Lee Eun-Hye, Shin Sung-Rae
College of Nursing, Sahmyook University, 815, Hwarang-ro, Nowon-gu, Seoul, 01795, Republic of Korea.
BMC Nurs. 2025 May 12;24(1):512. doi: 10.1186/s12912-025-03141-6.
Smoking is still a one of the critical preventable factors for human health, Nurses are healthcare providers who can help patients quit smoking. The subject for Smoking cessation counseling is not routinely included in nursing curricula.
The purpose of this study was to develop a virtual simulation for smoking cessation counseling education for nursing students and to increase the motivation and competence of research participants in smoking cessation counseling intervention. A quasi-experimental, nonequivalent control group, nonconcurrent pretest-posttest design was used to evaluate the effectiveness of the virtual simulation-based smoking cessation counseling education program. The VSCCEP(Virtual simulation-based Smoking Cessation Counseling Education Program) was developed based on the ADDIE model, utilizing the content required for tobacco cessation counseling education. The subjects of this study were third-year nursing students from two universities located in S city included 39 participants in the experimental group and 36 in the control group. The research data were collected from September 30, 2024 to November 5, 2024. We were analyzed using descriptive statistics and the t-test, paired t-tests.
Total research participants was 76 divided 2 groups. Autonomous motivation for smoking cessation counseling increased statistically significantly in the experimental group before and after VSCCEP (t=-3.33, p = .002), and there was also a statistically significant difference when compared to the control group (t=-2.05, p = .044). There was a statistically significant increase in control motivation for cessation counseling among experimental group subjects before and after VSCCEP (t=-3.67, p = .001) and no statistically significant difference when compared to the control group (t=-1.44, p = .153). Perceived competence in cessation counseling was statistically significantly increased in the experimental group (t=-4.51, p < 001), with a statistically significant increase in the control group (t=-2.58, p = .014), but not statistically significant when compared to the control group (t=-0.99, p = .324).
The results of this study confirmed the efficacy of the developed VSCCEP in enhancing nursing students' motivation and perceived competence in tobacco cessation counseling. These findings suggest that integrating virtual simulation programs into nursing education can strengthen practical counseling skills and support the development of autonomous, practice-ready nurses for tobacco cessation interventions.
吸烟仍然是危害人类健康的关键可预防因素之一，护士作为医疗服务提供者，能够帮助患者戒烟。然而，戒烟咨询这一主题并未常规纳入护理课程。
本研究旨在为护理专业学生开发一个戒烟咨询教育的虚拟模拟程序，以提高研究参与者在戒烟咨询干预中的积极性和能力。采用准实验、非等效对照组、非同期前后测设计来评估基于虚拟模拟的戒烟咨询教育项目的有效性。基于ADDIE模型，利用戒烟咨询教育所需内容开发了虚拟模拟戒烟咨询教育项目（VSCCEP）。本研究的对象是S市两所大学的三年级护理专业学生，其中实验组有39名参与者，对照组有36名参与者。研究数据收集于2024年9月30日至2024年11月5日。采用描述性统计和t检验、配对t检验进行分析。
总共有76名研究参与者被分为两组。实验组在接受VSCCEP前后，戒烟咨询的自主动机有显著统计学意义的增加（t = -3.33，p = 0.002），与对照组相比也有显著统计学差异（t = -2.05，p = 0.044）。实验组在接受VSCCEP前后，戒烟咨询的控制动机有显著统计学意义的增加（t = -3.67，p = 0.001），与对照组相比无显著统计学差异（t = -1.44，p = 0.153）。实验组在戒烟咨询方面的自我效能感有显著统计学意义的增加（t = -4.51，p < 0.001），对照组也有显著增加（t = -2.58，p = 0.014），但与对照组相比无显著统计学差异（t = -0.99，p = 0.324）。
本研究结果证实了所开发的VSCCEP在提高护理专业学生戒烟咨询动机和自我效能感方面的有效性。这些发现表明，将虚拟模拟程序纳入护理教育可以增强实际咨询技能，并支持培养能够自主开展戒烟干预的、做好实践准备的护士。
