FEATURESEffects of a System Thinking-Based Simulation Program for Congestive Heart FailureKim, Hyeon-Young PhD, MBA, RN; Yun, Eun Kyoung PhD, RNAuthor Information Author Affiliations: Department of Nursing (Dr Kim), College of Health Science and Social Welfare, Sahmyook University; and College of Nursing Science (Dr Yun), Kyung Hee University, 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: Eun Kyoung Yun, PhD, RN, College of Nursing Science, Kyung Hee University, 26, Kyungheedae-Ro, Dongdaemun-Gu, Seoul, Republic of Korea, 02447 (email@example.com). CIN: Computers, Informatics, Nursing: March 2018 - Volume 36 - Issue 3 - p 147-153 doi: 10.1097/CIN.0000000000000401 Buy Metrics Abstract This study evaluated a system thinking–based simulation program for the care of patients with congestive heart failure. Participants were 67 undergraduate nursing students from a nursing college in Seoul, South Korea. The experimental group was given a 4-hour system-thinking program and a 2-hour simulation program, whereas the control group had a 4-hour case study and a 2-hour simulation program. There were significant improvements in critical thinking in both groups, but no significant group differences between educational methods (F = 3.26, P = .076). Problem-solving ability in the experimental group was significantly higher than in the control group (F = 5.04, P = .028). Clinical competency skills in the experimental group were higher than in the control group (t = 2.12, P = .038). A system thinking–based simulation program is a more effective learning method in terms of problem-solving ability and clinical competency skills compared to the existing simulation program. Further research using a longitudinal study is needed to test the long-term effect of the intervention and apply it to the nursing curriculum. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.