The Relationship among Clinical Competence on Diabetic Diet Education Using Standardized Patients, Self-efficacy, Communication, Learning Satisfaction, and Professional Values of Nursing Students

표준화 환자를 활용한 간호학생의 당뇨식이교육 수행능력과 자기효능, 의사소통, 학습만족도 및 간호전문직관의 상관관계

  • 현경선 (경희대학교 간호과학대학) ;
  • 정연희 (경희대학교 간호과학대학)
  • Received : 2010.01.05
  • Accepted : 2010.03.31
  • Published : 2010.04.30

Abstract

Purpose: The purpose of this study is to identify the relationship among clinical competence of diabetic diet education on standardized patients, self-efficacy, communication skill, learning satisfaction, and professional values of nursing students. Methods: The present study was a descriptive research. The participants were 144 junior nursing students in a university. The clinical competence on diabetic diet education was assessed by trained evaluators when nursing students performed diabetic diet education using the standardized patients. The students' self-efficacy, communication skill, professional values, and learning satisfaction were measured by themselves using the questionnaires. Results: The clinical competence on diabetic diet education showed positive correlations with communication skill and learning satisfaction, while the competence was not correlated to self-efficacy and professional values. Conclusion: The results of this study suggest that clinical competence on diabetic diet education may be more related to communication skills and learning satisfaction than self-efficacy and professional values. Promoting communication skills and learning satisfaction using a standardized patient may increase nursing students' competence on diabetic diet education.

Keywords

References

  1. Bandura, A. (1977). Self efficacy: Toward a unifying theory of behavior change. Psychological Review, 84, 191-215.
  2. Barrows, H. S. (1993). An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine: Journal of the Association of American Medical Colleges, 68, 443-451. https://doi.org/10.1097/00001888-199306000-00002
  3. Cho, M. H., & Kwon, I. S. (2007). A study on the clinical practice experiences on nursing activities of nursing students, The Journal of Korean Academic Society of Nursing Education, 13, 143-154.
  4. Choi, J. Y., Jang, K. S., Choi, S. H., & Hong, M. S. (2008). Validity and reliability of a clinical performance examination using standardized patients. Journal of Korean Academy of Nursing, 38, 83-91. https://doi.org/10.4040/jkan.2008.38.1.83
  5. Guglielmino, L. M. (1977). Development of the self-directed learning readiness scale. Unpublished doctoral dissertation. University of Georgia, Georgia, USA.
  6. Habermas, J. (1995). Theorie des Kommunikativen Handelns; Zur Kritik der funktionalistischen Vernunft. Frankfurt: Am Main Suhkamp.
  7. Han, S. S., Kim, M. H., & Yun, E. K. (2008). Factors affecting nursing professionalism. The Journal of Korean Academic Society Nursing Education, 14, 73-79.
  8. Hauer, K. E., Teherani, A., Kerr, K. M., O'Sullivan, P. S., & Irby, D. M. (2007). Student performance problems in medical school clinical skills assessments. Academic Medicine, 82(10 Suppl), S69-S72.
  9. Hyun, K. S., Kang, H. S., Kim, W. O., Park, S., Lee, J., & Sok, S. (2009). Development of a multimedia learning DM diet education program using standardized patients and analysis of its effects on clinical competency and learning satisfaction for nursing students. Journal of Korean Academy of Nursing, 39, 249-258. https://doi.org/10.4040/jkan.2009.39.2.249
  10. Im, Y. W., & Lee, O. H. (2008). A study on relation among the learning participation, learning satisfaction and academic achivement of cyber learners. The Journal of Yeolin Education, 16(2), 177-200.
  11. Kim, J. I. (1994). An effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Kim, Y. H., Kang, S. Y., Kim, M. W., Jang, K. S., & Choi, J. Y. (2008). Usefulness of clinical performance examination for graduation certification of nursing students. Journal of Korean Academy of Nursing Administration, 14, 344-351.
  13. Kim, Y. S., Kim, M. S., & Cho, W. S. (2002). A study on the relationship between self esteem, self efficacy and clinical practice performance, academic achievement, decision making of major field in clinical practice. The Journal of Korean Academic Society of Nursing Education, 8, 51-60.
  14. Kim, H. S., Yi, Y. J., & Yang, I. S. (2005). The effects of clinical practice in school on clinical competence in nurse. The Journal of Korean Academic Society of Nursing Education, 11, 206-213.
  15. Kong, B. H., Lee, W. H., Kim, I. S., Kim, S., & Lee, S. H. (2007). An ethical appraisal of informed consent in the clinical setting. Journal of Korean Academy of Adult Nursing, 19, 556-566.
  16. Korean Accreditation Board of Nursing (2006). Accreditation manual with interpretive guidelines for four-year nursing programs. Seoul: Korean Accreditation Board of Nursing.
  17. Laidlaw, T. S., Kaufman, D. M., MacLeod, H., van Zanten, S., Simpson, D., & Wrixon, W. (2006). Relationship of resident characteristics, attitudes, prior training and clinical knowledge to communication skills performance. Medical Education, 40(1), 18-25. https://doi.org/10.1111/j.1365-2929.2005.02345.x
  18. Lee, J. Y. (2004). A study on the selection of content delivery strategies to improve learner satisfaction and performance of e-learning courses in higher education. Journal of Educational Technology, 20(4), 185-214
  19. Seong, K. Y. (2008). Effects of practice nursing education: Using standardized patients on subcutaneous insulin injection. Unpublished master's thesis, Eulji University, Daejeon.
  20. Sherer, M., & Maddux, J. E. (1982). The self efficacy-scale: Construction and validation. Psychological Reports, 51, 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  21. Shue, C. K., & Arnold, L. (2009). Medical students' interviews with older adults: An examination of their performance. Health Communication, 24(2), 146-155. https://doi.org/10.1080/10410230802676524
  22. Sok, S. H., Kang, H. S., Kim, W. O., Hyun, K. S., Lee, J., & Park, S. (2009). Effects and development of clinical competency evaluation using standardized patients among nursing students: Based on abdominal surgical patients. Journal of Korean Academy of Adult Nursing, 21(5), 468-476.
  23. Tsai, J. C., Liu, K. M., Lee, K. T., Yen, J. C., Yen, J. H., Liu, C. K., et al. (2008). Evaluation of the effectiveness of postgraduate general medicine training by objective structured clinical examination-pilot study and reflection on the experiences of Kaohsiung Medical University Hospital. The Kaohsiung Journal of Medical Science, 24(12), 27-33.
  24. Whang, S. J. (2006). The relationship between clinical stress, self efficacy and self-esteem of nursing college students. The Journal of Korean Academic Society of Nursing Education, 12, 205-213
  25. Wimmers, P. F., & Fung, C. C. (2008). The impact of case specificity and generalisable skills on clinical performance: A correlated traits-correlated methods approach. Medical Education, 42, 580-588. https://doi.org/10.1111/j.1365-2923.2008.03089.x
  26. Wolman, B. (1989). Dictionary of behavioral science. SanDiego: Academic press.
  27. Yeun, E. J., Kwon, Y. M., & Ahn, O. H. (2005). Development of a nursing professional values scale. Journal of Korean Academy of Nursing, 35, 1091-1100.
  28. Yoo, M. S. (2000). Development of standardized patient managed instruction for a fundamentals of nursing course. Unpublished doctoral dissertation, Yonsei University, Seoul.