간호대학생을 위한 환자안전역량 강화 시뮬레이션 프로그램 개발 및 효과 = Development and Effectiveness of a Simulation Program to Enhance Patient Safety Competency for Nursing Students

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to develop a simulation program to enhance patient safety competency for nursing students and evaluate its impact on their patient safety knowledge, attitudes, skills, and clinical reasoning competency. Methods: This study used a randomized pretest-posttest control group design with 29 third-year nursing students (15 experimental, 14 control) from a university in City D. The experimental group participated in a 12-session simulation-based program incorporating table-top, Room of Errors, and high-fidelity simulations. In contrast, the control group attended standard lecture-based instruction. Data collection took place between August 21 and September 5, 2025. Statistical analyses were performed using the Shapiro-Wilk, Chi-square, Fisher’s exact, Mann-Whitney U, rank-biserial effect size (r), Friedman, and Wilcoxon signed-rank tests. Results: The experimental group demonstrated significant improvements over the control group in patient safety knowledge (z=2.92, U=40.00, p=.004, r=0.54), skills (z=2.35, U=51.50, p=.019, r=0.44), and clinical reasoning competency (z=2.78, U=41.50, p=.005, r=0.52). However, no statistically significant changes were observed in patient safety attitudes (z=0.63, U=91.50, p=.532, r=0.12). Conclusion: The simulation program developed in this study was effective in enhancing patient safety competency among nursing students, indicating its potential value in nursing education.

목차 (Table of Contents)

• (Abstract)
• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 3
• 3. 연구 가설 4
• 4. 용어의 정의 4
• Ⅱ. 문헌고찰 7
• 1. 환자안전역량 7
• 2. 환자안전 시뮬레이션 11
• Ⅲ. 연구의 개념적 기틀 15
• 1. NLN/Jeffries 시뮬레이션 이론 15
• 2. Miller의 피라미드 이론 17
• 3. 본 연구의 개념적 기틀 19
• Ⅳ. 연구방법 21
• 1. 분석단계 21
• 2. 설계단계 28
• 3. 개발단계 35
• 4. 실행단계 47
• 5. 평가단계 54
• Ⅴ. 연구결과 55
• 1. 일반적 특성 및 종속변수의 동질성 검증 55
• 2. 가설 검정 57
• Ⅵ. 논의 65
• Ⅶ. 결론 및 제언 70
• REFERENCES 71
• 부록 1 90
• 부록 2 95
• 부록 3 101
• 부록 4 102
• 부록 5 141