A Structural Model on the Nursing Competencies of Nursing Simulation Learners

Soo Jin Park; Eun Sun Ji

doi:10.4040/jkan.2018.48.5.588

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Park and Ji: A Structural Model on the Nursing Competencies of Nursing Simulation Learners

Original Article

Journal of Korean Academy of Nursing 2018; 48(5): 588-600.

Published online: 31 October 2018

DOI: https://doi.org/10.4040/jkan.2018.48.5.588

A Structural Model on the Nursing Competencies of Nursing Simulation Learners

Soo Jin Park¹

, Eun Sun Ji²

¹Department of Nursing, Andong Science College, Andong, Korea.

²Department of Nursing, Konkuk University GLOCAL Campus, Chungju, Korea.

Address reprint requests to: Ji, Eun Sun. Department of Nursing, Konkuk University GLOCAL Campus, 268 Chungwon-daero, Chungju 27478, Korea. Tel: +82-43-840-3957, Fax: +82-43-840-3114, esji@kku.ac.kr

Received 30 April 2018 Revised 14 September 2018 Accepted 17 September 2018

Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory.

Methods

Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs.

Results

The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability.

Conclusion

In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.

Keywords: Simulation Training, Students, Nursing, Clinical Competence, Judgment

Figures and Tables

Figure 1

Conceptual framework.

Figure 2

Path diagram for the hypothetical model.

Table 1

Demographic Characteristic and Simulation Related Characteristics (N=310)

Table 2

Descriptive Statistics and Observed Variables

AVE=Average variance extracted; CR=Construct reliability; M=Mean; SD=Standard deviation.

Table 3

Standardized Estimates for Hypothetical Model

PF=Participant factors; FF=Facilitator factors; SDC=Simulation design characteristics; SC=Self confidence; SP=Skill performance; CJ=Clinical judgment; SMC=Squared multiple correlations; S.E=Standard Error.

^*p <.01.

Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Konkuk University.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

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ORCID iDs

Soo Jin Park
https://orcid.org/0000-0002-9976-6457

Eun Sun Ji
https://orcid.org/0000-0002-1666-2805

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