Abstract

The purpose of this study was to analyze the effectiveness of integrated simulations conducted by virtual simulation and in situ simulation among nursing college students during COVID-19. This study was conducted from July 7 to 9, 2020 and the participants included 126 fourth-year nursing college students. Integrated simulation consisted of virtual simulation, teledebriefing, pre-briefing, in situ simulation, and debriefing. The results showed that after the use of various simulation modules and the training of integrated simulations incorporating virtual and in situ simulation training, critical thinking (t=5.20, p=<0.001), clinical judgment (t=6.71, p=<0.001), and simulation effectiveness (t=3.53, p=0.001). These findings could help establish the direction for more diverse forms of simulation-based education and it should be conducted in future nursing simulation during this COVID-19 pandemic era.