DOI QR코드

DOI QR Code

Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students

간호학생을 대상으로 한 통합(모성-아동) 시뮬레이션 프로그램 개발 및 효과

  • Received : 2015.07.03
  • Accepted : 2015.10.20
  • Published : 2015.10.31

Abstract

Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

Keywords

References

  1. Yang JJ. Development and evaluation of a simulation-based education course for nursing students. Korean Journal of Adult Nursing. 2008; 20(4):548-560.
  2. Park JH. Study of abilities required to develop for student in nursing education. The Journal of Korean Academic Nursing Administration. 2011;17(1);74-87. http://dx.doi.org/10.11111/jkana.2011.17.1.74
  3. Song JH, Kim MW. Study on clinical education for nursing in hospitals in Korea. The Journal of Korean Academic Society of Nursing Education. 2013;19(2):251-264. http://dx.doi.org/10.5977/jkasne.2013.19.2.251
  4. Cho MH, Kwon IS. A study on the clinical practice experiences on nursing activities of nursing students. The Journal of Korean Academic Society of Nursing Education. 2007;13(2):143-154.
  5. National League for Nursing. NLN survey on clinical education points to barriers to effective clinical education in pre-licensure nursing programs and need for continued research [Internet]. NY: National League for Nursing; 2009 [cited 2015 June 25]. Available from: http://www.nln.org/newsroom/news-releases/news-release/2009/08/28/nlnsurvey-on-clinical-education-points-to-barriers-to-effective-clinicaleducation-in-pre-licensure-nursing-programs-and-need-for-continued-research-156
  6. Decker S, Sportaman S, Puetz L, Billings L. The evolution of simulation and its contribution to competency. Journal of Continuing Education in Nursing. 2008;39(2):74-80. https://doi.org/10.3928/00220124-20080201-06
  7. Song YA, Son YJ. Effects of simulation-based practice by applying problem based learning on problem solving process, self-confidence in clinical performance and nursing competence. Korean Journal of Women Health Nursing. 2014;20(4):246-254. http://dx.doi.org/10.4069/kjwhn.2014.20.4.246
  8. Kim SH. Effects of simulation-based practice using standardized patients for the care of women with postpartum hemorrhage on nursing student's clinical performance competence and critical thinking deposition. Korean Parent Child Health Journal. 2012;15(2):71-79.
  9. Yoo SY. Development and effects of a simulation-based education program for newborn emergency care. Journal of Korean Academy of Nursing. 2013;43(4):468-477. http://dx.doi.org/10.4040/jkan.2013.43.4.468
  10. Kim YH, Jang KS. Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. Journal of Korean Academy of Nursing. 2011;41(2):245-255. http://dx.doi.org/10.4040/jkan.2011.41.2.245
  11. Yang JJ. Effects of a simulation-based education on the knowledge and clinical competence for nursing students. Journal Korean Academic Society of Nursing Education. 2012;18:14-23. http://dx.doi.org/10.5977/jkasne.2012.18.1.014
  12. Anderson JM, Warren JB. Using simulation to enhance the acquisition and retention of clinical skills in neonatology. Seminars in Perinatology. 2011;35(2):59-67. https://doi.org/10.1053/j.semperi.2011.01.004
  13. Kim HR, Choi EY, Kang HY. Simulation module development and team competency evaluation. The Korean Journal of Fundamentals of Nursing. 2011;18(30):392-400.
  14. Kim JH, Park IH, Shin SJ. Systematic review of Korean studies on simulation within nursing education. The Journal of Korean Academic Society of Nursing Education. 2013:19(3):307-319. http://dx.doi.org/10.5977/jkasne.2013.19.3.307
  15. Hur HK, Song HY. Effects of simulation-based clinical reasoning education and evaluation of perceived education practices and simulation design characteristics by students nurses. The Journal of the Korea Contents Association. 2015;3:206-218. http://dx.doi.org/10.5392/JKCA.2015.15.03.206
  16. Phrampus P, O'Donnell J. Debriefing in simulation education nursing - using a structured and supported model. Paper presented at: Winter Institute for Simulation, Education, and Research (WISER) second annual symposium on nursing simulation; 2008, DEC, 4th. University of Pittsburgh Medical Center. Pittsburgh. PA.
  17. Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005;26(2):96-103.
  18. Yang JJ. The effects of a simulation-based education on the knowledge and clinical competence for nursing students. The Journal of Korean Academic Society of Nursing Education. 2012:18(1);14-24. https://doi.org/10.5977/jkasne.2012.18.1.014
  19. Shim CS. Park MK. Kim JH. Effects of simulation-based delivery education regarding to obstetric clinical practce before and after of nursing students. Journal of Korean Society Maternal Child Health. 2014;18(1):125-133. https://doi.org/10.21896/jksmch.2014.18.1.125
  20. Kim HY, Kim HR. Effects of a colonoscopy based simulation education program on knowledge and clinical performance in nursing students. Korean Journal of Adult Nursing. 2015;27(2):135-145. http://dx.doi.org/10.7475/kjan.2015.27.2.135
  21. Sanford PG. Simulation in nursing education: A review of the research. The Qualitative Report. 2010;15(4):1006-1011.
  22. Marken PA, Zimmerman C, Kennedy C, Schremmer R, Smith, KV. Human simulators and standardized patients to teach difficult conversations to inter professional health care teams. American Journal of Pharmaceutical Education. 2010;74(7):120. https://doi.org/10.5688/aj7407120
  23. Taekman JM, Shelley K. Virtual environments in healthcare: Immersion, disruption, and flow. International Anesthesiology Clinics. 2010;48(3):101-121. http://dx.doi.org/10.1097/AIA.0b013e3181eace73
  24. Lee WS, Kim M. Effects and adequacy of high-fidelity simulation-based training for obstetrical nursing. Journal of Korean Academy of Nursing. 2011;41(4):433-443. http://dx.doi.org/10.4040/jkan.2011.41.4.433
  25. Hur HK, Park SM. Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students. Journal Korean Academic Society of Nursing Education. 2012;18(1):111-119. http://dx.doi.org/10.5977/jkasne.2012.18.1.111
  26. Ryoo EN, Ha EH. Cho JY. Comparison of learning effects using highfidelity and multi-mode simulation: An application of emergency care for a patient with cardiac arrest. Journal of Korean Academy of Nursing. 2013;43(2):185-193. http://dx.doi.org/10.4040/jkan.2013.43.2.185
  27. Kim HR. Choi EJ. Development of a scenario and evaluation for simBaby simulation learning of care for children with fever in emergency units. The Journal of the Korea Contents Association. 2011;11(6):279-288. http://dx.doi.org/10.5392/JKCA.2011.11.6.279
  28. Park JY. Self-assessment, self-efficacy and satisfaction after OSCE using smart phone. The Journal of Korean Academic Society of Nursing Education. 2012;18(1):119-129. http://dx.doi.org/10.5977/jkasne.2012.18.1.120
  29. Wotton K, Davis J, Button D, Kelton M. Third-year undergraduate nursing students' perceptions of high-fidelity simulation. Journal of Nursing Education. 2010;49(11):632-639. http://dx.doi.org/10.3928/01484834-20100831-01
  30. Dreifuerst KT. Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. Journal of Nursing Education. 2012;51(6):326-333. http://dx.doi.org/10.3928/01484834-2012040 9-02

Cited by

  1. 팀기반 학습을 적용한 분만간호 시뮬레이션 실습교육이 간호대학생의 간호지식, 자기효능감과 임상수행능력에 미치는 효과 vol.24, pp.2, 2015, https://doi.org/10.4069/kjwhn.2018.24.2.150
  2. PBL기반 시뮬레이션 융합교육이 간호대학생의 셀프리더십, 비판적 사고성향, 목표몰입에 미치는 효과 vol.11, pp.12, 2015, https://doi.org/10.15207/jkcs.2020.11.12.373