Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of High-Fidelity Simulation Practice Related with Classical Education of Medical Surgical Nursing

성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 교육의 효과

  • Received : 2015.07.21
  • Accepted : 2015.12.04
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This research was conducted for the purpose of developing a high-fidelity simulation education program, applying it to clinical field and analyzing this program's effect on nursing college students in order to solve problems being caused from the gap between the adult nursing theoretical class and practical education. As the analysis method, this study developed a scenario including an algorithm for caring hyperkalemia patients, the evaluation check list, and debriefing according to the adult nursing theoretical class's learning goal and measured the high-fidelity simulation program's effect in using the non-equivalent control group pre-test and post-test design. As the results from the analysis, there secured the simulation education program's general properties and dependent variable's homogeneity in the experimental group and the control group. The nursing simulation practice program for hyperkalemia patients showed slight effect on the experimental group compared to the control group in fields such as nursing practice ability, problem solving ability, critical thinking skills, self-confidence of nursing, and knowledge. (t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). High-Fidelity simulation programs in conjunction with an adult nursing theory classes of nursing students nursing practice ability, problem solving ability, critical thinking skills, self-confidence of nursing, and knowledge. This simulation program may be an effective educational method for nursing practice and also support improved quality of nursing education.

본 연구는 간호 대학생에게 성인간호학 이론수업과 실습교육의 단절로 발생하는 문제점을 해결하기 위해 High-Fidelity 시뮬레이션 교육프로그램을 개발하여 적용함으로써 그 효과를 분석하고자 시행되었다. 분석방법은 성인간호학 이론수업의 학습목표에 따라 비뇨기계 대상자 간호에서 고칼륨혈증 대상자 간호를 위한 알고리즘, 평가체크리스트, 디브리핑을 포함한 시나리오를 개발하여 비동등성 대조군 전후설계(non-equivalent control group pre-test and post-test design)로 측정하였다. 분석결과 일반적 특성과 종속변수의 실험군과 대조군의 동질성이 확보되었다. 고칼륨혈증 대상자 시뮬레이션 교육프로그램이 간호대학생의 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식정도에 미치는 효과는 시뮬레이션 교육을 받은 실험군이 대조군 보다 유의하게 증가하였고, 통계적으로 유의한 차이가 있는 것으로 나타났다(t=-83.313, p<.001, t=-3.169, p=.003, t=-2.473, p=.017, t=-4.036, p<.001, t=-5.044, p<.001). 간호학생의 성인간호학 이론수업과 연계한 High-Fidelity 시뮬레이션 프로그램은 간호수행능력, 문제해결능력, 비판적 사고성향, 자기효능감, 간호지식을 높게 하는 것으로 나타났다. 이러한 시뮬레이션 실습교육 프로그램을 교육과정에 적용함으로써 효율적인 실습교육 방안을 제시하고 간호교육의 질 제고에 기여할 수 있을 것이다.

Keywords

References

  1. Shin, Yun-Hee, Hur, Hea Kung, Park, So Mi, Song, Hee-Young, Kim, Gi Yon, Development of an Integrated Clinical Nursing Practice Course for Improvement of Nursing Competency among Nursing Students , The Journal of Korean academic society of nursing education 13(1), pp. 32-40, 2007.
  2. P. Benner, M. sutphen., V. Leonard and L. Day., Educating Nurse, Camegie Foundation for Advancement of Teaching, 2010
  3. Ironside. P. All press release for August 28, 2009 N.Y:NLNAC
  4. Song, Jiho. Kim, Miwon. Study on clinical education for nursing in hospital in korea. J Korean Acad Soc Edu, 19(2), pp. 251-264, 2013. https://doi.org/10.5977/jkasne.2013.19.2.251
  5. Cho, Mi Hye, Jwon, In Soo, A Study on the clinical Practice Experiences on Nursing Activities of Nursing Students, The Journal of Korean academic society of nursing education, 13(2), pp. 143-154, 2007.
  6. Alinier, G, Hunt B., Gordon R, & Harwood C. Effectiveness of intermediate-fidelity simulation training technology inundergraduate nursing education, Advanced Nursing, 54(3), pp. 359-369, 2006. https://doi.org/10.1111/j.1365-2648.2006.03810.x
  7. Schlairet, M.C., Pollock, J.W. Equivalence Testing of Traditional and Simulated Clinical Experiences: Undergraduate Nursing Students' Knowledge Acquisition, The Journal of nursing education, 49(1), pp. 43-47, 2010. https://doi.org/10.3928/01484834-20090918-08
  8. Yoo, So Young, Development and effects of simulation-based education program for newborn emergency care, Department of Nursing Science, The Graduate School of Ewha Womans University, 2013.
  9. Mijin Lee The effectiveness of the simulation integrated with problem based learning on nursing students' clinical competency, self-efficacy and problem solving process, Department of Nursing The Graduate School of Inha University, 2013.
  10. Thomas, P. A., Bowen, C. W. A controlled trial of team-based learning in an ambulatory medicine clerkship for medical students, Teaching and Learning in Medicine, 23(1), pp. 31-36, 2011. https://doi.org/10.1080/10401334.2011.536888
  11. Kim. H. R., Choi, E. Y., Kang, H. Y. Simulation module development and team competency evaluation. The Korean Journal of Fundamentals of Nursing, 18(30), pp. 392-400, 2011.
  12. Scherer, Y. K., Bruce, S. A., Graves, B. T., & Erdley, W. S. Acute care nurse practitioner education :enhancing performance through the use of clinical simulation, AACN Advanced Critical Care, 14(3), pp. 331-341, 2003.
  13. Nehring, W., Lashley, F. Using the human patient simulator in nursing education. Annual Review of Nursing Education, 2, pp. 163-181, 2004.
  14. Jeffries, P.R., Rogers, K. Theoretical framework for simulation design. in: P. Jeffries (Ed.) Simulations in Nursing Education: From Conceptualization to Evaluation, The National League for Nursing, New York; pp. 21-58, 2007.
  15. Bond W.F., Spillane L. The use of simulation for emergency medicine resident students. Acad Emerg Med, 9(11), pp. 1295-1299, 2002. https://doi.org/10.1197/aemj.9.11.1295
  16. Yang S.A. Critical thinking disposition and problem solving ability in nursing students, Journal of Korean Academy of nursing administration, 16(4), pp. 389-398, 2010. https://doi.org/10.11111/jkana.2010.16.4.389
  17. Lee, Woo Sook, Park, Sun Hwan, Choi, Eun Young, Development of a Korean Problem Solving Process Inventory for Adult, J Korean Acad Fundam Nurs, 15(4), pp. 548-557, 2008.
  18. Facione N.C., Facione P.A., Sanchez C.A. Critical thinking disposition as a measure of coppetent clinical judgment. the deveiopment of the California Critical thinking disposition inventory. journal of nursing education. 33(8), pp. 345-35, 1994.
  19. Yoon Jin, Development of an Instrument for the Measurement of Critical Thinking Disposition : In Nursing, Graduate School The Catholic University Of Korea Seoul. Korea, 2004.
  20. F. Faul, E. Erdfelder, A. G. Lang, & A. Buchner,"Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses", Behavior Research Methods, 41, pp.1149-1160, 2009. DOI:http://dx.doi.org/10.3758/BRM.41.4.1149,(accessed August, 07, 2015)
  21. Korean Accreditation Board of nursing Education. The Purpose of The Accreditation Nursing Education. Available From: http://kabone.or.kr/kabon02/index.php(accessed June, 26, 2015)
  22. Korean Society of Adult Nursing, 2015 Korea Society of Adult Nursing Spring Conferenc Materials, Spring, pp. 1-127, 2015.
  23. Song, Young A, Effect of simulation-based practice by applying problem based learning on problem solving process, self- confidence in clinical performance and nursing competence, Korean Journal Women health Nursing. 20(4), pp. 246-254, 2014. https://doi.org/10.4069/kjwhn.2014.20.4.246
  24. Lee, Jung Ok, The effects of Simulation-based training, underwent before or after the clinical practice for the nursing students. The Journal of Korean Academic society Nursing Education, 20(2), pp. 203-211, 2014. https://doi.org/10.5977/jkasne.2014.20.2.203
  25. Yang, Jin Ju, Development and evaluation of a simulation-based education course for nursing students. Korean Journal of Adult Nursing. 20(4), pp. 548-560, 2008.
  26. Kim, Yun Hee, Jang, Keum Seong, Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical perfomance ability and problem solving process in new nurses. Journal of Korean Academy of nursing, 41(2), pp. 245-255, 2011. https://doi.org/10.4040/jkan.2011.41.2.245
  27. Park, Hyeon Sook. Han, Ji Young, Self-leadership, critical thinking disposition, satisfaction of clinical practice and clinical practice competency of nursing students. Journal of the Korean Data & information Science Society, 26(3), pp. 695-706, 2015. https://doi.org/10.7465/jkdi.2015.26.3.695
  28. Cho, Hyun Young. Shon, Min Ho, Differences and similarities of participant experiences in simulation of problem solving : Exploring lmplications from a case of CPX in medical education, The Journal of Curriculum Studies, 33(1), pp. 111-138, 2015.