PURPOSE
Standardized patient-based simulation is known to be a useful tool in the training of nursing students; however, few studies have examined the use of this method in oncology nursing education. This study aimed to evaluate the effects of an oncology nursing simulation program that used standardized patients on knowledge, nursing performance ability, and satisfaction among nursing students.
METHODS
This study used a non-equivalent control group pretest-posttest design. The experimental group (n=25) participated in an 8-hour oncology nursing simulation program that consisted of a lecture (2 hours) and a four-session simulation program(6 hours). The control group (n=29) received case-based learning (6 hours) and a lecture (2 hours). Knowledge level was assessed with a 33-item knowledge assessment multiple-choice questionnaire. Nursing performance ability was assessed with a nursing performance ability checklist. Educational satisfaction was evaluated using the 12-item Course Satisfaction Evaluation tool. Data were collected from June to July of 2012 and were analyzed using descriptive statistics, independent t-test, and repeated measures analysis of variance.
RESULTS
The experimental group showed significantly higher nursing performance ability and satisfaction compared with the control group. Knowledge of oncology nursing increased in both the experimental and control groups.
CONCLUSION
An oncology nursing simulation program was more effective than case-based learning in improving nursing student performance and was found to produce high satisfaction.

Citations

• 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
• The Effect of Two Different Simulation Modalities in Palliative Care Teaching on Nursing Students' Knowledge, Satisfaction, Self-confidence, and Skills
  Abdallah Alwawi, Bahar İnkaya
  CIN: Computers, Informatics, Nursing.2023; 41(4): 246.     CrossRef
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  Mary Beth R. Maguire, Anne White, Austin Brown
  Nurse Educator.2023; 48(1): 29.     CrossRef
• The Effects of a Simulation-Based Experience with Standardized Participants on Learning and Clinical Decision-Making Related to Nursing Management of Oncologic Emergencies
  Sherry A. Burrell, Jennifer Gunberg Ross, Christine Byrne, MaryAnn Heverly
  Journal of Cancer Education.2023; 38(3): 870.     CrossRef
• Standardized Patient Simulation in an Oncology Symptom Management Seminar-Style Course: Prelicensure Nursing Student Outcomes
  Sherry A. Burrell, Jennifer Gunberg Ross, Christine D’Annunzio, MaryAnn Heverly
  Journal of Cancer Education.2023; 38(1): 185.     CrossRef
• Practices On Safe-Handling of Cytotoxic Drugs Among Oncology Nurses in Two Public Sector Hospitals
  Naila Khalid, Sarfraz Masih, Muhammad Afzal
  Pakistan Journal of Health Sciences.2022; : 131.     CrossRef
• Educational methods used in cancer training for health sciences students: An integrative review
  Marta Domingo-Osle, Virginia La Rosa-Salas, Leire Ambrosio, Nerea Elizondo-Rodriguez, Cristina Garcia-Vivar
  Nurse Education Today.2021; 97: 104704.     CrossRef
• Mixed-method study on the satisfaction of a high-fidelity simulation program in a sample of nursing-degree students
  María José Cabañero-Martínez, Sofía García-Sanjuán, Silvia Escribano, Manuel Fernández-Alcántara, José Ramón Martínez-Riera, Rocio Juliá-Sanchís
  Nurse Education Today.2021; 100: 104858.     CrossRef
• Contemporary Integrative Review in Simulation-Based Learning in Nursing
  Vasuki Rajaguru, Jungmin Park
  International Journal of Environmental Research and Public Health.2021; 18(2): 726.     CrossRef
• Development and Effects of Leukemia Nursing Simulation Based on Clinical Reasoning
  Aeri Jang, Miok Song, Suhyun Kim
  International Journal of Environmental Research and Public Health.2021; 18(8): 4190.     CrossRef

PURPOSE
The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory.
METHODS
The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses.
RESULTS
Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking.
CONCLUSION
Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

Citations

• Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
  Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
  Research in Nursing & Health.2025; 48(2): 234.     CrossRef
• Development and Effect of an Interactive Simulated Education Program for Psychological First Aid: A Randomized Controlled Trial
  Eun-Joo Choi, Yun-Jung Choi, César Leal Costa
  Journal of Nursing Management.2024;[Epub]     CrossRef
• The efficacy of high-fidelity simulation on knowledge and performance in undergraduate nursing students: An umbrella review of systematic reviews and meta-analysis
  Ida Vangone, Cristina Arrigoni, Arianna Magon, Gianluca Conte, Sara Russo, Silvia Belloni, Alessandro Stievano, Celeste M. Alfes, Rosario Caruso
  Nurse Education Today.2024; 139: 106231.     CrossRef
• The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis
  Jung Min Park, Sangeun Jun
  The Journal of Korean Academic Society of Nursing Education.2023; 29(3): 203.     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
• Development of the clinical reasoning competency scale for nurses
  Juyeon Bae, JuHee Lee, Mona Choi, Yeonsoo Jang, Chang Gi Park, Young Joo Lee
  BMC Nursing.2023;[Epub]     CrossRef
• Designing a Simulation-Based Nursing Education Curriculum Framework
  H Ostadhasanloo, F Mahmoodi, Y Adib, V Zamanzadeh
  Research in Medical Education.2022; 14(3): 18.     CrossRef
• Comparison the Effect of two Methods of Internship and Apprenticeship in the Field on Clinical Competence of Nursing Students
  S Ghafari, V Atashi, F Taleghani, AR Irajpour, F Sabohi, AR Yazdannik
  Research in Medical Education.2022; 14(1): 64.     CrossRef
• Meta-Analysis of Flipped Learning Effects in Nursing Education
  Inhee Park, Yeonok Suh
  International Journal of Environmental Research and Public Health.2021; 18(23): 12814.     CrossRef
• Simulation-based education program on postpartum hemorrhage for nursing students
  Miok Kim, Juyoung Ha
  Korean Journal of Women Health Nursing.2020; 26(1): 19.     CrossRef
• The Effect of Team Debriefing-based Emergency Simulation Education
  Hwa Yeong Choi, Yeoungsuk Song
  Journal of Health Informatics and Statistics.2020; 45(2): 216.     CrossRef
• Effects of a Case-Based Dementia Education Program for Nursing Staff in Long-Term Care Hospitals
  Soo Yeon Kim, Hyun Joo Yang
  Journal of Korean Gerontological Nursing.2020; 22(4): 304.     CrossRef
• A Review for Concept Clarification of Critical Thinking, Clinical Reasoning, and Clinical Judgment in Nursing Education
  Dongsuk Lee, Jiyeon Park
  Journal of Korean Academic Society of Nursing Education.2019; 25(3): 378.     CrossRef
• Preliminary study of outcome‐based clinical practicum for undergraduate nursing students
  Kyunghwa Lee, Sanghee Kim, You Lee Yang
  Japan Journal of Nursing Science.2019; 16(2): 145.     CrossRef
• Influences of Communication Skill and Interpersonal Ability on Clinical Competence of Nursing Students
  Ya Ki Yang
  Journal of Korean Academy of Fundamentals of Nursing.2018; 25(2): 99.     CrossRef
• Influence of Nursing Students’ Anxiety during Simulation Training on Personal Satisfaction of Simulation, Self-efficacy, Clinical Competence
  Mi Young Kim, Soohyun Park, Jongsoon Won
  Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 411.     CrossRef
• Effects of high‐fidelity patient simulation led clinical reasoning course: Focused on nursing core competencies, problem solving, and academic self‐efficacy
  JuHee Lee, Yoonju Lee, Senah Lee, Juyeon Bae
  Japan Journal of Nursing Science.2016; 13(1): 20.     CrossRef
• Study about the satisfaction with simulation practice course experience on ACLS of paramedic students
  Soon-Kyu Yoou, Hye-Ji Kwon
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 6647.     CrossRef
• Effects of a Simulation-based Stroke Care Education on Nursing Performance Ability and Satisfaction in Nursing Students
  Kie In Jang, Young Sook Roh
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 408.     CrossRef
• Effects of the Use of High-Fidelity Human Simulation in Nursing Education: A Meta-Analysis
  Jin Lee, Pok-Ja Oh
  Journal of Nursing Education.2015; 54(9): 501.     CrossRef
• Reliability and Validity of the Clinical Judgment Rubric on Simulation Practice with a Post-operative Rehabilitation Case
  Hye Kyung Oh
  The Korean Journal of Rehabilitation Nursing.2015; 18(2): 145.     CrossRef
• Effects of Simulation Education on the Communication Competence, Academic Self-efficacy, and Attitude About the Elderly for Nursing Students: A learning approach based on an elderly-with-cognition-disorder scenario
  Jiyoung Kim, Narae Heo, Hye Jin Jeon, Dukyoo Jung
  The Journal of Korean Academic Society of Nursing Education.2015; 21(1): 54.     CrossRef
• Effects of Simulation-based Clinical Reasoning Education and Evaluation of Perceived Education Practices and Simulation Design Characteristics by Students Nurses
  Hea Kung Hur, Hee-Young Song
  The Journal of the Korea Contents Association.2015; 15(3): 206.     CrossRef
• A Study on Clinical Reasoning Ability and Academic Achievements in Nursing Students
  Jeong Ah Kim, Ja-Kyung Ko
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(3): 1874.     CrossRef
• Effects of Simulation based Training using a Post-operating Rehabilitation Case on Learning Outcomes
  Hye Kyung Oh, Eun Young Jeon
  The Korean Journal of Rehabilitation Nursing.2014; 17(2): 90.     CrossRef
• Factors Influencing Clinical Competence in Nursing Students
  Eun Su Do, Young Sook Seo
  Journal of Korean Academy of Fundamentals of Nursing.2014; 21(3): 283.     CrossRef
• Effectiveness of an Emergent Care Management Simulation Education among Senior Nursing Students According to Learning Styles
  Hea Kung Hur, Yun Hee Shin, SoMi Park, Young Mi Lim, Gi Yon Kim, Ki Kyong Kim, Hee-Young Song, Hyang Ok Choi, Jihea Choi
  The Journal of the Korea Contents Association.2014; 14(3): 314.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of an exercise program on muscle strength, Activities of Daily Living (ADL), health perception, and depression among post-stroke elders.
METHODS
Nonequivalent control group design with pretest and posttest was used. A total of 23 post-stroke elders who met inclusion criteria were recruited. Muscle strength in upper and lower extremities, ADL, health perception, and self-rated symptoms of depression were measured. The exercise program consisted of deep breathing, range of motion, and muscle strengthening exercises using Thera-band, 30~40 min/day, three days a week, for 12 weeks.
RESULTS
Muscle strength of right shoulder (U=11.50, p=.001), right leg (U=13.50, p=.002), and health perception (U=24.00, p=.010) in the experimental group was significantly higher compared to the control group at 12 weeks of post-intervention. Depression scores were significantly lower in the experimental group compared to the control group at 6 weeks (U=28.00, p=.021), at 12 weeks (U=22.00, p=.006) of an exercise program.
CONCLUSION
By applying this program, post-stroke elders showed increases in muscle strength and a decrease in depression as well as improvement of health perception. Further study is needed to verify the effects of the exercise program on cardiovascular physiologic variables through long-term follow-up.

OBJECTIVE
The purpose of this study were to: (1) describe the individual characteristics, perceived health status, body image, and health promoting behaviors of staff nurses working in a metropolitan hospital and (2) determine the relationship of perceived health status, body image, and health promoting behaviors. METHODS: Data were collected from 311 staff nurses working at one of university affiliated hospitals using a self-administered questionnaire for perceived health status(SF 36 V2), body image(BAQ), and health promoting behaviors (HPLP-II) and using the report of year 2002 employee physical check-up results for health related characteristics. RESULTS: Most of nurses were within the normal range of BMI, total cholesterol, and liver enzymes but 42.2% had systolic BP above 120mmHg and 37.3% hemoglobin below 12g/dL. Although 96.4% of BMI score indicated 'underweight' or 'normal', 'feeling fat' showed the highest. Among health promoting behaviors the most frequently reported one was spiritual growth and the least one was engagement in physical activity. In the correlational analysis, health promoting behaviors had the positive relationships with perceived health status, vitality, mental health, attractiveness, strength and fitness (p=.000 - .004). CONCLUSION: These findings provide information that is relevant in designing interventions to enhance health promoting behaviors among nurses working in a hospital.

The purpose of this study was to develop a critical pathway for the patients following lumbar laminectomy. Development of this critical pathway was the fundamental phase to implement case management, which is a new health care delivery system. For this study, a preliminary critical pathway was developed first through a literature review and analysis of the medical records and seven critical pathways being used currently in Korea and the USA. In order to identify the health care services provided for the patients, who had lumbar laminectomiess and to draw up the conceptual framework, 30 medical records were analyzed from January, 1997 to December, 1997 at the Spinal Center in the Yonsei University Medical Center. The results of this study are as follows: 1. The vertical axis of the critical pathway included the following 7 items: test, assessment, treatment, activity, medication, diet, teaching and discharge planning; and the horizontal axis included the time frame from the pre-operative day to the third post-operative day. 2. Analysis of the 30 medical records indicated that the average length of stay was 13.7 days, including 4.8 days from admission to operation, and 8.9 days from operation to discharge. 3. According to the validity study using seven experts, 54 items, among the total of 86 items, reached over 86% agreement, while 32 items showed less than 86%. These 32 items were reviewed for deletion or modification before inclusion. A final critical pathway then was developed. On the basis of this research, it is anticipated that this critical pathway can be uesd in clinical situations to provide care for the patients following lumbar laminectomy in the most effective and efficient manner.