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The Effects of Simulation-Based Practice on Critical Thinking Disposition, Communication Skill, and Clinical Performance for Nursing Students

시뮬레이션 기반 실습 교육이 간호대학생의 비판적 사고성향, 의사소통능력, 임상수행능력에 미치는 효과

  • Received : 2017.03.24
  • Accepted : 2017.04.07
  • Published : 2017.04.30

Abstract

The purpose of this study was to develop a simulation-based practice that enhances the core competencies of nursing students and to investigate the effects on critical thinking disposition, communication skill, and clinical performance for nursing students. This study used a one group, pre-post test design. There were 53 nursing students from G city enrolled in this study, and self-reported questionnaires were collected between June 10 and August 19, 2016. The simulation-based practice was applied for 6-8 hours/day for 60 hours, using a 4-practice module. The data were analyzed by frequencies, paired t-test, and Pearson's correlation using SPSS Win 18.0. The results showed that there was a significant difference in the clinical performance, however, there was no significant difference in the critical thinking disposition and communication skill. After the simulation-based practice, clinical performance was found to be positively correlated with critical thinking disposition (r= .628, p<.001) and communication (r=.716, p<.001). Critical thinking disposition and communication (r=.650, p<.001) also showed a positive correlation. In order to improve clinical competence, it is necessary to develop a simulation-based practice that enhances critical thinking disposition and communication skill.

본 연구는 간호대학생의 핵심역량을 향상 시킬 수 있는 시뮬레이션 기반 실습교육을 개발 적용하여 비판적사고 성향, 의사소통 능력, 임상수행능력에 미치는 효과를 파악하기 위하여 시도되었다. 단일군 사전-사후설계의 실험 연구로 G도 소재 간호대학생 4학년 53명을 대상으로 자가보고식 설문지를 이용하여 2016년 6월10일 부터 8월19일 까지 자료를 수집하였다. 시뮬레이션 기반 실습 교육은 4개의 실습 모듈을 이용하여 6-8시간/일, 총 60시간 적용하였다. 수집된 자료는 SPSS WIN 18을 이용하여 빈도, paried t-test, Pearson's correlation coefficients으로 분석하였다. 연구결과 시뮬레이션 기반 실습 전 후 임상수행능력은 유의한 차이가 있는 것으로 나타났으나 비판적 사고성향과 의사소통 능력은 유의한 차이가 없는 것으로 나타났다. 시뮬레이션 실습 교육 후 임상수행능력은 비판적 사고성향(r=.628, p<.001), 의사소통(r=.716, p<.001)과 정의 상관관계가 있는 것으로 나타났다. 비판적 사고성향과 의사소통(r=.650, p<.001)도 정의 상관관계가 있는 것으로 나타났다. 추후 임상수행능력 향상을 위해 비판적 사고성향과 의사소통능력을 높일 수 있는 시뮬레이션 기반 실습 교육의 개발 및 효과를 검증할 수 있는 연구가 필요하다.

Keywords

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