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 Simulation-based learning scenario using standardized repiratory patients on learning satisfaction, clinical skill competency and self-efficacy in Health-related department students

호흡기계 표준화환자를 활용한 시뮬레이션 기반 시나리오 학습이 보건계열 대학생의 학습만족도, 임상수행능력과 자기효능감에 미치는 효과

  • Cho, Hye-Young (Department of Emergency Medical Service, Daewon University)
  • 조혜영 (대원대학교 응급구조학과)
  • Received : 2015.02.23
  • Accepted : 2015.03.12
  • Published : 2015.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to examine the effects of a simulation-based learning scenario using standardized respiratory patients regarding emergency care on learning satisfaction, and self efficacy, clinical skill competency of health related department students. A quasi-experimental non-equivalent control group pre-post test design was used. A total of 50 students, 25 students for the experimental group and 25 students for the control group, The experimental group received the 2 educations sessions and 1 evaluation session with 180 minutes for each session. It was implemented in November, 2013. Data were analysed using frequency, ratio and t-test by the SPSS/Win 18.0. The experimental group who had the simulation-based learning scenario using standardized respiratory patients showed significantly higher learning satisfaction and self efficacy, clinical skill competency compared with the control group who had a traditional simulation education. Through this study, simulation-based learning scenario using standardized patients was verified to be an effective teaching method to be grow up on professional competency of health related department students. Also the simulation-based learning scenario using standardized patients should be developed in the various fields.

본 연구는 표준화 환자를 활용한 호흡기계 환자 시뮬레이션 기반 교육을 보건계열 학생에게 적용한 후 학업만족도와 자기효능감, 임상수행능력에 미치는 효과를 기존의 시뮬레이션 교육과 비교 검증하기 위해 시도되었다. 비동등성 대조군 전후설계를 적용한 유사 실험연구로서 J시에 소재한 D대학 보건계열 3학년 학생 50명이 참여하였다. 실험군 25명에게는 표준화 환자를 활용한 호흡기계 환자 시뮬레이션 교육과 평가를 진행하였고 대조군 25명에게는 전통적인 시뮬레이션 교육과 평가를 실시하였다. 2013년 11월부터 180분간 주 1회씩 총 2회의 교육과 1회의 평가로 실시되었으며 수집된 자료는 SPSS/Win 18.0을 이용하여 실수와 백분율, t-test로 분석하였다. 본 연구 결과 표준화 환자를 활용한 호흡기계 환자 시뮬레이션 교육을 시행한 실험군에서 학업만족도와 자기효능감, 임상수행능력이 통계적으로 유의하게 높았다. 이상의 연구결과를 종합한 결과, 표준화 환자를 활용한 호흡기계 환자 시뮬레이션 기반 교육은 보건계열 대학생의 학업만족도와 자기효능감, 임상수행능력 향상에 기존의 시뮬레이션 교육보다 효과적임을 확인할 수 있었다. 따라서 다양한 분야에서 표준화 환자를 활용한 시나리오를 개발하고 시뮬레이션 교육과정에 적용하여 보건계열 학생들의 전문직 역량 강화를 위해 활용할 것을 제안한다.

Keywords

References

  1. Baek, M.R. Implementation Effects of Emergency Truma patient simulation. The korean Journal of Emergency Medical Services, 15(2) pp. 43-54, 2011.
  2. Hyun, K.S., Jeong, Y.H. The Relationship among Clinical Competence on Diabetic Diet Education Using Standardized Patients, Self-efficacy, Communication, Learning Satisfaction, and Professional Values of Nursing Students, Korean Journal of Adult Nursing, 22(2), pp. 221-228, 2010.
  3. McCausland, L. L., Curran, C. C., & Cataldi, P. Use of HumanSimluator for Undergraduate Nurse Education, International Journal of Nursing Education Scholarship, 1(1), pp. 1-17, 2004. DOI: http://dx.doi.org/10.2202/1548-923X.1035
  4. Turcato, N., Robertson, C., & Covert, K. Simulation-Based Education: What's in it for Nurse Anesthesia Educators?, AANA Journal, 76(4), pp. 257-262, 2008.
  5. Issenberg, S. B., Mcgaghie, W. C., Pertusa, E. R., Gordon, D. L., & Scales, R.J. Features and uses of high-fidelity medical simulation that ead to effective learning: a BEME systematic review, Medical Teacher, 27(1), pp. 10-28,2006. DOI: http://dx.doi.org/10.1080/01421590500046924
  6. Bond, W. F., & Spillane, L. The Use of Simulation for Emergency Medicine Resident Assessment. Academic Emergency Medicine, 9(11), pp. 1295-1298, 2002. DOI: http://dx.doi.org/10.1197/aemj.9.11.1295
  7. Cho, H.Y. The effect of Simulation-based Core Skill Program on clinical konwledge, problem solving process and self-esteem in Health-related department students, Journal of the Korea Academia-Industrial cooperation Society, 15(10), pp. 6126-6133, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.10.6126
  8. Cynthia,A.B.,Susan,B.,& Dax,P. High-fidelity nursing simulation : Impact on student self-confidence and clinical competence, International Journalof Nursing Education Scholarship, 7(18). 2010.
  9. Jamil,N.Systematic review ofthe literature on simulation in nursing education, The Associationof Black Nursing FacultyJournal, pp. 24-28. 2012.
  10. Seybert,A.L.,Laughlin,K.K.,Benedict,N.J.,Barton,C.M.& Rea,R.S. Pharmacy student response to patient simulation mannequins to teach, performance-based pharmacotherapeutics. American Journal of Pharmaceutical Education, 70(3), 2006. DOI: http://dx.doi.org/10.5688/aj700348
  11. Anne,L.B.,Yu,X.,JayJ.S., Margaret,C.,& Miriam ,T.Reliability of standardized patients use dinacommunication study on international nurses in the United States of America. Nursing and Health Sciences, 14, pp. 67-73, 2012. DOI: http://dx.doi.org/10.1111/j.1442-2018.2011.00667.x
  12. Bond,W.F.,& Spillane,L.The use of simulation for emergency medicine resident assessment, Academic Emergency Medicine, 9, pp.1295-1298, 2002. DOI: http://dx.doi.org/10.1197/aemj.9.11.1295
  13. Hyun, K. S., Kang, H. S., Kim, W. O., Park, S., Lee, J., & Sok, S. Development of a multimedia learning DM dieteducation program using standardized patients and analysisof its effects on clinical competency and learningsatisfaction for nursing students. Journal of Korean Academy of Nursing, 39, pp. 249-258, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.2.249
  14. Seong, K. Y. Effects of practice nursing education: Using standardized patients on subcutaneous insulin injection. Unpublished master's thesis, Eulji University, Daejeon, 2008.
  15. Sok, S. H., Kang, H. S., Kim, W. O., Hyun, K. S., Lee, J., & Park,S. 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), pp. 468-476, 2009.
  16. Yoo, M. S. Development of standardized patient managed instruction for a fundamentals of nursing course. Unpublished doctoral dissertation, Yonsei University, Seoul, 2000.
  17. 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
  18. Beth, M. N. , Jeanne, M. M. , Gai l , A. A. , & Brian, M. F. .Incorporating scenario-based simulation in to a hospital nursing education program.The Journal of Continuing Education in Nursing ,40(1),pp. 18-25, 2009. DOI: http://dx.doi.org/10.3928/00220124-20090101-02
  19. Kim,J.Y. Development of a scenario of simulation and analysis of the effect of debriefing : focused on case of cerebral hemorrhage patients Unpublished master's thesis, Eulji University, Daejeon, 2012.
  20. Kim, Y.E.,& Kang, H.Y. Development and Application of Simulation Learning Scenario using Standardized Patients: Caring for Neurological Patients in Particular, The korean contents society 13(11),pp.236-248, 2013.
  21. Kim,H.R., Choi, E.Y., Kang, H.Y., Kim. S.M. The Relationship among Learning Satisfaction, Learning Attitude, Self-efficacy and the Nursing Students' Academic Achievement after Simulation-based Education on Emergency Nursing Care 7(1), pp.5-13, 2011.
  22. Eum, M.R., Kim, H.S., Kim, E.K. Effects of Teaching Method using Standardized Patients on Nursing Competence in Subcutaneous Injection, Self-Directed Learning Readiness, and Problem Solving Ability, Journal of Korean Academy of Nursing, 40(2),pp.151-160, 2010. DOI: http://dx.doi.org/10.4040/jkan.2010.40.2.151
  23. Choi, J. Y., Jang, K. S., Choi, S. H., & Hong, M. S. Validity and reliability of a clinical performance examination using standardized patients. Journal of Korean Academy of Nursing, 38, pp.83-91(2008). DOI: http://dx.doi.org/10.4040/jkan.2008.38.1.83
  24. Jeffries,P.R.. A frame work for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2),pp. 96-103. 2005.
  25. Long,R.E..Using simulation to teach resuscitation : An important patient safetytool. Critica lCare Nursing Clinics of North America, 17(1), pp. 1-8, 2005. DOI: http://dx.doi.org/10.1016/j.ccell.2004.09.001
  26. Steinwachs, B. How to facilitate a debriefing. Simulation Gaming, 23, pp. 186-195, 1992. DOI: http://dx.doi.org/10.1177/1046878192232006
  27. Bendura, A. Self efficacy: Toward a unifying theory of gehaviro change. psychological Review, 84, pp. 191-215, 1997.
  28. Kim, A.Y., Cha,J.E. Self-efficacy and measurement. industrial and organizational psychology, The winter symposium and collection of learned papers, pp.51-64, 1996.
  29. Whang, S. J., The relationship between clinical stress, self efficacy and self-esteem of nursing college students. The Journal of Korean Academic Society of Nursing Education,12 , pp.205-213, 2006.
  30. Kim, Y. S., Kim, M. S., & Cho, W. S., 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, pp. 51-60, 2002.

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