The Effect of a Simulation Education Program using Team-based Learning on Ego-Resilience, Communication, and Clinical Competence of Nursing Students

Abstract

The team-based simulation education allows students to experience the process of evaluating and integrating new information and ideas through active interaction among team members in imitation of real-world scenario. This study investigated the effect of team-based simulation education program on ego-resilience, communication, and clinical competence among nursing students. This study was a quasi-experimental study, one-group pre-posttest design. The participants comprised 82 nursing students in their fourth year of college and a total of 20 teams of four to five members each were created. The team-based simulation education program in this study was conducted for two hours per week, for a total of 30 hours. All data were analyzed using SAS 9.2. The demographic characteristics, ego-resilience, communication, and clinical competence of participants were analysed using real numbers, percentages, and means. Ego-resilience, communication, and clinical competence according to the pre-and post-program were analysed using paired t-tests. The correlations among ego-resilience, communication, and clinical competence were measured used Pearson's correlation coefficients. The results of this study are as follows. The ego-resilience scores significantly increased after the intervention (t=2.84, p=.0057). While communication scores increased after the intervention, no significant difference was found, (t=1.74, p=.0859). Furthermore, the clinical competence scores for all five domains showed significant increases (t=4.00, p=<.0001). A team-based simulation education program that replicates real-world clinical settings is believed to improve teamwork and enable students to acquire clinical competence and communication skills that can be applied to clinical practice. The program significantly improved ego-resilience, a psychological factor that influences practical competence, and this is significant in that this study proved that the program has a psychological effect in achieving quick and efficient psychological and physiological recovery using positive emotions in a stress situation.