학습자 기반 실감(XR)콘텐츠 학습을 포함한 시뮬레이션 실습을 경험한 간호대학생의 비판적사고능력과 문제해결능력이 임상수행능력에 미치는 영향

The effect of critical thinking disposition, problem-solving process on clinical performance ability among nursing students who experienced learner-based XR content learning and simulation practice

Purpose: This study aimed to examine critical thinking disposition, problem-solving process, and clinical performance ability in nursing students, and to identify key predictors of clinical performance. Methods: A descriptive survey was conducted with 199 fourth-year nursing students in Seoul and Gyeonggi-do who had participated in learner-centered XR content and simulation-based practice. Data were collected using validated self-report questionnaires and analyzed using SPSS 25.0 using descriptive statistics, independent t-tests, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis. Results: Critical thinking disposition was positively correlated with both problem-solving process(r=.52, p ＜.001) and clinical performance ability(r=.51, p ＜.001). A strong correlation was observed between problem-solving process and clinical performance ability(r=.99, p＜ .001). Multiple regression analysis revealed that the problem-solving process significantly predicted clinical performance ability(β =.67, p =.030). The model explained 27.1% of the variance in clinical performance ability(F=36.76, p ＜.001). Conclusions: Problem-solving-based education that reflects real clinical settings is essential for improving clinical performance ability in nursing students. Repetitive practice and constructive feedback can enhance both the problem-solving process and clinical performance abilities. Although critical thinking disposition did not have a direct effect, it may serve as a mediating factor and should also be supported in educational strategies.