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Effects of Simulation With Problem-Based Learning Program on Metacognition, Team Efficacy, and Learning Attitude in Nursing Students: Nursing Care With Increased Intracranial Pressure Patient

Lee, Myung-Nam PhD, RN; Nam, Kyung-Dong PhD, MBA, RN; Kim, Hyeon-Young PhD, MBA, RN

CIN: Computers, Informatics, Nursing: March 2017 - Volume 35 - Issue 3 - p 145–151
doi: 10.1097/CIN.0000000000000308

Nursing care for patients with central nervous system problems requires advanced professional knowledge and care skills. Nursing students are more likely to have difficulty in dealing with adult patients who have severe neurological problems in clinical practice. This study investigated the effect on the metacognition, team efficacy, and learning attitude of nursing students after an integrated simulation and problem-based learning program. A real scenario of a patient with increased intracranial pressure was simulated for the students. The results showed that this method was effective in improving the metacognitive ability of the students. Furthermore, we used this comprehensive model of simulation with problem-based learning in order to assess the consequences of student satisfaction with the nursing major, interpersonal relationships, and importance of simulation-based education in relation to the effectiveness of the integrated simulation with problem-based learning. The results can be used to improve the design of clinical practicum and nursing education.

Author Affiliations: Department of Nursing, College of Health Science, Kangwon National University (Dr Lee), Samcheok; and Department of Clinical Simulation, Samsung Medical Center (Dr Nam), and Department of Nursing, College of Health Science and Social Welfare, Sahmyook University (Dr Kim), Seoul, Republic of Korea.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Hyeon-Young Kim, PhD, MBA, RN, Department of Nursing, College of Health Science and Social Welfare, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul, Republic of Korea (

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