The Effects of Simulation Based Practical Education on Nursing Students' Self-efficacy, Performance Confidence, and Educational Satisfaction

Objective: This study is a single-group pre-post experimental study to determine the effects of simulation-based practice education on nursing students' self-efficacy, performance confidence, and educational satisfaction.Design: Single-group pre-post experimental studies Methods: This study was conducted from September 1, 2023 to November 30, 2023 for nursing undergraduate students in a simulation based practical education program.The subjects were provided with learning materials about an acute myocardial infarction case with chest pain for preliminary learning.After that, they were divided into teams of 6 people and asked to do self-study for 2 hours per team, twice a week, before conducting simulation practice.For the simulation based practical education, the participants were divided into 9 teams of 6 people each, and each team had 10 minutes for orientation, 15 minutes for scenario operation, and 50 minutes for debriefing.Results: After the simulation based practical education, self-efficacy increased statistically significantly from a mean of 3.51 before training to a mean of 3.80 after training (t＝-2.12,p＝0.038).However, there was no significant difference in performance confidence.There was a significant positive correlation between self-efficacy and performance confidence (r＝0.62,p＜0.001) and training satisfaction (r＝0.67,p＜0.001) after the simulation based practical education.Self-confidence was also significantly correlated with educational satisfaction (r＝0.76,p＜0.001). Conclusions:The results of this study showed that utilizing simulation-based practical education can increase nursing students' self-efficacy, which positively affects their performance confidence and educational satisfaction.Therefore, simulation-based practical education is an effective nursing education method that can improve nursing students' practical skills.