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KMID : 1812520210050010014
Journal of Healthcare Simulation
2021 Volume.5 No. 1 p.14 ~ p.20
Effect of virtual simulation-based education programs on improving clinical reasoning ability and learning flow for nursing students
Kim Sung-Hae

Abstract
Background: Clinical reasoning ability is emphasized as a core competency in nursing, with various teaching methods emerging to improve the skill. This study investigated the effect of virtual simulation training on clinical reasoning ability and learning flow for nursing students.

Methods: Adopting a one-group pretest-posttest study design, the clinical reasoning ability and learning flow of 15 nursing students were evaluated before and after virtual simulation training sessions using vSIM¢ç for Nursing. Data were collected from May to June 2020 and, with SPSS Statistics 25.0, analyzed using descriptive statistics and the Wilcoxon signed-rank test.

Results: Clinical reasoning ability scored 53.73¡¾8.39 pretest and 65.73¡¾6.75 posttest (Z=-3.42, p=.001), while the learning flow pretest and posttest scores were 34.80¡¾4.13 and 38.20¡¾4.71, respectively (Z=-2.46, p=.014). This showed that virtual simulation training resulted in a statistically significant improvement in the clinical reasoning ability and learning flow of nursing students.

Conclusion: This study provides evidence for implementing a virtual simulation training program to improve nursing students¡¯clinical reasoning ability and learning flow. Future research is now needed to identify learning outcomes and the effectiveness of virtual simulation on them.
KEYWORD
Clinical reasoning, Learning flow, Nursing students, Simulation-based education, Virtual reality
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