가정∙방문간호학회지 (Journal of Home Health Care Nursing)

한국가정∙방문간호학회 (Korean Academic Society of Home Health Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

표준화 환자를 적용한 시뮬레이션 수업이 간호대학생의 의사소통능력, 문제해결능력, 비판적 사고성향 및 임상수행능력에 미치는 효과

The Effects of Simulation Practicum using a Standardized Patient on Nursing Students' Communication Skills, Problem-Solving Skills, Critical Thinking Dispositions, and Clinical Competency

  • 투고 : 2016.10.31
  • 심사 : 2016.11.30
  • 발행 : 2016.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to evaluate the effects of standardized patient simulation on nursing students' communication skills, problem-solving skills, critical thinking dispositions, and clinical competency. Methods: A one-group pretest-posttest design was used. Data were collected from a convenient sample of 47 junior nursing students at W University. Scenarios to train SP and checklists to evaluate the students''competence were developed by our research team. The collected data were analyzed with descriptive analysis t-test, Pearson's Correlation Coefficient and Cronbach's ${\alpha}$ using SPSS WIN 21.0 Program. Results: The simulation practicum using a standardized patient was conducted based on four steps, namely, selections of scenario modules, standard patient training, implementation, and evaluation. The differences between the pre and post-test scores of problem-solving skills(t=-2.94, p=.005) and clinical competency(t=-2.84, p=.007) were statistically significant. But communication skill(t=-.32, p=.747) and critical thinking(t=-.68, p=.498) was not different in group. Conclusion: Standardized patient simulation in nursing education may be useful the improvement of problem-solving skills and clinical competency.

키워드

참고문헌

  1. Bambini, D., Washunrn, J., & Perkins, R. (2009). Outcomes of clinical simulation for novice nursing students :Communication, confidence, clinical judgment. Nursing Education Perspectives, 30(2), 79-82.
  2. 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(1), 83-91. https://doi.org/10.4040/jkan.2008.38.1.83
  3. Choi, M. S. (2005). A study on the relationship between teaching effectiveness of clinical nursing and clinical competency in nursing students. Unpublished master's thesis, Ewha Womans University, Seoul.
  4. Cohen, J. (1988). Statistical power for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates Inc.
  5. Eom, M., Kim, H., Kim, E., & Seong, K. (2010). Effects of teaching method using standardized patients on nursing nompetence in subcutaneous injection, self-directed learning readiness and problem solving ability. Journal of Korean Academy of Nursing, 40(2), 151-160. https://doi.org/10.4040/jkan.2010.40.2.151
  6. Elfrink, V. L., Nininger, J., Rohig, L., & Lee, J. (2009). The case for group planning in human patient simulation. Nursing Education Perspectives, 30(2), 83-86.
  7. Gliva-McConvey, G. (accessed Oct., 2, 2014). Definition of an SP, from http://www.aspeducators.org/node/48.
  8. Jang, H. J., Kim, J. H., Ji, E. J., Jung. D, Y., Lee, S. H., Kim, S. H., Jeon, H. J., Shin, H. S., Park, S. Y., Choi, E. H., Song, Y. S., Kim, O. H., Lee, K. J., Choi, E. Y. & Jeong, H. C. (2016). The study on current status of simulation based nursing education. Journal of Korean Society for Simulation in Nursing, 4(1), 1-12.
  9. Kim, D. H., Lee, Y., Hwang, M. H., & Park, J. H. (2012). Effects of a simulation-based integrated clinical practice program(SICPP) on the problem solving process, clinical competence and critical thinking in a nursing atudent. Journal of Korean Academy Society of Nursing Education, 18(3), 499-509. https://doi.org/10.5977/jkasne.2012.18.3.499
  10. Kim, H., Choi, E., Kang, H., & Kim, S. (2011). The relationship among learning satisfaction, learning attitude, self-efficacy and the nursing students' academic achievement after simulation-based education on emergency nursing care. Journal of Korean Academic Society of Nursing Education, 17(1), 5-13. https://doi.org/10.5977/JKASNE.2011.17.1.005
  11. Kim, S. H., & Park, I. S. (2015). Effects of simulation practice by applying problem based learning on the critical thinking disposition, problem-solving process and self-confidence of nursing process in nursing students. Journal of Korea Society for Simulation in Nursing, 3(2), 1-11.
  12. Kim, S. (2012). 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, 15(2), 71-79.
  13. Kim, Y., & Kang, H. (2013). Development and application of simulation learning scenario using standardized patients:caring for neurological patients in particular. Korea Contents Association Review, 13(11), 237-248.
  14. Korean Accreditation Board of Nursing Education. (accessed Oct., 2, 2014). http://www.kabon.or.kr/HyAdmin/view.php?&bbs_id=kab01&page=&doc_num=446.
  15. Lee, M. S., & Hahn, S. W. (2011). Effect of simulation-based practice on clinical performance and problem solving process for nursing students. Journal of Korean Academic Society of Nursing Education, 17(2), 226-234. https://doi.org/10.5977/JKASNE.2011.17.2.226
  16. Lee, S. J., Roh, Y. S., Jang, K. I., Ryoo, E. N., & Park, Y. M. (2010). Comparison of multi-mode simulation and simman(R) simulation on evaluation of nursing care for patients with dyspnea. Journal of Korean Academic Society of Nursing Education, 16(1), 51-60. https://doi.org/10.5977/JKASNE.2010.16.1.051
  17. Lee, S. J., Park, Y. M., & Noh, S. M. (2013). The effects of simulation training with hybrid model for nursing students on nursing performance ability and self confidence. Korean Journal of Adult Nursing, 25(1), 170-182. https://doi.org/10.7475/kjan.2013.25.2.170
  18. Lee, W. S., Cho, K. C., Yang, S. H., Roh, Y. S., & Lee, G. Y. (2009). Effects of problem-based learning combined with simulation on the basic nursing competency of nursing students. Korean Journal of Fundamentals of Nursing, 16(1), 64-72.
  19. McGaghie, W. C., Issenberg, S. B., Petrusa, E. R., & Scalese, R. J. (2010). A critical review of simulation-based medical education research : 2003-2009. Medical Education, 44(1) 50-63. https://doi.org/10.1111/j.1365-2923.2009.03547.x
  20. Park, H., Han, J., Park, M., & Oh, J. (2004). Comparison of results from objective structured clinical examinations for medical students performed before and after clinical clerkship. Korean Journal of Medical Education, 16(1), 63-71. https://doi.org/10.3946/kjme.2004.16.1.63
  21. Parker, R. A., McNeill, J. A., Pelayo, L. W., Goei, K. A., Howard, J. J., & Gunter, M. D. (2011). Pediatric clinical simulation: a pilot project. Journal of Nursing Education, 50(2), 105-111. https://doi.org/10.3928/01484834-20101230-05
  22. Reznick, R. K., Sydney, S., Baumber, J., Cohen, R., Rothman, A., &. Blackmore, D. (1993). Guideline for estimating the real cost of an objective structured clinical examination. Academic Medicine, 68(7), 513-517. https://doi.org/10.1097/00001888-199307000-00001
  23. Samuel. L., Tracy, L. J., Helen, B. & Ritin, F. (2010). Effectiveness of patient simulation manikins in teaching clinical reasoning skills to undergraduate nursing students :A systematic review. Simulation in Nursing, 6(6), 207-222. https://doi.org/10.1016/j.ecns.2010.05.005
  24. The Korean Nurses Association News, (accessed Jul., 12, 2016). http://www.nursenews.co.kr/main/ArticleDetailView.asp?sSection=62&idx=20383.
  25. Wallace, P. (2007). Coaching standardized patients: For use in the assessment of clinical competence. New York, NY:Springer Publishing.
  26. Woo, O. H. (2000). The effects of a PBL on the problem solving process of students by their meta-cognitive levels. Unpublished master's thesis, The Graduate School National University of Education, Chung-Buk.
  27. Yang, J. (2006). Effects of problem based learning on critical thinking disposition and problem solving process of nursing students. Journal of Korean Academy of Nursing Administration, 12(2), 287-294.
  28. Yang, J. J. (2012). The effect of a simulation-based education on the knowledge and clinical competence for nursing students. Journal of Korean Academic Society of Nursing Education, 18(1), 14-24. https://doi.org/10.5977/jkasne.2012.18.1.014
  29. Yoo, M. S.(2001). The effectiveness of standardized patient managed instruction for a fundamental nursing course. Journal of Korean Academic Society of Nursing Education, 7(1), 94-112.
  30. Yoon, J. (2004). Development of an instrument for the measurement of critical thinking disposition : In nursing. Unpublished doctoral dissertation, Catholic University. Seoul.