The Impact of Communication Skills and Learning Satisfaction on Nursing Students' Learning Self-efficacy in Simulation Education Linked to Flipped Learning

Objectives This study is a retrospective descriptive correlational research aimed at determining the extent to which communication skills and learning satisfaction, developed through flipped learning-integrated simulation education, influence the self-efficacy of nursing students. Methods The study was conducted with 164 senior nursing students from G University in G City, and data were collected between March and June 2023. The collected data were analyzed using SPSS WIN 26.0, employing descriptive statistics, independent t-test, one-way ANOVA, correlation analysis, and hierarchical multiple regression. Results The data analysis revealed that nursing students' learning self-efficacy significantly differed based on their reasons for choosing the nursing program and preferred teaching methods. Furthermore, communication skills and learning satisfaction showed a significant positive correlation with learning self-efficacy. The variables influencing academic self-efficacy were found to be program choice motivation, communication skills, and learning satisfaction, which together explained 44% of the variance in learning self-efficacy. Conclusions To enhance nursing students' learning self-efficacy in flipped learning-based simulation education, it is important to consider the variables of communication skills and learning satisfaction as key strategies.