Myung Suk Koh

The effects of simulation-based learning using standardized patients in nursing students: A meta-analysis☆ , ☆☆

PURPOSE The aim of this study was to evaluate the effect of simulation-based learning using standardized patients (SPs) on cognitive, affective, and psychomotor domain outcomes of learning in nursing students. METHODS MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL, and several Korean electronic databases (to June 2014) were searched. The RevMan 5.3 program of the Cochrane library was used for data analysis. RESULTS A meta-analysis was conducted of 18 controlled trials (4 randomized and 14 non-randomized designs), with a total of 1326 nursing students. Overall, simulation-based learning using SPs appeared to have beneficial effects on the cognitive, affective, and psychomotor domains of learning. In subgroup analysis, use of SPs showed significant effects on knowledge acquisition (d=0.38, p=.05, I(2)=42%), communication skill (d=1.86, p<.001, I(2)=15%), self-efficacy (d=0.61, p<.001, I(2)=6%), learning motivation (d=0.77, p<.001, I(2)=0%) and clinical competence (d=0.72, p<.001, I(2)=0%). Treatment effects on critical thinking (p=.75) and learning satisfaction (p=.43) were not significant. CONCLUSION The findings of the current study suggest that simulation-based learning using SPs might have a positive impact on self efficacy and learning motivation that affects knowledge and clinical skill acquisition. Therefore, these findings demonstrate that, if integrated appropriately, an SP educational approach can be used in academic settings as an active learning methodology.

The Influence of Creative Action and Locus of Control on Self-leadership among RN-BSN

The purpose of this study was to learn the impact of creative action and locus of control on the self-leadership among RN-BSN students. 135 RN-BSN students participated after being told the research information. The results were as follows: first, mean of locus of control was 1.42, creative action was 3.26, and self-leadership was 3.63. Second, the differences according to general characteristics for the variable of locus of control, workers at hospitals were higher than non workers. For creative action, and self-leadership, those over age 30 and charge nurses rated higher than those below 20 and staff nurses. The last, locus of control and creative action had influence on the self-leadership. The conclusion was that if each nursing organization wants to improve its nurses` self leadership, it must consider nurses` locus of control, and creative action.