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"Simulation"

Original Articles

Purpose
This study aimed to evaluate the effects of a virtual reality (VR) program and simulation training on nursing students’ ability to measure vital signs in children.
Methods
This mixed-methods study, which included a randomized controlled trial and a qualitative study, was conducted from June 12 to November 15, 2023. Forty-four nursing students from a university in South Korea were randomly assigned to either the experimental or control group. The experimental group first participated in a VR program focused on measuring vital signs in children, followed by a high-fidelity simulation training. The control group received the training in the reverse order. The participants’ knowledge, confidence in practice, and satisfaction with the practice were analyzed using the repeated-measures analysis of variance. VR learning experiences were analyzed through qualitative content analysis.
Results
Both the experimental and control groups showed significant increases in knowledge and confidence in practice after the interventions compared to baseline. However, there were no significant differences in changes in knowledge, confidence in practice, and satisfaction with practice between the two groups. Three themes were identified from the nursing students’ experiences with VR learning: ‘realistic learning training,’ ‘overcoming learning limitations,’ and ‘perceiving drawbacks.’
Conclusion
The VR program was as effective as high-fidelity simulation training in improving nursing students’ ability to measure children’s vital signs. Moreover, VR program offered additional benefits in addressing limitations of simulation-based learning. These findings suggest that VR program can serve as a valuable educational tool to enhance pediatric nursing skills.
  • 547 View
  • 42 Download
Purpose
Because fever is a common symptom in children, parents must have accurate knowledge and management ability about it to be able to provide appropriate management. This study aimed to develop a fever management education program, incorporating case-based simulation practice for parents of hospitalized children, and examine its effects on knowledge of fever in children, anxiety related to fever, and self-efficacy in child fever management.
Methods
A quasi-experimental, non-equivalent control group pretest-posttest design was employed. A total of 50 parents participated, with 24 and 26 in the experimental and control groups, respectively. The experimental group received both theoretical lectures and case-based simulation practice, whereas the control group received only theoretical lectures.
Results
No statistically significant differences were observed between the groups regarding knowledge of fever or anxiety related to fever immediately after the intervention or at the 4-week follow-up. However, the experimental group showed a significant improvement in self-efficacy in fever management from pre- to post-intervention.
Conclusion
The findings suggest that fever management education incorporating case-based simulation practice, in addition to theoretical instruction, could potentially enhance parents’ confidence in managing childhood fever. Developing simulation-based educational interventions that enhance long-term effectiveness, can be feasibly integrated into hospital settings, and provide practical and accessible approaches is essential to support parents in effectively managing fever in real-life situations.
  • 1,773 View
  • 90 Download
Development of an artificial intelligence-based nursing simulation scenario evaluation tool: a methodological study using the Real-Time Delphi method in South Korea
Eun Joo Kim, Bitna Park, Geun Myun Kim, Ji Young Lim, Seong Kwang Kim
Child Health Nurs Res 2025;31(4):257-271.   Published online October 31, 2025
DOI: https://doi.org/10.4094/chnr.2025.022
Purpose
Simulation-based education plays a critical role in nursing by allowing students to acquire clinical competencies in a safe and controlled environment. However, current evaluation tools for simulation scenarios often lack standardization, resulting in inconsistencies when assessing the effectiveness of such programs.
Methods
This study aimed to develop a comprehensive Nursing Simulation Scenario Evaluation Tool using the Real-Time Delphi method. A panel of 10 experts in nursing and simulation education participated in two rounds of surveys. The evaluation criteria were derived from the International Nursing Association for Clinical Simulation and Learning Standards of Best Practice and relevant literature. Survey items were refined through expert consensus using content validity ratios and coefficient of variation values. The finalized tool was further enhanced with artificial intelligence (AI)–based evaluation capabilities to support objective and systematic assessment. The tool was registered and patented in the Republic of Korea (Korean Intellectual Property Office Registration No. 10-2024-0051234) to acknowledge its innovation and technical merit.
Results
The process resulted in an evaluation tool comprising eight key domains and 36 items, covering scenario structure, learning objectives, preparation, script development, debriefing, facilitation, expected outcomes, and scenario validity. A Kendall’s coefficient of concordance of 0.739 indicated strong agreement among the experts.
Conclusion
This study successfully developed a standardized and validated tool to improve the reliability and effectiveness of simulation-based education in nursing. The tool addresses a key gap in current educational practices and enhances consistency in evaluating nursing simulation scenarios. Future studies should focus on validating its application across diverse educational environments.
  • 732 View
  • 45 Download
Effectiveness of a virtual reality nursing simulation for pediatric pneumonia care: a Korean pilot study using a single-group pre-post test design
Eun Joo Kim, Seong Kwang Kim, Sung Sook Song
Child Health Nurs Res 2025;31(4):198-210.   Published online October 31, 2025
DOI: https://doi.org/10.4094/chnr.2025.019
Purpose
This pilot study aimed to develop a virtual reality (VR) nursing simulation for pediatric pneumonia care tailored to the Korean clinical context and evaluate its educational effectiveness for nursing students.
Methods
A single-group pretest–posttest design was employed with 20 senior nursing students from April to May 2025. The intervention was a 70-minute VR nursing simulation of pediatric pneumonia care, structured with pre-briefing, a main scenario, and debriefing. Data were collected on participants’ knowledge of pediatric pneumonia, clinical judgment (Nursing Clinical Judgment Scale), and simulation effectiveness (Simulation Effectiveness Tool-Modified) before and after the intervention. Usability (User Experience Questionnaire) and qualitative feedback were collected after the intervention. Pre-post comparisons were performed using paired t-tests.
Results
The program did not yield a statistically significant change in knowledge scores (p=.893). However, there were significant improvements in the mean scores for clinical judgment (p<.001) and simulation effectiveness (p=.013). A qualitative analysis revealed that, while the participants found the experience immersive and realistic, they also reported operational difficulties, indicating the need for usability improvements.
Conclusion
The VR nursing simulation is a promising pedagogical tool for enhancing nursing students’ clinical judgment and perceived learning effectiveness in a Korean pediatric context. The findings suggest that, while the intervention was effective in improving practical reasoning, future iterations should focus on reinforcing knowledge acquisition and optimizing user experience to maximize the educational impact.

Citations

Citations to this article as recorded by  
  • Effects of an acute myocardial infarction simulation on nursing students’ clinical judgment: Integrating faculty- and self-assessments
    Hwa Sun Kim
    Clinical Simulation in Nursing.2026; 112: 101895.     CrossRef
  • ORGANIZATION OF THE EDUCATIONAL PROCESS IN “CLINICAL NURSING IN PEDIATRICS” UNDER WARTIME CONDITIONS ON THE MOODLE PLATFORM: CHALLENGES AND ADAPTATION
    N. I. Makieieva, M. S. Diachenko, V. E. Domnich, V. V. Andrushchenko, V. A. Koval
    Медсестринство.2025; (3-4): 54.     CrossRef
  • 1,620 View
  • 117 Download
  • 2 Crossref
Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
Hyun Young Koo, Bo Ryeong Lee, Hyeran An
Child Health Nurs Res 2025;31(1):40-51.   Published online January 31, 2025
DOI: https://doi.org/10.4094/chnr.2024.038
Purpose
This study aimed to explore tutoring experiences related to a high-risk newborn care simulation among nurses and nursing students to derive insights into developing effective neonatal nursing practice.
Methods
A qualitative content-analysis study was conducted in March 2023. Data were collected through narrative surveys and focus group interviews with four neonatal intensive care unit nurses and 12 senior nursing students participating in a 1-day high-risk newborn care simulation program. A content analysis was performed on the collected data.
Results
Three categories (“efforts to foster a sense of presence,” “efforts to promote positive awareness of the neonatal intensive care unit,” and “establishing one’s role as an educator”) and six subcategories were derived from the nurses’ responses. Three categories (“growth through a realistic virtual simulation,” “improved learning effects,” and “hope for continued development”) and six subcategories were derived from the nursing students’ responses.
Conclusion
The nursing students experienced realistic practice with their nurse tutors in the high-risk newborn care simulation, which helped them form their professional identity as future nurses. After tutoring, the nurses’ perceptions of nursing students changed positively, which affected their teaching methods.
  • 2,413 View
  • 108 Download
Purpose
Hybrid simulation has emerged to increase the practicality of simulation training by combining simulators and standardized patient (SP) that implement realistic clinical environments at a high level. This study aimed to develop a hybrid simulation program focused on case of pediatric cardiac catheterization and to evaluate its effectiveness. Methods: The hybrid simulation program was developed according to the Analyze, Design, Develop, Implement, and Evaluate (ADDIE) model. And deep learning-based analysis program was used to analyze non-verbal communication with SP and applied it for debriefing sessions. To verify the effect of the program, a quasi-experimental study using a random assignment design was conducted. In total, 48 nursing students (n=24 in the experimental group; n=24 in the control group) participated in the study.
Results
Knowledge (F=3.53, p=.038), confidence in clinical performance (F=9.73, p<.001), and communication self-efficacy (F=5.20, p=.007) showed a significant difference in both groups and interaction between time points, and the communication ability of the experimental group increased significantly (t=3.32, p=.003).
Conclusion
Hybrid simulation program developed in this study has been proven effective, it can be implemented in child nursing education. Future research should focus on developing and incorporating various hybrid simulation programs using SP into the nursing curriculum and evaluating their effectiveness.

Citations

Citations to this article as recorded by  
  • Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
    Hee Young Kim, Soon Hyun Myung, In Young Cho
    Nurse Education in Practice.2025; 84: 104294.     CrossRef
  • The role of artificial intelligence in shaping nursing education: A comprehensive systematic review
    Jiatian Ma, Jiamin Wen, Ying Qiu, Yuling Wang, Qiao Xiao, Tingting Liu, Dong Zhang, Yangyang Zhao, Zebang Lu, Zhiling Sun
    Nurse Education in Practice.2025; 84: 104345.     CrossRef
  • Developing scales for clinical emotional intelligence and clinical competency and initial testing in a randomized controlled trial with hybrid simulation
    Jefferson Garcia Guerrero
    Nurse Education in Practice.2025; 87: 104450.     CrossRef
  • Clinical simulation in teaching nursing students: Scoping review
    Daniel Ferreira, Delfina Borges, Maria José Oliveira, Paula Flores, Hélder Cunha, Mafalda Silva
    Athena Health & Research Journal.2025;[Epub]     CrossRef
  • 3,739 View
  • 93 Download
  • 4 Crossref
Purpose
To measure the level of reflection, this study analyzes diaries written by third-year nursing students before and after the debriefing stage in simulation training. A qualitative study using diary entries from 15 nursing students to explore reflection depth.
Methods
Students engaged in simulation training and the debriefing stage, documenting their reflections in diaries. Before and after debriefing, reflections were rated from Level 1 (reflectivity) to Level 7 (theoretical reflectivity).
Results
The total number of reflection levels rose significantly from 545 to 829 post-debriefing, enhancing higher-order reflection.The shift signifies a move from superficial to deep reflection, highlighting debriefing's role in fostering critical thinking.
Conclusion
The findings underscore the critical role of debriefing in enhancing reflective thinking in nursing education. There is a demonstrated need for further research into the specific elements of debriefing that are most effective at promoting deep reflection. Future studies should conduct comparative analyses of different debriefing methods and approaches across various educational settings. This research could lay the foundation for designing more effective debriefing strategies that foster critical thinking and improve learning outcomes in nursing education.
  • 5,270 View
  • 151 Download
Developing a pediatric nursing simulation scenario template in South Korea: applying real-time Delphi methods
Eun Joo Kim, Meen Hye Lee, Bitna Park
Child Health Nurs Res 2024;30(2):142-153.   Published online April 30, 2024
DOI: https://doi.org/10.4094/chnr.2024.012
Purpose
This study aimed to describe the process of developing a validated pediatric nursing simulation scenario template using the real-time Delphi method.
Methods
A panel of 13 pediatric nursing experts participated in a real-time Delphi survey conducted over two rounds. Initially, 83 items were included in the questionnaire focusing on the structure and content of the simulation scenario template. Data analysis involved calculating the content validity ratio (CVR) and the coefficient of variation to assess item validity and stability.
Results
Through iterative rounds of the Delphi survey, a consensus was reached among the experts, resulting in the development of a pediatric nursing simulation scenario template comprising 41 items across nine parts. The CVR values ranged from 0.85 to 1.0, indicating a high consensus among experts regarding the inclusion of all items in the template.
Conclusion
This study presents a novel approach for developing a pediatric nursing simulation scenario template using real-time Delphi methods. The real-time Delphi method facilitated the development of a comprehensive and scientifically grounded pediatric nursing simulation scenario template. Our template aligns with the International Nursing Association for Clinical Simulation and Learning standards, and provides valuable guidance for educators in designing effective simulation scenarios, contributing to enhanced learning outcomes and better preparation for pediatric clinical practice. However, consideration of cultural and contextual adaptations is necessary, and further research should explore alternative consensus criteria.

Citations

Citations to this article as recorded by  
  • Development of an artificial intelligence-based nursing simulation scenario evaluation tool: a methodological study using the Real-Time Delphi method in South Korea
    Eun Joo Kim, Bitna Park, Geun Myun Kim, Ji Young Lim, Seong Kwang Kim
    Child Health Nursing Research.2025; 31(4): 257.     CrossRef
  • 4,107 View
  • 84 Download
  • 1 Crossref

Review Article

A systematic review and meta-analysis of studies on extended reality-based pediatric nursing simulation program development
Eun Joo Kim, Ji Young Lim, Geun Myun Kim
Child Health Nurs Res 2023;29(1):24-36.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.24
Purpose
This systematic literature review and meta-analysis explored extended reality (XR)-based pediatric nursing simulation programs and analyzed their effectiveness.
Methods
A literature search was conducted between May 1 and 30, 2022 in the following electronic databases: MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and CINAHL. The search period was from 2000 to 2022. In total, 6,095 articles were reviewed according to the inclusion and exclusion criteria, and 14 articles were selected for the final content analysis and 10 for the meta-analysis. Data analysis was performed using descriptive statistics and the Comprehensive Meta- Analysis program.
Results
XR-based pediatric nursing simulation programs have increased since 2019. Studies using virtual reality with manikins or high-fidelity simulators were the most common, with six studies. The total effect size was statistically significant at 0.84 (95% confidence interval=0.50-1.19, z=4.82, p<.001).
Conclusion
Based on the findings, we suggest developing standardized guidelines for the operation of virtual pediatric nursing simulation education and practice. Simultaneously, the application of more sophisticated research designs for effect measurement and the combined applications of various virtual simulation methods are needed to validate the most effective simulation methodology.

Citations

Citations to this article as recorded by  
  • Extended reality technologies in child health education for undergraduate healthcare students: A scoping review
    Emma Collins, Chris Paton, Steve Gallagher
    Nurse Education in Practice.2026; 90: 104627.     CrossRef
  • Identifying Research Priorities in Digital Education for Health Care: Umbrella Review and Modified Delphi Method Study
    Alison Potter, Chris Munsch, Elaine Watson, Emily Hopkins, Sofia Kitromili, Iain Cameron O'Neill, Judy Larbie, Essi Niittymaki, Catriona Ramsay, Joshua Burke, Neil Ralph
    Journal of Medical Internet Research.2025; 27: e66157.     CrossRef
  • Augmenting pediatric nursing clinical education with low-cost simulations
    Valerie C. Martinez, Desiree A. Díaz, Mindi Anderson, Samantha Stephenson, Syretta Spears
    Journal of Pediatric Nursing.2025; 81: 136.     CrossRef
  • Effects of a virtual reality program and simulation training for nursing students on the measurement of vital signs in children: a mixed-methods study in South Korea
    Sun Nam Park, Hyun Young Koo, Hye Young Hwang
    Child Health Nursing Research.2025; 31(4): 296.     CrossRef
  • Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
    Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
    Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
  • Development of neonatal Apgar scoring training program utilizing contactless hand tracking in immersive virtual reality
    Sun-Yi Yang, Yun-Hee Oh
    Nurse Education Today.2024; 140: 106294.     CrossRef
  • Enhancing Nursing Simulation Education: A Case for Extended Reality Innovation
    Shanna Fealy, Pauletta Irwin, Zeynep Tacgin, Zi Siang See, Donovan Jones
    Virtual Worlds.2023; 2(3): 218.     CrossRef
  • 7,764 View
  • 200 Download
  • 7 Crossref

Original Articles

Peer tutoring experiences of neonatal nursing simulations among Korean nursing students: a qualitative study
Hyeran An, Hyun Young Koo
Child Health Nurs Res 2022;28(4):280-290.   Published online October 31, 2022
DOI: https://doi.org/10.4094/chnr.2022.28.4.280
Purpose
This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring.
Methods
In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted.
Results
Four categories—"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"—and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories.
Conclusion
Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring.

Citations

Citations to this article as recorded by  
  • Tutoring experiences of a high-risk newborn care simulation among nurse tutors and nursing student tutees in South Korea: a qualitative study
    Hyun Young Koo, Bo Ryeong Lee, Hyeran An
    Child Health Nursing Research.2025; 31(1): 40.     CrossRef
  • Child Nursing Simulation Scenario Content Analysis: A Directed Qualitative Content Analysis
    Eun Joo Kim, Kyung Mi Cho, Sung Sook Song
    Clinical Simulation in Nursing.2024; 87: 101488.     CrossRef
  • Effects of peer tutoring-based simulation education on caring for children with respiratory infections among nursing students: A mixed-methods study
    Hyun Young Koo, Bo Ryeong Lee
    Heliyon.2024; 10(16): e36014.     CrossRef
  • The effect of peer tutoring on pediatric nursing education: a systematic review
    Hyun Young Koo, Hyeran An, Bo Ryeong Lee
    Child Health Nursing Research.2024; 30(4): 215.     CrossRef
  • 5,083 View
  • 150 Download
  • 4 Crossref
Purpose
The present study aimed to develop and examine the effectiveness of a pediatric nursing competency-building program for nursing students.
Methods
This was a quasi-experimental study with a nonequivalent control group pretest-posttest design conducted between October and December 2021. The participants included 40 nursing students (20 each in the experimental and control groups) at a university in a South Korean city. The pediatric nursing competency-building program integrated problem-based learning and simulation into clinical field practice. The experimental group participated in the program, while the control group did not. Data were analyzed using the x2 test, the independent t-test, and repeated-measures analysis of variance.
Results
Pediatric nursing competency and clinical performance showed a greater increase in the experimental group than in the control group. However, the change in problem-solving ability in the experimental group was not significantly different from that in the control group.
Conclusion
The pediatric nursing competency-building program effectively improved students' pediatric nursing competency and clinical performance.

Citations

Citations to this article as recorded by  
  • Effects of a virtual reality program and simulation training for nursing students on the measurement of vital signs in children: a mixed-methods study in South Korea
    Sun Nam Park, Hyun Young Koo, Hye Young Hwang
    Child Health Nursing Research.2025; 31(4): 296.     CrossRef
  • Nursing students’ experiences using photovoice with team-based learning in pediatric nursing education
    Fatemeh Ebrahimpour
    BMC Medical Education.2025;[Epub]     CrossRef
  • Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study
    Sun Nam Park, Hye Young Hwang, Hyun Young Koo
    Child Health Nursing Research.2023; 29(2): 137.     CrossRef
  • 8,092 View
  • 254 Download
  • 3 Crossref

Review Article

Core educational components of interprofessional education in pediatric emergencies: An integrated review
Soonyoung Shon, Hyejin Jeon, Heejin Hwang
Child Health Nurs Res 2021;27(2):111-126.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.111
Purpose
This study was conducted to explore the core educational components of interprofessional education (IPE) for pediatric emergencies to establish a basis for interprofessional simulation education.
Methods
Using Whittemore and Knafl's integrative review method, we searched for studies in PubMed, Embase, Cochrane Library, CINAHL, and four South Korean databases (RISS, NDSL, DBpia, and KISS).
Results
We identified 21 studies on the general characteristics of IPE in pediatric emergency situations and integrated the core components of IPE according to a PRISMA flowchart. Three core components were identified (individual - competent professionals, team - cooperative professions, and outcome - optimal achievement), with the subthemes of role and responsibility, clinical judgment, performance, leadership, communication, teamwork, patient safety, and quality improvement.
Conclusion
We recommend that IPE pediatric emergencies should contain the three dimensions of these core components to enhance individual and team performance and to promote optimal achievement in terms of patient outcomes. IPE programs should consider these characteristics and include a valid tool for evaluating the programs' effectiveness.

Citations

Citations to this article as recorded by  
  • Experiential Pediatric Co-treatment to Enhance Interprofessional Competencies: A Mixed-methods Study
    Marianne Hanover, Cecilia Martinez, Mohan Ganesan
    Indian journal of physical therapy and research.2025; 7(2): 151.     CrossRef
  • Intraprofessional boundary crossing in acute paediatric care: A rich journey for general practice and paediatric residents
    Rosalin van Schie, Ester Coolen, Anne van Tuijl, Janielle van der Velden, Bart Thoonen, Nynke Scherpbier‐de Haan
    Medical Education.2024; 58(11): 1350.     CrossRef
  • Effectiveness of simulation-based interprofessional education on teamwork and communication skills in neonatal resuscitation
    Shinhye Chae, Soonyoung Shon
    BMC Medical Education.2024;[Epub]     CrossRef
  • Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study
    Dyah Dwi Astuti, Rinawati Rohsiswatmo, Dessie Wanda, Diah Mulyawati Utari
    Belitung Nursing Journal.2023; 9(5): 478.     CrossRef
  • 8,182 View
  • 235 Download
  • 4 Crossref

Original Articles

Purpose
The purpose of this study was to identify the effects of an educational intervention by evaluating neonatal emergency airway management knowledge, critical thinking disposition, problem- solving ability, and confidence in clinical performance after developing and operating a simulation-based neonatal emergency airway management education program for nurses in a neonatal intensive care unit.
Methods
The participants were 30 nurses in a neonatal intensive care unit. Data were collected from June 6 to 15, 2018 and analyzed using IBM SPSS version 22.0.
Results
The results of the pretest and posttest for each educational group showed statistically significant improvements in neonatal emergency airway management knowledge, critical thinking, problem- solving ability, and confidence in clinical performance.
Conclusion
The simulation-based neonatal emergency airway management training program was an effective educational program that enhanced neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance among nurses in a neonatal intensive care unit. Therefore, it is suggested that the program described in this study can contribute to improving nursing quality by enhancing the ability of nurses to cope with emergencies in practice. It can also be used for education for new nurses and contribute to the development of nurses’ practices.

Citations

Citations to this article as recorded by  
  • Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
    Hee Young Kim, Soon Hyun Myung, In Young Cho
    Nurse Education in Practice.2025; 84: 104294.     CrossRef
  • Development and Evaluation of a Simulation Training Program for Neonatal Intensive Care Unit Nurses on Severe Respiratory Emergency among Extremely Low Birth Weight Infants
    Youngae Song, Jaehee Lee, Jiyoon Kang, Heekyung Kang, Junghee Lee, Inkyung Bong
    Journal of Korea Society for Simulation in Nursing.2025; 13(1): 15.     CrossRef
  • Comparative Evaluation of 3 Neonatal Simulators for Neonatal Resuscitation and Airway Obstruction Skills in Medical Students
    Irma Manjavidze, Lia Otiashvili, Dali Chitaishvili, Pirdara Nozadze
    Sage Open Pediatrics.2025;[Epub]     CrossRef
  • Development and Effectiveness of a Rapid Cycle Deliberate Practice Neonatal Resuscitation Simulation Program: A Quasi-Experimental Study
    Sun-Yi Yang, Yun-Hee Oh
    Healthcare.2024; 12(1): 104.     CrossRef
  • Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
    Min-hee Cho, Sunghee Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
  • Implementation of a simulation-based education for mothers in managing respiratory emergencies in the neonatal intensive care unit
    Heemoon Lim, Hyejung Lee
    Journal of Neonatal Nursing.2023; 29(4): 662.     CrossRef
  • Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study
    Sun-Yi Yang
    Healthcare.2022; 10(11): 2197.     CrossRef
  • Simulation-Based Education Improves Mothers’ Confidencein Managing Respiratory Emergency Situations
    Hee-moon Lim, hyejung Lee
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Educational needs for practicing neonatal intensive care among Korean nursing students
    Hyun Young Koo, Bo Ryeong Lee
    Child Health Nursing Research.2021; 27(4): 339.     CrossRef
  • Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study
    Hanna Lee, Da-Jung Kim, Jeong-Won Han
    Healthcare.2020; 8(3): 320.     CrossRef
  • 10,198 View
  • 417 Download
  • 10 Crossref
Effects of a Virtual Reality Simulation and a Blended Simulation of Care for Pediatric Patient with Asthma
Mikang Kim, Sunghee Kim, Woo Sook Lee
Child Health Nurs Res 2019;25(4):496-506.   Published online October 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.4.496
Purpose
The purpose of this study was to examine the effects of a virtual reality simulation and a blended simulation on nursing care for children with asthma through an evaluation of critical thinking, problem-solving processes, and clinical performance in both education groups before and after the educational intervention.
Methods
The participants were 48 nursing students. The experimental group (n=22) received a blended simulation, combining a virtual reality simulation and a high-fidelity simulation, while the control group (n=26) received only a virtual reality simulation. Data were collected from February 25 to 28, 2019 and analyzed using SPSS version 25 for Windows.
Results
The pretest and posttest results of each group showed statistically significant improvements in critical thinking, problem-solving processes, and clinical performance. In a comparison of the results of the two education groups, the only statistically significant difference was found for critical thinking.
Conclusion
Simulation-based education in child nursing has continued to involve high-fidelity simulations that are currently run in many programs. However, incorporating a new type of blended simulation, combining a virtual reality simulation and a high-fidelity simulation, into the nursing curriculum may contribute to the further development of nursing education.

Citations

Citations to this article as recorded by  
  • Effects of a Nursing Education Program Using Virtual Reality for Childbirth Nursing Care on Knowledge, Problem-Solving Ability and Nursing Performance in Nursing Students
    Sung Jung Hong, Hwal Lan Bang, Leesuk Ferencsik
    Journal of Korean Academy of Fundamentals of Nursi.2025; 32(1): 35.     CrossRef
  • A VR-Based Trauma Nursing Education Program for Clinical Nurses: Integrating Jeffries’ Model and the 5E Learning Cycle
    Heeyeon Kim, Gyuli Baek, Eunju Lee
    Healthcare.2025; 13(19): 2542.     CrossRef
  • The Effect of Digital Collaboration Problem-Solving Competency on Online Simulation Training in the COVID-19 Era: Mediating Effect of Flipped Learning
    Jung-Eun Shin
    Journal of Digital Contents Society.2025; 26(9): 2635.     CrossRef
  • Development and Effects of a Virtual Reality-Based Educational Application to Enhance Clinical Practice Competence in Nursing Students
    Yun-Ha Choi
    Journal of Digital Contents Society.2025; 26(11): 3165.     CrossRef
  • Effects of a Blended Simulation for High-risk Neonatal Nursing on Nursing Students’ Learning Outcomes by Learning Strategy
    Eun Jung Cho
    Journal of Health Informatics and Statistics.2025; 50(4): 410.     CrossRef
  • Efficacy of a virtual nursing simulation-based education to provide psychological support for patients affected by infectious disease disasters: a randomized controlled trial
    Eunjung Ko, Yun-Jung Choi
    BMC Nursing.2024;[Epub]     CrossRef
  • Pressure Ulcer Management Virtual Reality Simulation (PU-VRSim) for Novice Nurses: Mixed Methods Study
    Soo Youn Jung, Kyoung Ja Moon
    JMIR Serious Games.2024; 12: e53165.     CrossRef
  • Effectiveness of a Fire Disaster PFA Simulation Game: A Single-Blinded Trial
    Yun-Jung Choi, Heewon Song
    Disaster Medicine and Public Health Preparedness.2024;[Epub]     CrossRef
  • Virtual Simulation-Based Learning Competency Self-Evaluation Tool: A Methodological Study
    Mikang Kim, Sunghee Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(1): 1.     CrossRef
  • Comparative study on the effects of role changes in simulation training among Korean nursing students
    Hyun Joo Yang, Mi Hyang Choi, Mi Sung Bang
    Clinical Simulation in Nursing.2024; 94: 101585.     CrossRef
  • Intervention Effectiveness of CPR and Defibrillator Training using Augmented Reality in Nursing Students
    Won Min Jeong, Hyeon Cheol Jeong
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 59.     CrossRef
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    İpek KÖSE TOSUNÖZ
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Content Analysis of Debriefing after Simulation-based Nursing Education on Respiratory Distress Syndrome in the Neonatal Intensive Care Unit
Kyung-Ah Kang, Sunghee Kim, Shin-Jeong Kim, Myung-Nam Lee
Child Health Nurs Res 2018;24(2):208-219.   Published online April 30, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.2.208
Purpose
The purpose of this study was to explore nursing students’ experiences of debriefing after simulation-based learning and to obtain fundamental data to support the development of effective teaching strategies.
Methods
Sixty-seven nursing students participated in this study from April to May, 2017. This was a descriptive study analyzing the content of students’ descriptions of structured questions in 3 stages (description, analysis, and application) based on recorded videos.
Results
The description stage was classified into 3 categories for problem recognition, 4 categories for the nursing plan, and 6 categories for the nursing intervention. The analysis stage was classified into 6 categories for satisfactory practice, 3 categories for experience and 4 categories for what they learned through practice. The application stage was classified into 5 categories, that were to be mastered, and 6 categories, that were important to recognize.
Conclusion
This study succeeded in charaterizing learners’ experiences of debriefing. During the debriefing, students watched recorded videos, and we found that self-evaluation through structured questionnaires could be a very effective way to strengthen students’ core competencies. Our content analysis of the debriefing is expected to contribute to the development of effective strategies in simulation-based education for students and nurses.

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    Gyoo-Yeong CHO, Mi-Kyung SEO
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Original article

Utilizing Video vs Simulation Practice for Handoff Education of Nursing Students in Pediatric Nursing
Sun-Nam Park, Young Soon Im
Child Health Nurs Res 2018;24(1):27-36.   Published online January 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.1.27
Purpose
The purpose of this study was to develop a model for handoff education for nursing students based on simulation using video and to identify educational effects of a simulated situation in pediatric care units.
Methods
Data were collected from May 1 to 30, 2016. Participants were 84 senior nursing students in Seoul (video group: 43, simulation group: 41). Both groups were given a lecture and pre-briefing on handoff education. The simulation group had nursing practice on resolving health issues for respiratory distress using a high-fidelity baby simulator. The video group watched a video recording of a scenario based simulation, and used a summarized handoff situation to practice patient handoff to another student.
Results
There was no significant difference between the two groups for handoff self-confidence, problem solving ability, handoff competence (self-assessment of students), or learning satisfaction. Self-confidence increased significantly in both groups. Handoff competency evaluated by the instructor was higher in the video group compared to the simulation group (t=2.33, p=.022).
Conclusion
Nursing student education for handoff practice utilizing a video in the pediatric unit was more cost effective. Therefore, it could be a useful educational method for students in learning patient handoff practices and helpful for related research.

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    Jin Yi Choi, Mikyoung Byun, Eun Jung Kim
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    Mi Seon Son, Minyoung Yim, Eun Sun Ji
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    Heejung Kim, So-Hi Kwon
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    Hyun Young Koo, Bo Ryeong Lee
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Original Articles
Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students
Hyun Jung Park, Sun Hee Lee
Child Health Nurs Res 2015;21(4):293-301.   Published online October 31, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.4.293
Purpose
This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students.
Methods
A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care.
Results
The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F = 0.480 p = .012) and oxygen therapy in newborn care (F = 3.262 p = .037), and for clinical competence (F = 2.639, p < .001) and personal satisfaction with debriefing compared to the control group (F = 2.179, p = .044). But the experimental group did not have significantly higher scores in nursing knowledge.
Conclusions
The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

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    Eunju Jin, Hyunju Kang
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    Young Jin Kim, Kyoung Ja Moon
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    Sungwoo Hwang, Hyun Kyoung Kim
    Korean Journal of Women Health Nursing.2022; 28(3): 174.     CrossRef
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    Sun-Hee Kim, Bo Gyeong Lee
    Korean Journal of Women Health Nursing.2021; 27(3): 230.     CrossRef
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    Sun Hee Lee
    Korean Journal of Women Health Nursing.2018; 24(2): 150.     CrossRef
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  • 223 Download
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Evaluation of Algorithm-Based Simulation Scenario for Emergency Measures with High-Risk Newborns Presenting with Apnea
Hyunsook Shin, Yu-nah Lee, Da Hae Rim
Child Health Nurs Res 2015;21(2):98-106.   Published online April 30, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.2.98
Purpose
This study was done to develop and evaluate an algorithm-based simulation scenario for emergency measures for high-risk newborns presenting with apnea.
Methods
A one shot case study design was used to evaluate the algorithm-based simulation scenario. Effects of the developed simulation scenario were evaluated using the Simulation Effectiveness Tool (SET) and the Lasater Clinical Judgement Rubric (LCJR). From March to November 137 senior nursing students completed the simulation using this scenario.
Results
The eight-frame simulation scenario was developed based on the Neonatal Resuscitation Program (NRP) and the nursing clinical judgment process. After use of the scenario, overall scores for SET and LCJR were 21.0 out of 26.0 and 32.4 out of 44.0 respectively. There were no significant differences in scores according to general characteristics. Positive correlation coefficients were identified among overall and subcategories of SET and LCJR. In addition, students provided positive feedback on the simulation experience.
Conclusion
Considering that nursing students have limited access to high-risk newborns during their clinical experience and that newborns presenting apnea are common in the neonatal intensive care unit, the simulation scenario developed in this study is expected to provide nursing students with more opportunities to practice emergency measures for high-risk newborns.

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    Sun-Yi Yang, Yun-Hee Oh
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    Heemoon Lim, Hyejung Lee
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    Hee-moon Lim, hyejung Lee
    SSRN Electronic Journal .2022;[Epub]     CrossRef
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    Sun-Yi Yang, Yun-Hee Oh
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    Ahrin Kim
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The Reliability and Validity of the Lasater Clinical Judgement Rubric in Korean Nursing Students
Kaka Shim, Hyunsook Shin
Child Health Nurs Res 2015;21(2):160-167.   Published online April 30, 2015
DOI: https://doi.org/10.4094/chnr.2015.21.2.160
Purpose
This study was done to evaluate the Lasater Clinical Judgement Rubric for use with Korean nursing students.
Methods
A methodological study was used to validate the rubric developed by Lasater to assess clinical judgment during nursing simulation. Participants were 34 nursing students at K University in Seoul. Between February and May, 2012, analysis was done of 91 video clips recording performance during simulation.
Results
Findings showed reliability and validity of the rubric. For internal consistency, Cronbach’s α score was .884 and intraclass correlation coefficient was .839, which established reliability. The rubric was validated using the exploratory factor analysis and content validity. The content validity score was 83%, establishing the appropriateness and readiness of the tool. Factor analysis showed that noticing, responding, and reflecting domains had Eigen values of 2.669, 1.991, and 2.912, respectively and were bound, but unlike the original tool in which four factors noticing, interpretation, responding, and reflecting domains were bound.
Conclusion
Results of the study indicate that the rubric shows acceptable reliability and validity in Korean nursing students. This evaluation tool for nursing simulation allows nursing faculty to objectively evaluate students’ clinical judgment as well as students to reflect on their clinical judgment process during simulation.

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PURPOSE
This study was done to develop a scenario and evaluate student performance in simulation learning of care for children with respiratory distress syndrome in neonatal intensive care units.
METHODS
To test the application effect, a one group pre-test design was applied. The scenario based on actual patients and textbook material was developed through several meetings of experts. The scenario was used with 17 groups of 55 senior nursing students who participated voluntarily.
RESULTS
Contents were organized focusing on the nursing process for simulation learning. In the application of knowledge and skills, nursing students had high scores in the contents of observation of oxygen saturation, and care to relieve dyspnea. Participants' ability, especially in suction and oxygen supply in the evaluation of objective structured clinical examination was not adequate. There was a significant positive correlation between problem-solving ability and satisfaction in learning.
CONCLUSION
The respiratory distress syndrome simulation scenario developed in this study was an effective tool to give students experience in problem solving and critical thinking ability under conditions similar to reality. The development of various scenarios for child nursing care is needed.

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    Inok Kim
    Physical Therapy Rehabilitation Science.2024; 13(1): 18.     CrossRef
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    Sun-Nam Park, Young Soon Im
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    Sun-Nam Park, Yunsoo Kim
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    Mijin Lee, Young Mee Ahn, Insook Cho, Min Sohn
    Child Health Nursing Research.2014; 20(2): 123.     CrossRef
  • 8,582 View
  • 187 Download
  • 6 Crossref
PURPOSE
The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students.
METHODS
Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing.
RESULTS
Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students.
CONCLUSION
A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

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  • Impact of the COVID-19 Pandemic on Neonatal Nursing Practicum and Extended Reality Simulation Training Needs: A Descriptive and Cross-Sectional Study
    Sun-Yi Yang
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    So Young Yoo
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  • 79 Download
  • 5 Crossref
PURPOSE
The purpose of this study was to identify the correlation of critical thinking disposition and problem solving process, and the simulation-based assessment of clinical competence based on a survey of college nursing students.
METHODS
In this descriptive correlation study, data for 214 nursing students were analyzed using t-test and Pearson correlation coefficients.
RESULTS
Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence averaged 3.76+/-0.46 (out of 5), 3.67+/-0.47 (5), and 1.51+/-0.17 (2), respectively. A significant difference in scores for simulation-based assessment of clinical competence was found between the high-scoring group and low-scoring group in critical thinking disposition. A significant positive correlation was found between critical thinking disposition and nursing assessment, a sub-domain of clinical competence.
CONCLUSION
The results suggest that success in simulation-based learning requires critical thinking disposition in the nursing students, and their critical thinking disposition plays a positive role in nursing assessment, which evaluates the patient's status in a complex situation. Simulation-based learning programs help assess the students' levels in their clinical judgement and performance, and identify their strengths and weaknesses so that the instructor can evaluate and improve the current teaching method.

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PURPOSE
This study was conducted to examine the effects of simulation education integrated with problem based learning (SIM-PBL) on clinical competency and self-efficacy in post operation nursing care for children.
METHODS
This study was a quasi-experimental design. Thirty six students in the third year of a 4-year baccalaureate nursing program were recruited conveniently and assigned to the control or intervention groups using time difference. Students were all in a pediatric nursing clinical practicum. The control group received the regular clinical practicum in a hospital setting. For the intervention group, a SIM-PBL education replaced 150 minutes of their clinical practicum.
RESULTS
The intervention group showed greater improvement in two areas of clinical competency compared with the control group; physical assessment (t=3.019, p=.005) and post operation advice (t=2.428, p=.021). However, no statistically significant differences in improvement in any areas of self-efficacy were found between two groups.
CONCLUSION
The results indicate that the SIM-PBL education is effective in improving some areas of clinical competence, but not self-efficacy in post operation nursing care for children. Further study is needed to develop SIM-PBL programs for various clinical topics and evaluate the effectiveness on the learning outcomes.

Citations

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  • Development and evaluation of a pediatric nursing competency-building program for nursing students in South Korea: a quasi-experimental study
    Hyun Young Koo, Bo Ryeong Lee
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    Mi Yu, Miran Yang, Boram Ku, Jon S. Mann
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    Yunsoo Kim, Horan Park, Sung Sil Hong, Hee Jin Chung
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PURPOSE
The study purposes were to describe the process of developing the Korean versions of the Six Dimension Scale of Nursing Performance (Six-D) and Student Nurse Stress Index (SNSI) and psychometric evaluation of the two measurements.
METHODS
This was a methodology study using a descriptive cross-sectional design with 51 nursing students in 4th year of university. Internal consistency reliability was assessed using Cronbach alphas. Construct validity was determined by exploring correlations among Six-D, SNSI, objective structured clinical examination (OSCE), self-efficacy and grade point average (GPA).
RESULTS
Internal consistency reliability of Six-D and SNSI was acceptable with Cronbach's alpha of .95 and .82. Correlation analysis to determine construct validity revealed that Six-D presented positive correlations with OSCE (r=.109~.272) and self-efficacy (r=.005~.161) and negative correlation with GPA (r=-.246~-.394), although all were not statistically significant. SNSI presented all negative correlations with OSCE (r= -.007~-.238), self-efficacy (r=-.246~-.394), and GPA (r=-.092~-.426) and were mostly statistically significant except OSCE.
CONCLUSION
Six-D needs more evidence to confirm validity to predict observed clinical competency and theoretical relationships with self-efficacy and GPA. However, SNSI presented trends of expected relationships with relevant variables. Therefore, further research is recommended in testing validity of Six-D with other student populations.

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Nursing Activities Identified through Pediatric Nursing Simulation.
Hyun Sook Shin, Ka Ka Shim, Yu Na Lee
Child Health Nurs Res 2013;19(2):111-119.
DOI: https://doi.org/10.4094/chnr.2013.19.2.111
PURPOSE
This research was a descriptive study of nursing activities observed in nursing simulation during a senior nursing student practicum. Content and frequencies of nursing activities during the simulation practice were identified.
METHODS
Thirty-six episodes of pediatric nursing simulation were videotaped. Both verbalizations and descriptions of nonverbal behaviors were recorded from the videotapes. The data were coded and analyzed. The coded nursing activities were evaluated for frequency and purpose of interaction.
RESULTS
Average time per simulation episodes was 27 minutes and ranged from 3.30 to 32.54 minutes. Nursing activities in these simulation episodes included nursing assessments such as vital sign measurement, associated symptom assessment, and check of patient condition, nursing interventions such as medication, tepid water massage, fluid therapy, provision of oxygen, suctioning, hyperglycemia and hypoglycemia management, communication such as parent education, procedure guidance, and communication among providers. Activities in assessment were most frequent, and among them, vital sign measurement and check of patient condition were more frequent than others.
CONCLUSION
Students showed enhanced nursing activities such as more frequent nursing assessment, communication and interventions in their simulation experience. Therefore simulation experience can be considered as one strategies to provide nursing students with better and more intense practicum experience.

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