Effect of Simulation Training on Nursing Students in Adult Nursing

Sunday, 30 July 2017

Takashi Ohue, PhD, RN1
Chise Wada, MSN1
Mari Hirota, MSN1
Sachiko Shiragami, MSN1
Chiaki Otsuka, MSN, RN, CPCN2
Takako Sagino, MSN1
Mutsue Shio, MSN1
Yoshiko Ishida, MSN1
Taku Kodama, PhD1
(1)Department of Nursing, Faculty of Health Science, Hyogo University, hyogo, Japan
(2)Department of Nursing, Faculty of Health Science, Hyogo University, Kakogawa, Japan

<Purpose>This study aimed at verifying a student nurse's simulation education effect in adult nursing.

<Method>The subject was targeted at the third-year nursing student (120 persons) who is taking a lecture on the Adult Nursing Methodology I simulation education in 2016. Evaluation of intervention were asked to complete a questionnaire that measured the image about an operation (the SD method), normative attitude toward helping scale, Scale of Oriented Problem Solving Behavior in Nursing Practice(OPSN). Measurement was performed 2 times of a baseline, after the end of session. Analysis of t-test was performed. The scenario set up the 1st day (atelectasis, postoperative bleeding) after the operation of the patient of stomach cancer. After performing assessment, a related figure, and nursing care plan planning by a paper patient to a case, the simulation was carried out for 60 minutes and it carried out for debriefing 30 minutes into the group.


The subjects included the nurses students (n=91; 14 male 77females) who were able to participate in all sessions. According to the results, about the image of an operation, "flexible - stereotyped," (p< 0.01), "serene- tense," (p< 0.01), "instability - stability," (p< 0.01), " "lively - settled," (p< 0.01) , " "Cool - Hot," (p< 0.01) , "The image sum total of the operation" (p< 0.01) was significant. Moreover, With regard to subscales of normative consciousness, "normative attitude toward helping" (p< 0.05) improved intentionally. With regard to subscales of Oriented Problem Solving Behavior in Nursing Practice (OPSN), "Giving assistance in patients’ activities in daily living and treatment, alleviating symptoms, and maintaining and promoting life function for solving and avoiding problems, and their individualization" (p< 0.05), "Making smooth interaction with patients in order to solve problems" (p< 0.05), "Changes in values brought about by self-evaluation of the extent of problem-solving " (p< 0.05) was significant.

Conclusion: It was suggested that the simulation to the student nurse in adult nursing science was considered that the validity as nursing education was confirmed.