in Relation to Violence Experience between Co-workers and Organizational Commitment of Nurses Working in Special Departments of a Hospital
  Kyung Min Kim, Eun Nam Lee, Moon Ja Kim
  Journal of Korean Academy of Nursing Administration.2020; 26(4): 400.     CrossRef
• Mediating Effect of Resilience on the Association between Violence Experience and Violence Response among Nurses
  Cheol Jeong, Eun Nam Lee
  Korean Journal of Adult Nursing.2018; 30(1): 41.     CrossRef
• Experience of Violence from the Clients and Coping Methods Among Intensive Care Unit Nurses Working in a Hospital in South Korea
  Hye Jin Yoo, Eunyoung E. Suh, Soon Haeng Lee, Jin Hee Hwang, Ji Hye Kwon
  Asian Nursing Research.2018; 12(2): 77.     CrossRef

PURPOSE
This study is to determine the predictive validity of the St. Thomas Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY) for inpatients' fall risk.
METHODS
A literature search was performed to identify all studies published between 1946 and 2014 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases, using the following key words; 'fall', 'fall risk assessment', 'fall screening', 'mobility scale', and 'risk assessment tool'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Fourteen studies were analyzed using meta-analysis with MetaDisc 1.4.
RESULTS
The predictive validity of STRATIFY was as follows; pooled sensitivity .75 (95% CI: 0.72~0.78), pooled specificity .69 (95% CI: 0.69~0.70) respectively. In addition, the pooled sensitivity in the study that targets only the over 65 years of age was .89 (95% CI: 0.85~0.93).
CONCLUSION
The STRATIFY's predictive validity for fall risk is at a moderate level. Although there is a limit to interpret the results for heterogeneity between the literature, STRATIFY is an appropriate tool to apply to hospitalized patients of the elderly at a potential risk of accidental fall in a hospital.

Citations

• Development of a fall prediction model for community-dwelling older adults in South Korea using machine learning: a secondary data analysis
  Minhee Suh, Hyesil Jung, Juli Kim
  Journal of Korean Biological Nursing Science.2024; 26(4): 288.     CrossRef
• Trends of Nursing Research on Accidental Falls: A Topic Modeling Analysis
  Yeji Seo, Kyunghee Kim, Ji-Su Kim
  International Journal of Environmental Research and Public Health.2021; 18(8): 3963.     CrossRef
• Systematic Review and Meta-analysis for Usefulness of Fall Risk Assessment Tools in Adult Inpatients
  Seong-Hi Park, Eun-Kyung Kim
  Korean Journal of Health Promotion.2016; 16(3): 180.     CrossRef

PURPOSE
This study was conducted to provide an effective nursing intervention using an individualized educational program composed with knowledge, compliance, and physiologic parameters for long-term hemodialysis patients.
METHODS
A quasi-experimental study using a non-equivalent control group and pre- and post-test design was conducted with 40 hemodialysis patients at G university hospital in the J city from June to August, 2015. A data was analyzed using frequency, percentage, chi2 test, Shapiro-Wilk test, independent-samples t-test and repeated measures ANOVA using SPSS 21.0 program.
RESULTS
knowledge about hemodialysis and patient role behaviors were not significantly different between the two measures. In the biological index, there was significant difference between the groups by points in time and group in blood potassium, albumin, and Kt/v. However, there was no difference in gaining weight between hemodialysis, hemoglobin, and blood phosphorus.
CONCLUSION
The individual training program in this study had an effect on changing some physiological indicators of long-term hemodialysis patients. Future research is warranted for developing various kinds of education program incorporating the findings of the study for the given population.

Citations

• Development and Evaluation of an Online Self-Management Program in Patients with Chronic Kidney Failure Undergoing Hemodialysis
  Jinhyang Yang
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 531.     CrossRef
• Effect of Treatment Adherence Improvement Program in Hemodialysis Patients: A Systematic Review and Meta-Analysis
  Hana Kim, I. Seul Jeong, Mi-Kyoung Cho
  International Journal of Environmental Research and Public Health.2022; 19(18): 11657.     CrossRef
• Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients
  Songyi Pack, Jia Lee
  Journal of Clinical Nursing.2021; 30(5-6): 840.     CrossRef
• Socioecological Factors Affecting Fluid Restriction Adherence Among Korean Patients Receiving Hemodialysis: A Qualitative Study
  Eun Ju Lee, Ae Kyung Chang, Yoon Chung Chung
  Journal of Transcultural Nursing.2021; 32(3): 239.     CrossRef
• The effects of self‐performance management video program on patients receiving hemodialysis
  Hyeyoung Cho, Sunghee Park
  Japan Journal of Nursing Science.2020;[Epub]     CrossRef
• Factors Influencing Self-Care Behaviors of Renal Dialysis Patients
  Yoonjung Kim, Sanggeon Park
  STRESS.2019; 27(4): 320.     CrossRef
• Long-term effects of nurse-led individualized education on middle-aged patients with acute coronary synrome: a quasi-experimental study
  Jae Lan Shim, Seon Young Hwang
  BMC Nursing.2017;[Epub]     CrossRef

PURPOSE
This study was conducted to identify factors influencing depression in the elderly male in Korea.
METHODS
The initial data were collected from the 5th Korea national health and nutrition examination survey (KNHANES-V). The data of 1,210 adults with the age over 65 years were finally analysed using t or chi2 test, stepwise multiple logistic regression. Research variables utilized in this study were 29 factors including demographic and health-related characteristics, physical and economic activities, and life habits.
RESULTS
Seven factors were found to be associated with depression in the elderly male including stress level, uncontrolled drinking experience, physical discomfort days in recent two weeks, the level of activities in daily life, diabetes mellitus, economic activity status, and sleeping hours.
CONCLUSION
These results can be used in developing appropriate depression prevention program considering the characteristics of the elderly male.

Citations

• Influence of Depression on Health Behavior (Daily Smoking, Binge Drinking, Walking, Skipping Breakfast) among Korean Adults: Based on the KNHANES
  Su Yeon Jeong
  Journal of Health Informatics and Statistics.2024; 49(4): 325.     CrossRef
• Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)
  Heejung Choi, Jaelan Shim
  International Journal of Environmental Research and Public Health.2022; 20(1): 194.     CrossRef
• Relationship between Sleep Duration Trajectories and Self-Rated Depressive Symptoms in South Koreans with Physical Disabilities
  Su Jeong Yi, Yoo Mi Jeong, Jae-Hyun Kim
  Healthcare.2021; 9(3): 361.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of health promotion program on healthy aging preparation for late middle aged women.
METHODS
The research design was a non-equivalent control group quasi-experimental study. Participants were recruited from K and Y cities in Gyeong-nam Province from October, 2013 to January, 2014. They were 26 for the experimental group and 31 for the control group. The experimental group participated in a health promotion program for healthy aging preparation. The program consisted of education, exercise, and small group discussion over 8 weeks. Data were analyzed by Chi-square, t-test and ANCOVA, using the PASW 18.0 program.
RESULTS
There were significant improvements in aging anxiety and general self-efficacy, health promoting behaviors in the experimental group compared to those of the control group. However, there was no significant differences in attitude toward older adults between the two groups.
CONCLUSION
The health promotion program on healthy aging preparation for late middle aged women was found to be effective in enhancing aging anxiety and self-efficacy, and health promoting behavior. Thus, the developed program is recommended for use in clinical practice as an effective nursing intervention for late middle aged women in order to keep up with their health in later life.

Citations

• The effect of multiple nursing interventions on physical activity and health promotion in the elderly: A randomized controlled trial
  Zeynep Saçıkara, Dilek Cingil
  Geriatric Nursing.2024; 59: 150.     CrossRef
• Effects of a Walking Exercise-Focused Health Promotion Program for Middle-Aged Women in the Korean Community
  Soojeong Yang, Hyunlye Kim
  International Journal of Environmental Research and Public Health.2022; 19(22): 14947.     CrossRef
• Concept Analysis of Health Promotion Activities in the Middle-aged Women
  Jeong-Soo KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1242.     CrossRef
• Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: A randomised controlled trial
  Myung-Haeng Hur, Jun Hwa Hong, SeongHee Yeo
  European Journal of Integrative Medicine.2019; 31: 100978.     CrossRef

PURPOSE
Knowledge, clinical reasoning, and self-confidence are the basis for undergraduate education, and determine students\' level of competence. The purpose of this study was to assess the effects of the addition of a one-time simulation experience to the didactic curriculum on nursing students' knowledge acquisition, clinical reasoning skill, and self-confidence.
METHODS
Using a quasi-experimental crossover design consisted of intervention and wait-list control groups. Participants were non-randomly assigned to the first intervention group (Group A, n=48) or the wait-list control group (Group B, n=46). Knowledge level was assessed through a multiple choice written test, and clinical reasoning skill was measured using a nursing process model-based rubric. Self-confidence was measured using a self-reported questionnaire.
RESULTS
Results indicated that students in the simulation group scored significantly higher on clinical reasoning skill and related knowledge than those in the didactic lecture group; no difference was found for self-confidence.
CONCLUSION
Findings suggest that undergraduate nursing education requires a simulation-based curriculum for clinical reasoning development and knowledge acquisition.

Citations

• Effects of Discussion-Based Legality-Focused Nursing Record Education on Nursing Students’ Knowledge, Self-Confidence, and Nursing Record Performance
  Dohye Kim, Kyoungrim Kang, Jeongyeong Jeon
  Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 14.     CrossRef
• Simulation-Based Learning Supported by Technology to Enhance Critical Thinking in Nursing Students: Scoping Review
  Hege Vistven Stenseth, Simen A Steindal, Marianne Trygg Solberg, Mia Alexandra Ølnes, Anne Lene Sørensen, Camilla Strandell-Laine, Camilla Olaussen, Caroline Farsjø Aure, Ingunn Pedersen, Jaroslav Zlamal, Jussara Gue Martini, Paula Bresolin, Silje Christi
  Journal of Medical Internet Research.2025; 27: e58744.     CrossRef
• Strategies to develop clinical reasoning in nursing students: A structured review
  Adele Neethling, Lizeth Roets
  Health SA Gesondheid.2025;[Epub]     CrossRef
• Comparative study between high-fidelity simulation and medium-fidelity simulation in decision-making of nursing students: experimental study
  Hugo Miguel Santos Duarte, Joana Antunes Castanheira, Ana Sofia Ferreira Pereira, Ângela Pragosa, Edna Tatiana Prazeres Santos, Maria dos Anjos Dixe
  Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
• Estudio comparativo entre simulación de alta fidelidad y simulación de mediana fidelidad en la toma de decisiones de estudiantes de enfermería: estudio experimental
  Hugo Miguel Santos Duarte, Joana Antunes Castanheira, Ana Sofia Ferreira Pereira, Ângela Pragosa, Edna Tatiana Prazeres Santos, Maria dos Anjos Dixe
  Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
• Using "board games" to improve the effectiveness of extracorporeal membrane oxygenation care for nurses in intensive care unit
  Hsin-Yi Wang, Chu-Yu Huang, Sophia H. Hu, Su-Fen Cheng
  Nurse Education in Practice.2024; 75: 103895.     CrossRef
• The effect of simulation-based learning on nursing students' clinical decision-making skills: Systematic review and meta-analysis
  Selçuk Görücü, Gülengün Türk, Zekiye Karaçam
  Nurse Education Today.2024; 140: 106270.     CrossRef
• Estudo comparativo entre simulação de alta-fidelidade e simulação de média-fidelidade na tomada de decisão de estudantes de enfermagem: estudo experimental
  Hugo Miguel Santos Duarte, Joana Antunes Castanheira, Ana Sofia Ferreira Pereira, Ângela Pragosa, Edna Tatiana Prazeres Santos, Maria dos Anjos Dixe
  Revista Latino-Americana de Enfermagem.2024;[Epub]     CrossRef
• Effect of high-fidelity simulation airway management training program on nursing students’ performance, satisfaction, and self-confidence in Palestine
  Ahmad Mohammad Sati Hodrob, Malakeh Z. Malak, Ahmad Ayed
  Interactive Learning Environments.2024; 32(1): 325.     CrossRef
• Impact Of Simulation Design Elements on Undergraduate Nursing Education: A Systematic Review
  Matthew Jackson, Lauren McTier, Laura A. Brooks, Rochelle Wynne
  Clinical Simulation in Nursing.2024; 89: 101519.     CrossRef
• Student Nurses’ Perceptions of the Role of High-Fidelity Simulation in Developing Decision-Making Skills for Clinical Practice: A Qualitative Research Study
  Naim Abdulmohdi, Andrew McVicar
  SAGE Open Nursing.2024;[Epub]     CrossRef
• Effectiveness of Simulation-Based Education for Caring Patients with COVID-19
  Min Hye Lee, Eun-Young Noh
  Journal of Korean Academy of Nursing.2023; 53(4): 397.     CrossRef
• Assessment of Clinical Reasoning While Attending Critical Care Postsimulation Reflective Learning Conversation
  Emad Almomani, Jacqueline Sullivan, Jisha Samuel, Ahmed Maabreh, Natalie Pattison, Guillaume Alinier
  Dimensions of Critical Care Nursing.2023; 42(2): 63.     CrossRef
• Development and assessment of a curriculum model for virtual simulation in nursing: curriculum development and pilot-evaluation
  Hyunsook Shin, Dahae Rim
  BMC Medical Education.2023;[Epub]     CrossRef
• Influence of simulation design on stress, anxiety and self‐confidence of nursing students: Systematic review with meta‐analysis
  George Oliveira Silva, Flavia Silva e Oliveira, Alexandre Siqueira Guedes Coelho, Luciana Mara Monti Fonseca, Flaviana Vely Mendonça Vieira, Suzanne Hetzel Campbell, Natália Del Angelo Aredes
  Journal of Clinical Nursing.2023; 32(17-18): 5668.     CrossRef
• The Use of Simulation in Audiology Education: A Systematic Review
  Ahmad A. Alanazi, Nannette Nicholson
  American Journal of Audiology.2023; 32(3): 640.     CrossRef
• Development and psychometric testing of a clinical reasoning rubric based on the nursing process
  Nargess Ramazanzadeh, Akram Ghahramanian, Vahid Zamanzadeh, Leila Valizadeh, Saeideh Ghaffarifar
  BMC Medical Education.2023;[Epub]     CrossRef
• Curricular Quality Improvement in Midwifery: Simulating Unexpected Perinatal Loss
  Susan D. Altman, Charles P. Tilley, Rebecca Feldman, Mary Brennan, Dorothy Wholihan
  Journal of Midwifery & Women's Health.2023; 68(4): 523.     CrossRef
• Yüksek Gerçeklikli Simülasyon Yönteminin Hemşirelik Öğrencilerinin Anjinalı Hastanın Hemşirelik Bakımına Yönelik Bilgi ve Klinik Karar Verme Düzeyine Etkisi
  Gülcan Coşkun, Şerife Karagözoğlu
  Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi.2023; 10(2): 135.     CrossRef
• The effectiveness of high-fidelity simulation on undergraduate nursing students' clinical reasoning-related skills: A systematic review
  Fadiyah D. Alshehri, Sophie Jones, Denise Harrison
  Nurse Education Today.2023; 121: 105679.     CrossRef
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