Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing

Sun-Ae Kim; Sun-Kyung Lee; Hyun Ju Chae

doi:10.4069/kjwhn.2012.18.3.180

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Kim, Lee, and Chae: Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing

Original Article

Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2012; 18(3): 180-189.

Published online: 30 September 2012

DOI: https://doi.org/10.4069/kjwhn.2012.18.3.180

Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing

Sun-Ae Kim¹, Sun-Kyung Lee¹, Hyun Ju Chae²

¹Seoul Women's College of Nursing, Seoul, Korea.

²College of Nursing, Ajou University, Suwon, Korea.

Corresponding author: Chae, Hyun Ju. College of Nursing, Ajou University, San 5 Wonchon-dong, Yeongtong-gu, Suwon 443-721, Korea. Tel: +82-11-9971-2629, hjmnp@naver.com

Received 3 August 2012 Revised 14 September 2012 Accepted 15 September 2012

(open-access):

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.

Abstract

Purpose

The purpose of this study was to evaluate the effects of clinical practice and simulation-based practice for obstetrical nursing in terms of self-efficacy, practice satisfaction, and practice stress.

Methods

A non-equivalent control group post test design was used. The participants were 171 junior nursing students, 103 in the experimental group, and 68 in the control group. Simulation-based practice consisted of nursing assessment during labor, nursing assessment and intervention for normal and high risk mother, nursing education for mother and family during labor, and open lab. The experimental group participated in simulation-based practice for two days and the control group participated in clinical practice at delivery room for two weeks.

Results

The experimental group showed higher level of self-efficacy (p=.043), practice satisfaction (p<.001) and practice stress (p=.003) compared to the control group.

Conclusion

Simulation-based practice is an effective learning method for obstetrical nursing and can be used as the alternative for clinical practice. However, stress management strategies are needed for simulation-based practice.

Keywords: Obstetrical nursing, Simulation, Self-efficacy, Personal satisfaction, Stress

Figures and Tables

Table 1

General Characteristics (N=171)

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

Table 2

Self-efficacy, Practice Satisfaction, Practice Stress, and Interest in Maternity Nursing (N=171)

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

Table 3

Changes of Interest in Maternity Nursing (N=171)

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

Notes

This study was supported by the 2011 Seoul Women's College of Nursing Research Grant.

Summary Statement

▪ What is already known about this topic?

Simulation-based practice was useful in improving self-confidence and students expressed satisfaction with simulation-based practice.

▪ What this paper adds?

Simulation-based practice group showed higher level of self-efficacy and satisfaction than clinical practice group. Practice stress was also higher in simulation-based practice group than clinical practice group.

▪ Implications for practice, education and/or policy

The effects of Simulation-based practice for obstetrical nursing should be compared to clinical practice. Strategies to reduce stress level of simulation-based practice was needed.

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