• KSAN
  • Contact us
  • E-Submission
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Original Article

Effectiveness of Student Learning with a Simulation Program focusing on Cardiac Arrest in Knowledge, Self-confidence, Critical Thinking, and Clinical Performance Ability

Min-Jeong Chae, Ph.D., RN1, Soon-Hee Choi, Ph.D., RN2
Korean Journal of Adult Nursing 2016;28(4):447-458.
Published online: August 31, 2016

1Assistant Professor, Chosun Nursing College, Gwangju, Korea.

2Professor, College of Nursing, Chonnam National University, Gwangju, Korea.

Corresponding author: Choi, Soon Hee. College of Nursing, Chonnam National University, 77 Yongbong-ro, Buk-gu, Gwangju 61186, Korea. Tel: +82-62-530-4945, Fax: +82-62-227-4009, sh3749@hanmail.net
• Received: June 5, 2016   • Revised: August 16, 2016   • Accepted: August 23, 2016

© 2016 Korean Society of Adult Nursing

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 392 Views
  • 4 Download
  • 12 Crossref
  • 9 Scopus
prev next
  • Purpose
    This study was designed to describe the effects of a nursing simulation focused on patients with cardiac arrest. The study was designed to measure knowledge, self-confidence, critical thinking, and clinical performance ability of nursing students.
  • Methods
    A non-equivalent control group quasi-experimental design was used. Thirty students in the experimental group received two hours of pre-learning and three hours of skill and simulation practice. Another thirty students in the experimental group received a two hour conventional lecture and three hours for skill practice. The post survey was completed by both groups.
  • Results
    Students in the experiemetal group scored significantly higher than students in control group. The critical thinking disposition was not significantly different between the two groups of students.
  • Conclusion
    The results indicate that a simulation education program is more effective in a number of areas including knowledge, self-confidence, and clinical performance. It is recommended that simulation education should be expanded to various clinical situations.

This article is based on a part of the first author's doctoral dissertation from Chonnam National University.

  • 1. Sung CH. Demographics findings nationwide cardiac arrest registry and surveillance In: The 3rd international resuscitation symposium; 2014 April 16; The-K seoul hotel. Seoul.
  • 2. Hwang SH, Im GS. Cardiopulmonary resuscitation and advanced cardiovascular life support. Seoul: Koonja; 2011. p. 81-104.
  • 3. Kim EJ, Lee KR, Lee MH, Kim Jy. Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in in-situ simulated cardiac arrest. J Korean Acad Nurs. 2012;42(3):361-368.
  • 4. Kim HS, Choi EY. Continuity of BLS training effects in nursing students. J Korean Acad Soc Nurs Educ. 2012;18(1):102-110.
  • 5. Kim R, Chae MJ. Effects of cardiopulmonary resuscitation education using a pc skill-reporting system on the knowledge, selfefficacy and skill performance ability of nursing students. Korean J Health Serv Manag. 2015;9(1):133-144.
  • 6. Yang JJ. Development and evaluation of a simulation based education course for nursing students. J Korean Acad Adult Nurs. 2008;20(4):548-560.
  • 7. Ryoo EN, Ha EH, Cho JY. Comparison of learning effects using high-fidelity and multi-mode simulation: an application of emergency care for a patient with cardiac arrest. J Korean Acad Nurs. 2013;43(2):185-193.
  • 8. Jeffries PR. Simulation in nursing education-from conceptualization to evaluation. New York: National League for Nursing; 2007. p. 2-143.
  • 9. Rodgers DL, Securro S Jr, Pauley RD. The effect of high-fidelity simulation on educational outcomes in an advanced cardiovascular life support course. Simul Healthc. 2009;4(4):200-206.
  • 10. Hur HK, Park SM, Shin YH, Lim YM, Kim GY, Kim KK, et al. Development and applicability evaluation of an emergent care management simulation practicum for nursing students. J Korean Acad Soc Nurs Educ. 2013;19(2):228-240.
  • 11. Shin SH, Kwon MS, Kwon SM. Effects of a simulation-based training for advanced cardiovascular life support on the knowledge and competence for nursing students. J Korea Acad Ind Coop Soc. 2013;14(11):5819-5826.
  • 12. Akhu-Zaheya LM, Gharaibeh MK, Alostaz ZM. Effectiveness of simulation on knowledge acquisition, knowledge retention, and self-efficacy of nursing students in Jordan. Clin Simul Nurs. 2013;9(9):e335-e342.
  • 13. Lo BM, Devine AS, Evans DP, Byars DV, Lamm OY, Lee RJ, et al. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011;82(11):1440-1443.
  • 14. Yoo HB, Park JH, Ko JK. An effective method of teaching advanced cardiac life support (ACLS) skills in simulation-based training. Korean J Med Educ. 2012;24(1):7-14.
  • 15. Pi HY. Effect of simulation-based practice program on ACLS study of paramedic students. Korean J Emerg Med Serv. 2013;17(3):139-147.
  • 16. Bruce SA, Scherer YK, Curran CC, Urschel DM, Erdley S, Ball LS. A collaborative exercise between graduate and undergraduate nursing students using a computer-assisted simulator in a mock cardiac arrest. Nurs Educ Perspect. 2009;30(1):22-27.
  • 17. Kim YH, Jang KS. Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. J Korean Acad Nurs. 2011;41(2):245-255.
  • 18. Kwon EO, Shim MY, Choi EH, Lim SH, Han KM, Lee EJ, et al. The effects of an advanced cardiac life support simulation training based on the mastery learning model. J Korean Clin Nurs Res. 2012;18(1):126-135.
  • 19. Hyun JS. Effects of simulation-based ACLS education on selfconfidence performance of ACLS among nursing officers. J Mil Nurs Res. 2012;30(1):100-111.
  • 20. Fisher N, Eisen LA, Bayya JV, Dulu A, Bernstein PS, Merkatz IR, et al. Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training. Am J Obstet Gynecol. 2011;205(3):239.e1-239.e5.
  • 21. Kim JS. Development and effect of high fidelity patient simulation education program for nursing students. [dissertation]. Seoul: Catholic University; 2012. p. 1-60.
  • 22. Kim DH, Lee Yj, Hwang MS, Park JH, Kim HS, Cha HG. Effects of a simulation-based integrated clinical practice program (SICPP) on the problem solving process, clinical competence and critical thinking in a nursing student. J Korean Acad Soc Nurs Educ. 2012;18(3):499-509.
  • 23. Hur HK, Park SM. Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students. J Korean Acad Soc Nurs Educ. 2012;18(1):111-119.
  • 24. Yoo SY. Development and effects of a simulation-based education program for newborn emergency care. J Korean Acad Nurs. 2013;43(4):468-477.
  • 25. Brannan JD, White A, Bezanson JL. Simulator effects on cognitive skills and confidence levels. J Nurs Educ. 2008;47(11):495-500.
  • 26. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest. 2008;133(1):56-61.
  • 27. American Heart Association. Advanced Cardiovascular Life Support (provider manual). Dallas, TX: American Heart Association; 2010. p. 54.
  • 28. Yoon J. A study on the critical thinking disposition of nursing students- focusing on a school applying integrated nursing curriculum. J Korean Acad Nurs Adm. 2008;14(2):159-166.
  • 29. Cheng A, Rodgers DL, van der, Eppich W, O'Donnell J. Evolution of the pediatric advanced life support course: enhanced learning with a new debriefing tool and web-based module for pediatric advanced life support instructors. Pediatr Crit Care Med. 2012;13(5):589-595.
  • 30. Butler KW, Veltre DE, Brady D. Implementation of active learning pedagogy comparing low-fidelity simulation versus highfidelity simulation in pediatric nursing education. Clin Simul Nurs. 2009;5(4):129-136.
Figure 1

Research design.

kjan-28-447-g001.jpg
Table 1

Scenario Progression Outline (Ventricular Fibrillation and Asystole Situation)

kjan-28-447-i001.jpg

ECG=electrocardiogram; SpO2=oxygen saturation percentage; V/S=vital sign; IV=intravenous; BLS=basic life support; BP=blood pressure; HR=heart rate; RR=respiration rate; BT=body temperature; VF=ventricular fibrillation; CPR=cardiopulmonary resuscitation; ACLS=advanced cardiac life support; ROSC=return of spontaneous circulation.

Table 2

Homogeneity Test of Knowledge, Self-Confidence, Critical Thinking Disposition, and Clinical Performance Ability before Intervention

kjan-28-447-i002.jpg

Exp.=experimental group; Cont.=control group.

Table 3

Comparison of Dependent Variables between Two Groups after Intervention

kjan-28-447-i003.jpg

Exp.=experimental group; Cont.=control grou; t score from analysis of independent t-test; F score from Analysis of Covariance with pretest scores as covariates.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Effectiveness of a blended (distance and in-person) simulation education program on advanced cardiac life support for nursing students using the PARTNER model
      Miyoung Kang, Eunju Lee
      BMC Nursing.2025;[Epub]     CrossRef
    • Development and effects of advanced cardiac resuscitation nursing education program using web-based serious game: application of the IPO model
      Gyuli Baek, Eunju Lee
      BMC Nursing.2024;[Epub]     CrossRef
    • Nursing Students’ Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods
      Yi Kyung Ha
      Journal of Korean Critical Care Nursing.2023; 16(2): 42.     CrossRef
    • Effect of Korean Advanced Life Support Education on Non-Technical and Technical Skills of Nursing Students: A Pilot Study
      Yon Hee Seo, Kyong Ah Cho
      Healthcare.2021; 9(10): 1253.     CrossRef
    • Effectiveness of the Infectious Disease (COVID-19) Simulation Module Program on Nursing Students: Disaster Nursing Scenarios
      Won Ju Hwang, Jungyeon Lee
      Journal of Korean Academy of Nursing.2021; 51(6): 648.     CrossRef
    • Factors Affecting Attitudes Toward Defibrillator Use Among Clinical Nurses in South Korea: A Cross-Sectional Study
      Dongchoon Uhm, Gyehyun Jung
      Journal of Emergency Nursing.2021; 47(2): 305.     CrossRef
    • Relationship of a Team-based Learning Using Cardiac Arrest Simulation and Learning Competency in Nursing Students: Comparison of High Self-efficacy Group with Low Self-efficacy Group
      Gun Ja Jang, Eun Young Lee, Hye Sook Kim
      Journal of Health Informatics and Statistics.2020; 45(2): 208.     CrossRef
    • Effects of a Simulation-Based CPR Training Program on Knowledge, Performance, and Stress in Clinical Nurses
      Sohyune R. Sok, Jung A. Kim, Yoonshin Lee, Youngmi Cho
      The Journal of Continuing Education in Nursing.2020; 51(5): 225.     CrossRef
    • Development and Effects a Simulation-based Emergency Airway Management Education Program for Nurses in a Neonatal Intensive Care Unit
      Minjung Kim, Sunghee Kim
      Child Health Nursing Research.2019; 25(4): 518.     CrossRef
    • Simulation scenarios in Korea according to the learning objectives of adult health nursing: A literature review
      Ae Ri Jang, In Kyoung Lee, Hang Nan Cho, Piotr Mikiewicz
      Cogent Education.2019;[Epub]     CrossRef
    • A Study on Nursing Students’ Knowledge, Attitude, Confidence in Performance and Behavior of Patient Safety
      Suk-Hyun SON, Jeong Sook PARK
      JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2017; 29(4): 1043.     CrossRef
    • Evaluation and Application Effect of a Home Nasogastric Tube Feeding Simulation Module for Nursing Students: An Application of the NLN Jeffries Simulation Theory
      Hee Chong Baek, Young Ran Lee, Jong Eun Lee, Jin Hwa Lee, Hyung Seon Kim
      Journal of Korean Academy of Community Health Nursing.2017; 28(3): 324.     CrossRef

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    Effectiveness of Student Learning with a Simulation Program focusing on Cardiac Arrest in Knowledge, Self-confidence, Critical Thinking, and Clinical Performance Ability
    Korean J Adult Nurs. 2016;28(4):447-458.   Published online August 31, 2016
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    Effectiveness of Student Learning with a Simulation Program focusing on Cardiac Arrest in Knowledge, Self-confidence, Critical Thinking, and Clinical Performance Ability
    Korean J Adult Nurs. 2016;28(4):447-458.   Published online August 31, 2016
    Close

    Figure

    • 0
    Effectiveness of Student Learning with a Simulation Program focusing on Cardiac Arrest in Knowledge, Self-confidence, Critical Thinking, and Clinical Performance Ability
    Image
    Figure 1 Research design.
    Effectiveness of Student Learning with a Simulation Program focusing on Cardiac Arrest in Knowledge, Self-confidence, Critical Thinking, and Clinical Performance Ability

    Scenario Progression Outline (Ventricular Fibrillation and Asystole Situation)

    ECG=electrocardiogram; SpO2=oxygen saturation percentage; V/S=vital sign; IV=intravenous; BLS=basic life support; BP=blood pressure; HR=heart rate; RR=respiration rate; BT=body temperature; VF=ventricular fibrillation; CPR=cardiopulmonary resuscitation; ACLS=advanced cardiac life support; ROSC=return of spontaneous circulation.

    Homogeneity Test of Knowledge, Self-Confidence, Critical Thinking Disposition, and Clinical Performance Ability before Intervention

    Exp.=experimental group; Cont.=control group.

    Comparison of Dependent Variables between Two Groups after Intervention

    Exp.=experimental group; Cont.=control grou; t score from analysis of independent t-test; F score from Analysis of Covariance with pretest scores as covariates.

    Table 1 Scenario Progression Outline (Ventricular Fibrillation and Asystole Situation)

    ECG=electrocardiogram; SpO2=oxygen saturation percentage; V/S=vital sign; IV=intravenous; BLS=basic life support; BP=blood pressure; HR=heart rate; RR=respiration rate; BT=body temperature; VF=ventricular fibrillation; CPR=cardiopulmonary resuscitation; ACLS=advanced cardiac life support; ROSC=return of spontaneous circulation.

    Table 2 Homogeneity Test of Knowledge, Self-Confidence, Critical Thinking Disposition, and Clinical Performance Ability before Intervention

    Exp.=experimental group; Cont.=control group.

    Table 3 Comparison of Dependent Variables between Two Groups after Intervention

    Exp.=experimental group; Cont.=control grou; t score from analysis of independent t-test; F score from Analysis of Covariance with pretest scores as covariates.

    TOP