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The Effects of Psychiatric Nursing Simulation on Anxiety and Self-confidence about Clinical Placement of Nursing Students
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 Title & Authors
The Effects of Psychiatric Nursing Simulation on Anxiety and Self-confidence about Clinical Placement of Nursing Students
Han, Jong-Sook; Baek, Hee Chong; Jeong, An-Soon;
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Nursing students experienced anxiety and fear of building relationships with psychiatric patients due to lack of professional knowledge about metal illness and skill to take care of the patients. The simulation education is known as an effective teaching-learning method since being performed in a non-threatening environment similar to clinical setting. The purpose of this nonequivalent quasi-experimental study was to identify the effect of simulation on anxiety and self-confidence about the psychiatric-mental health nursing practice. The third year nursing students at a three year nursing program were participated in this study. For the experimental group (N=28) the simulation education using the standardized patient based on the scenario for patients with schizophrenia was performed, and for the control group (N=18), the debated education applying the case study same as for the experimental group was made in the class. Using SPSS, t-test and ANCOVA were analyzed to compare the anxiety and self-confidence between the experimental and control groups. As a result of the study, the anxiety score on psychiatric-mental health nursing clinical practice of the experimental group significantly decreased, compared to that of the control group, but the self-confidence score for the performance of psychiatric nursing care showed no significant differences between the groups. Accordingly the simulation education can be an effective educational method to reduce anxiety about psychiatric-mental health nursing clinical practice for nursing students.
Anxiety;Nursing Student;Self-confidence;Simulation;Standardized Patient;
 Cited by
S. Yang, et at., "Psychiatric-mental health nursing (4th ed.)", pp17, Seoul: Hyunmoonsa, 2011.

J. W. Park, N. S. Ha, "Nursing students' clinical experiences", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.12, No.1, pp. 27-35, 2003.

H. S. Lee, E. J. Kim, "The comparison of stress coping and satisfaction with clinical practice according to the grade of nursing college student", Journal of East-West Nursing Research, Vol.14, No.1, pp. 5-13, 2008.

J. I. Kim, J. S. Lee, "Effects of clinical training on stress, anxiety and changes in autonomic nervous system in nursing students", Journal of Korean Biological Nursing Science, Vol.13, No.2, pp. 102-108, 2011.

S. Y. Han, Y. M. Lee, "The relationship between anxiety, anger and fatigue among stress factor of nursing students in clinical practice", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.2, pp. 554-561, 2012. DOI: crossref(new window)

F. Sharif, S. Masoumi, "A qualitative study of nursing student experiences of clinical practice", BioMed Central Nursing, Vol.4, No.6, pp. 1-7, 2005. DOI:

B. J. Hung, X. Y. Huang, M. J. Lin, "The first experiences of clinical practice of psychiatric nursing students in Taiwan: a phenomenological study", Journal of Clinical Nursing, Vol.18, No.22, pp. 3126-3135, 2009. DOI: crossref(new window)

M. S. Hyun, M. A. Seo, "Clinical practicum experiences of the nursing students' in psychiatric settings", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.9, No.1, pp. 44-53, 2000.

M. H. Kim, "Phenomenological research of lived-experience of nursing students' clinical practicum in psychiatric departments", Journal of Qualitative Research, Vol.15, No.1, pp. 13-23, 2014.

J. I. Bai, "A study on the stress and recognition for psychiatric patients of nursing students during the clinical experience in the psychiatric unit", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.8, No.2, pp. 411-423, 1999.

E. J. Choi, "The relationship between the nursing students' self-esteem and the stress experienced in psychiatric nursing practice", Unpublished master's thesis, Chosun University, 2006.

H. N. Ahn, "A study on the stress experienced by nursing students during clinical experience in psychiatric ward", Unpublished master's thesis, Chosun University, 2004.

K. Flynn, "The use of standardized patients to minimize anxiety in undergraduate nursing students in the clinical setting", Unpublished master's thesis, St. Catherine University, 2012.

S. Y. Park, Y. R. Kweon, "The effect of using standardized patients in psychiatric nursing practical training for nursing college students", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.21, No.1, pp. 79-88, 2012. DOI: crossref(new window)

F. Faul, E. Erdfelder, A. Buchner, A. G. Lang, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, Vol.41, No.4, pp. 1149-1160, 2009. DOI: crossref(new window)

P. Wallace, "Coaching standardized patients: For use in the assessment of clinical competence", pp. 17, New York: Springer Publishing Company, 2007.

C. D. Spielberger, "Manual for the State-Trait anxiety inventory: STAI (Form Y)", Palo Alto, California: Consulting Psychologists Press, 1983.

D. W. Hahn, C. H. Lee, K. K. Chon, "Korean adaptation of Spielberger's STAI (K-STAI)", Korean Journal of Health Psychology, Vol.1, No.1, pp. 1-14, 1996.

C. Larew, S. Lessans, D. Spunt, D. Foster, B. G. Covington, "Innovations in clinical simulation: Application of Benner's theory in an interactive patient care simulation", Nursing Education Perspectives, Vol.27, No.1, pp. 16-21, 2006.

M. E. Megel, J. Black, L. Clark, P. Carstens, L. D. Jenkins, J. Promes, M. Snelling, K. E. Zander, A. Bremer, T. Goodman, "Effect of high-fidelity simulation on pediatric nursing students' anxiety", Clinical Simulation in Nursing, Vol.8, No.1, pp. 419-428, 2012. DOI: crossref(new window)

H. S. Kim, M. R. Eom, "Nursing students' attitude toward the mental illness and ego state according to psychiatric nursing education", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.14, No.3, pp. 276-284, 2005.

S. J. Choi, M. S. Kwon, S. H. Kim, H. M. Kim, Y. S. Jung, G. Y. Jo, "Effects of using standardized patients on nursing competence, communication skills, and learning satisfaction in health assessment", The Journal of Korean Academic Society of Nursing Education, Vol.19, No.1, pp. 97-105, 2013. DOI: crossref(new window)

C. S. Kim, "Development and effect of high fidelity patient simulation education program for nursing students", Unpublished doctoral dissertation, The Catholic University of Korea, 2013.

Y. A. Song, Y. J. Son, "Effects of simulation-based practice education for core skill of maternity nursing", Korean parent-child Health Journal, Vol.16, No.1, pp. 37-44, 2013.

Y. K. Ha, C. K. Koh, "The effects of mechanical ventilation simulation on the clinical judgment and self-confidence of nursing students", Perspectives in Nursing Science, Vol.9, No.2, pp. 119-126, 2012.

S. Y. Yoo, "Development and effect of simulationbased education program for newborn emergency care", Unpublished doctoral dissertation, Ewha Womans University, 2013.

B. A. Murray, "The use of high-fidelity simulation in psychiatric and mental health nursing clinical education", International Journal of Health Sciences Education, Vol.2, No.1, pp. 1-12, 2014.

H. J. Son, J. U. Kim, Y. R. Yi, B. M. Hwang, "The change of perception according to the fidelity of simulation in objective structured clinical examination for procedural skill of 4th medical students", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.3, pp. 1178-12185, 2012. DOI: crossref(new window)