간호대학생의 표준화 환자를 활용한 실습교육의 효과에 대한 체계적 문헌고찰 및 메타분석

Systematic Literature Review and Meta-analysis regarding the Effects of Practical Education using Standardized Patients on Nursing Students

Objectives : The objective of this study was to systematically analyze the effects of practical education using standardized patients on nursing students and identify variables influencing effect size through a meta-analysis. Methods : Seven studies, published between January 2000 and July 2024 in domestic and international journals, were selected based on specific inclusion criteria for this systematic review. RevMan 5.4 software was used to analyze overall effect sizes, categorizing the educational outcomes of standardized patient-based training into cognitive, affective, and psychomotor domains. Results : The overall effect size of practical education using standardized patients for nursing students was highest in the psychomotor domain(SMD＝1.84), followed by the affective (SMD＝1.08) and cognitive domains(SMD＝0.59), all of which were statistically significant. Specifically, communication skills(SMD＝1.85) and nursing skills(SMD＝1.85) in the psychomotor domain were statistically significant. In the affective domain, learning motivation (SMD＝0.77) had a significant effect, while in the cognitive domain, problem-solving ability(SMD＝0.59) demonstrated a significant effect. Conclusions : The findings of this study provide foundational evidence to support the development of effective standardized patient-based education programs aimed at enhancing nursing students’ competencies and clinical adaptation.