Journal List > J Korean Acad Nurs > v.48(5) > 1106713

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

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.

Figures and Tables

Figure 1

Conceptual framework.

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Figure 2

Path diagram for the hypothetical model.

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Table 1

Demographic Characteristic and Simulation Related Characteristics (N=310)

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Table 2

Descriptive Statistics and Observed Variables

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

Table 3

Standardized Estimates for Hypothetical Model

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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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TOOLS
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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