DOI QR코드

DOI QR Code

Effects of High-fidelity Simulation-based Education on Nursing Care for Patients with Acute Chest Pain

시뮬레이션을 활용한 급성 흉통환자간호 실습교육의 효과

  • Received : 2013.05.10
  • Accepted : 2014.03.06
  • Published : 2014.03.31

Abstract

This study applies simulation-based education and care for acute myocardial infarction nursing students to investigate the effect of critical thinking, problem solving, and academic achievement of a single group before and after the raw experimental design. A total of 137 subjects were arbitration period September-October 2011, enforcement and arbitration were evaluated after simulation-based training six weeks total. Data analysis was performed using SPSS Win17.0, Paired t-test, the mean and standard deviation, Pearson's correlation coefficient was used. Research results of simulation-based training program to improve critical thinking, problem solving, and academic achievement were As increase critical thinking and problem solving ability was improved. whereas, Critical thinking skills and problem solving ability was no significant difference with academic achievement. Simulation-based training program to improve the practical skills of nursing students learning was found how useful it, that there is a need to take advantage of hands-on training in a variety of cases that can be common in the field of clinical scenarios developed by. To do this, It seems to be necessary to the development and operation more varied and appropriate hands-on training method.

본 연구는 간호학생의 급성 심근경색증 간호에 대한 시뮬레이션 기반 교육을 적용하고 비판적 사고, 문제해결력 및 학업성취도의 효과를 규명한 단일군 전후 원시실험설계이다. 대상자는 총 137명이었으며 중재기간은 2011년 9월부터 10월까지 총 6주간 시뮬레이션 기반 교육을 시행하고 중재 전후를 평가하였다. 자료분석은 SPSS Win17.0을 사용하였고, 평균과 표준편차, Paired t-test, 피어슨 상관계수를 이용하였다. 연구 결과 시뮬레이션 기반 교육프로그램은 비판적 사고, 문제해결력 및 학업성취도를 향상시키는 것으로 나타났다. 비판적사고가 증대될수록 문제해결력은 향상되는 것으로 나타났다. 반면 비판적사고 능력과 문제해결력은 학업성취도와 유의한 차이가 없었다. 시뮬레이션 기반 교육프로그램은 간호학생의 실무능력을 향상시키기 위해 유용한 학습방법임을 알 수 있었고, 임상현장에서 흔히 접할 수 있는 다양한 사례의 시나리오를 개발하여 실습교육에 적극 활용할 필요가 있다. 이를 위해서는 더 다양하고 적절한 실습교육방법에 대한 개발과 운영이 필요할 것으로 보인다.

Keywords

References

  1. Kim. D. H., Lee. Y. J., et al., "Effects of a Simulation-based Intergrated Clinical Practice Program(SICPP) on the Problem Solving Process, Clinical Competence and Critical Thinking in a Nursing Student," J Korean Acad Soc Nurs Edu, vol. 18(3), pp. 499-509, December, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.3.499
  2. Yang, J. J. "The Effects of a Simulation-Based Education on the Knowledge and Clinical Competence for Nursing Students," J Korean Acad Soc Nurs Edu, vol. 18(1), pp. 14-24, April, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.1.014
  3. Kim, H. R. et al. "The Relationship among Learning Satisfaction, Learning Attitude, Self-efficacy and the Nursing Students' Academic Achievement after Simulation-based Education on Emergency Nursing Care," J Korean Acad Soc Nurs Edu, vol. 17(1), pp. 5-13, April, 2011. DOI: http://dx.doi.org/10.5977/JKASNE.2011.17.1.005
  4. Cant, R. P., & Cooper, S. J. "Simulation -based learning in nurse education: Systematic review," Journal of Advanced Nursing, 66(1), pp. 3-15, 2010. DOI: http://dx.doi.org/10.1111/j.1365-2648.2009.05240.x
  5. Hur, H. K., & Park, S. M. "Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students," J Korean Acad Soc Nurs Edu, vol. 18(1), pp. 111-119, April, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.1.111
  6. Chang, S. J. et al. "The Effects of Simulation Training for New Graduate Critical Care N-efficacy, and Performaance Ability of Emergency Situations at Intensive Care Unit," Korean Society of Adult Nursing, Vol.22(4), pp.375-383, August, 2010.
  7. Ham, Y. L. "Development and evaluation of a simulation educational program using a high-fidelity patient simulator for undergraduate nursing students," A Doctoral Dissertation, Yonsei University, 2009.
  8. Lee, W. S., & Kim, M. O. "Effects and Adequacy of High-Fidelity Simulation-Based Training for Obsterical Nursing," Korean Society of Nursing, Vol.41(4), pp.433-443, August, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.4.433
  9. Lee, J. H., & Choi, M. N. "Evaluation of Effects of a Clinical Reasoning Course among Undergraduate Nursing Students," Korean Society of Adult Nursing, Vol.23(1), pp.1-9, February, 2011.
  10. Yun, J. "Development of an Instrument for the Measurement of Critical Thinking Disposition : In Nursing," A Doctoral Dissertation, Catholic University, 2004.
  11. Lee, J. S. "The effects of process behaviors on problem solving performance on various test. A Doctoral Dissertation, University of Chicago , 1978.
  12. Woo, O. H. "The Effects of a PBL on the Problem Solving Process of Students by Their Meta-cognitive Levels," A master's thesis, Korea National University of Education, 2000.
  13. Son, Y. J., & Song, Y. A. Effects of Simulation and Problem-Based Learning Courses on Student Critical Thinking, Problem Solving Abilities and Learning," J Korean Acad Soc Nurs Edu, vol. 18(1), pp. 43-52, April, 2012. DOI: http://dx.doi.org/10.5977/jkasne.2012.18.1.043
  14. Yang, J. J. "Development and Evaluation of a Simulation-based Education Course for Nursing Students," Korean Society of Adult Nursing, Vol.20(4), pp.548-560, August, 2008.
  15. Kim, Y. H., & Jang, K. S. "Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses," Korean Society of Nursing Science, Vol.41(2), pp.245-255, April, 2011. https://doi.org/10.4040/jkan.2011.41.2.245
  16. Yang, H. Y. "The Effect of Reading Program using Informaitonal Books on Young Children's Critical Thinking and Problem Soving," A master's thesis, Sung Kyun Kwan University, 2003.
  17. Hwang, H. R. & Kim, E. K. & Cho, Y. S. "Association between Critical Thinking Disposition and Grade Point Average Score in Dental Hygiene Students," Journal of Dental Hygiene Science, Vol.12(1), pp.7-13, 2012.
  18. Choi, Y. S. & Kim, Y. H. "Family emotional environment, self-efficacy, problem-solving and children's academic achievement," The Journal of Play Therapy, 2006.

Cited by

  1. Effects of a Simulation-based High-risk neonatal Care Education on Learning Satisfaction, Class Participation, Learning Motivation and Clinical Competency in Nursing Students vol.16, pp.10, 2015, https://doi.org/10.5762/KAIS.2015.16.10.6807