시뮬레이션 실습교육에서 시뮬레이션 몰입이 임상추론에 미치는 영향 : 시뮬레이션 자신감의 매개효과

다국어 초록 (Multilingual Abstract)

Purpose: This study investigated the mediating effect of simulation confidence on the relationship between simulation immersion and clinical reasoning among nursing students. Methods: A total of 166 participants who had completed adult nursing courses and participated in simulation training were included. Results: Participants reported high satisfaction with their majors, practicums, and college life. The average immersion score was 3.71 out of 5, indicating a moderately high level of engagement. No significant differences in clinical reasoning were found based on demographic factors; however, satisfaction with one’s major, practicum, and college life showed significant associations with clinical reasoning. Simulation immersion, confidence, and clinical reasoning were all positively correlated. PROCESS Macro Model 4 revealed that both the direct and indirect effects of simulation immersion on clinical reasoning through confidence were statistically significant, even after controlling for satisfaction-related covariates. Conclusion: These findings suggest that simulation immersion is a key factor in enhancing clinical reasoning and is partly mediated by increased confidence. Therefore, simulation-based education should therefore incorporate strategies that promote learner immersion and self-efficacy in order to optimize cognitive learning outcomes.

목차 (Table of Contents)

• ABSTRACT
• Ⅰ. 서 론
• 1. 연구의 필요성
• 2. 연구목적
• Ⅱ. 연구방법
• 1. 연구설계
• 2. 연구대상
• 3. 연구도구
• 4. 자료수집 및 분석
• 5. 윤리적 고려
• Ⅲ. 연구 결과
• 1. 일반적 특성, 시뮬레이션 몰입, 시뮬레이션자신감, 임상추론
• 2. 일반적 특성에 따른 임상추론
• 3. 시뮬레이션 몰입, 시뮬레이션 자신감, 임상추론간의 상관관계
• 4. 시뮬레이션 몰입과 임상추론과의 관계에서시뮬레이션 자신감의 매개효과
• 5. 시뮬레이션 자신감의 간접효과 유의성 검정
• Ⅳ. 논 의
• Ⅴ. 결론 및 제언
• 참고문헌