2017 Volume 27 Issue 2 Pages 41-53
〔Purpose〕The objectives of this study were to evaluate a simulation exercise program based on an instructional design and create a reliable and valid tool to assess learning outcomes for this program.
〔Methods〕 We trialed this exercise program in nursing students at A university using example scenarios and human patient simulation manikins （HPSMs）. Evaluations were completed using an anonymous questionnaire. The evaluation tool was examined by item analysis, confirmatory factor analysis, and the omega coefficient. Learning outcomes and program evaluation were compared using t-tests or the Mann-Whitney U test.
〔Results〕A total of 142 students were subject to analysis. A tool was built that evaluated higher cognitive abilities and the affective domain as learning outcomes （both Comparative Fit Index ≥ 0.950, Root Mean Square Error of Approximation ≤ 0.08, omega coefficient ≥ 0.8）. Reliability and validity of the program evaluation tool were also confirmed. A significant increase was seen in higher cognitive abilities （p < 0.001） and mean scores for items in the affective domain evaluation were high at ≥ 4 points. Learning outcomes and program evaluations did not differ significantly between groups using different example scenarios.
〔Discussion〕 The above findings are results that support the utility of this program. Higher cognitive abilities, i.e., the ability to put thoughts into practice, were found to be enhanced by the exercise program.
