Journal List > Korean J Women Health Nurs > v.24(2) > 1100170

Lee: Effect of Practical Delivery-nursing Simulation Education on Team-based Learning on the Nursing Knowledge, Self-efficacy, and Clinical Competence of Nursing Students



To identify the effects of delivery-nursing simulation education using team-based learning on the delivery nursing knowledge, self-efficacy, and clinical competence of nursing students.


The study used a nonequivalent, control group, quasi-experimental design. The team-based learning was applied to the experimental group, while the individual learning was applied to the control group. Data were collected from October 12 to December 7, 2016, and analyzed using the SPSS/WIN 22.0 program.


Comparison between the experimental and control group showed no significant difference in delivery-nursing knowledge (t=-0.33, p=.741) or self-efficacy (t=-0.65, p=.515). However, a significant difference(t=-2.09, p=.048) in the nursing-skills aspect of clinical competence was found between the experimental and control groups after the practical simulation education.


Delivery-nursing simulation education using team-based learning was more effective in improving the nursing-skills aspect of nursing competence than was delivery-nursing simulation education based on individual learning.


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Figure 1.
Research design and process.
Figure 2.
Development and operation of delivery nursing simulation program.
Table 1.
Homogeneity Test of General Characteristics and Dependent Variables (N=91)
Variables Categories Total Exp. (n=46) Cont. (n=45) x2 or t p
n (%) or M±SD n (%) or M±SD n (%) or M±SD
Age (year)   22.9±11.5 24.7±16.0 21.0±0.8 9.71 .252
Gender Female 75 (82.4) 38 (82.6) 37 (82.2) 0.00 1.000
  Male 18 (17.6) 8 (17.4) 8 (17.8)    
Experience of clinical Yes 13 (14.3) 7 (15.2) 6 (13.3) 0.06 1.000
practice at DR No 78 (85.7) 39 (84.8) 39 (86.7)    
Experience of other Yes 68 (74.7) 30 (65.2) 38 (84.4) 4.45 .053
simulation education No 23 (25.3) 15 (34.8) 7 (15.6)    
Knowledge   9.36±2.09 9.30±2.03 9.42±2.17 0.26 .790
Self-efficacy   38.92±5.78 38.78±6.01 39.06±5.60    

Exp.=experimental group; Cont.=control group; DR=delivery room.

Table 2.
Comparison of Knowledge and Self-efficacy on Delivery between Experimental and Control Group (N=91)
Variables Groups Pretest Posttest Difference t p
Knowledge Exp. (n=46) 9.30±2.03 10.06±1.58 0.76±2.30 –0.33 .741
  Cont. (n=45) 9.42±2.17 10.00±1.85 0.58±2.92    
Self-efficacy Exp. (n=46) 38.78±6.01 45.95±3.54 7.17±6.51 –0.65 .515
  Cont. (n=45) 39.06±5.60 45.26±6.97 6.20±7.68    

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

Table 3.
Comparison of Clinical Competency between Two Groups at Posttest (N=91)
Variables Categories Exp. (n=46) Cont. (n=45) t p
Clinical competen ncy Nursing skill 33.08±2.60 31.00±2.25 –2.09 .048
  Attitude 12.50±1.67 12.46±2.19 –0.10 .918
  Communication 11.91±1.44 11.91±2.19 0.00 1.000
  Total 57.50±4.01 55.33±3.52 –1.40 .174

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

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